NUR 254 ARDS 2
- What is a PaO2 of <50 + a PaCO2 >45 mean? What needs to be done for this pt?
- Respiratory failure
Answer
- Pt needs to be intubated and put on mechanical ventilation
- What would you do for a patient going into respiratory failure that was a DNI?
Answer Put on CPAP or BIPAP
- (T/F) CPAP is good for patients with COPD.
Answer False (It is bad because they already have problems exhaling; BIPAP should be used)
- What does CPAP do?
Answer Constantly push air into the patient
- What does BIPAP do?
Answer Push high pressure air during inspiration and low pres- sure air during expiration
- What is ARDS?
Answer Severe form of acute respiratory failure
- (T/F) Someone who has pneumonia will not necessarily have ARDS.
Answer True 1 / 2
- What is refractory?
Answer When giving a lot of oxygen to the pt won't help because the alveoli can't use the oxygen so it has no where to go
- What happens to compliance in ARDS?
Answer Lung compliance decreases (d/t fluid getting in the alveoli and making them stiff)
- What are indirect causes of ARDS?
- Sepsis
Answer
- Trauma (burns, head injury, lung contusion)
- Pancreatitis
- What are direct causes of ARDS?
- Pulmonary infections
Answer
- Aspiration
- Pneumonia
- Drowning
- What are other causes of ARDS?
- Age > 70
Answer
- Immunocompromised (HIV, chemotherapy)
- Smokers
- What are clinical manifestations of ARDS?
- Hypoxemia
- / 2
Answer