NUR 265 EXAM 2 QUESTIONS AND ANSWERS Graded A

NUR 265 EXAM 2 QUESTIONS AND ANSWERS Graded A What is ARDS? - Acute Resp. Failure with these features: -Refractory hypoxemia -Decreased pulmonary compliance -Dyspnea What is refractory hypoxemia? - No matter how much oxygen the patient is on, the O2 sats are not getting any better Is ARDS reversible? - Yes, it is reversible but it needs to e caught early. It can progress to Resp. Failure! What are some common causes of an acute lung injury? - Shock Trauma Serious nervous system injury Pancreatitis Sepsis Fat and amniotic fluid emboli Inhalation of smoke Drug ingestion What are common assessment findings with ARDS? - *Clear lung sounds early and crackles late* *Dysrhythmias* Increased RR Hypoxia Pallor Cyanosis Sternal retractions Diaphoresing Bounding HR How is ARDS managed? - ECMO 100% oxygen and PEEP Antibiotics Sedation Nutritional Support Corticosteroids Minimal Fluids *Vasopressors (because they are hypotensive)*