MDC IV EXAM 2 EXAM SCRIPT FINAL PAPER
SOLVED QUESTIONS
◉ Acute Respiratory Failure Physical assessment.
Answer: dyspnea
orthopnea
assess O2 and Lung soudns
end-tidal CO2
ABG
resltessness
irritability
confusion
decreased LOC
headache
◉ Acute Respiratory Failure Interventions.
Answer: O2 tehreapy
bronchodilators
steroids
mech. vent
diuretics or antibiotics PRN
,upright position
energy conservation
◉ Acute Respiratory Distress Syndrome (ARDS) Patho.
Answer: Increased permiability of blood vessels puts more protein
in the lungs, surfactant fails, alveoli collapse, edema comes and
makes it worse
hypoxemia with 100% O2
decreased pulmonary compliance
dyspnea
bilatreral pulmonary edema
pulmonary infiltriates on xray
◉ Acute Respiratory Distress Syndrome (ARDS) Patho Causes.
Answer: Acute lung injury
Sepsis, burns, pancreatitis, trauma, transfultion
systemic inflammatory response
◉ Acute Respiratory Distress Syndrome (ARDS) Physical
assessment.
Answer: Lung sounds normal
noisy respirations,
,cyanosis
pallor
intercostal/substernal retraction
sweating
change in LOC
◉ Acute Respiratory Distress Syndrome (ARDS) Diagnostic test.
Answer: Low PaO2
progressive need for O2
X-ray
ECG-no specifics
Sputum cultures
◉ Acute Respiratory Distress Syndrome (ARDS) Phases.
Answer: Exudative
Fibropoliferative
resolution
◉ Acute Respiratory Distress Syndrome (ARDS) Exudative.
Answer: dyspnea/tachycardia
alveoli fluid filled, pulmonary shunting, atelctasis
Intervention: support pt and give O2
, ◉ Acute Respiratory Distress Syndrome (ARDS) Fibropoliferative.
Answer: increased lung injury
polmonary HTN, fibrosis
compensation= reduced gas exchange
give O2
◉ Acute Respiratory Distress Syndrome (ARDS) Resoution.
Answer: occurs after 14 days, either cured or dead
◉ Acute Respiratory Distress Syndrome (ARDS) Intervention.
Answer: Intubation/mechanical ventilation
assess lung sounds/suction frequently
prone positioning
ECMO
antibiotics
conservation fluid therapy
nutrition (enteral or parenteral)
◉ Endotracheal Intubation (ETT).
Answer: Tracheostomy if needed greater than 10-14 days
anesthsiologist or respiratory therapist can do
SOLVED QUESTIONS
◉ Acute Respiratory Failure Physical assessment.
Answer: dyspnea
orthopnea
assess O2 and Lung soudns
end-tidal CO2
ABG
resltessness
irritability
confusion
decreased LOC
headache
◉ Acute Respiratory Failure Interventions.
Answer: O2 tehreapy
bronchodilators
steroids
mech. vent
diuretics or antibiotics PRN
,upright position
energy conservation
◉ Acute Respiratory Distress Syndrome (ARDS) Patho.
Answer: Increased permiability of blood vessels puts more protein
in the lungs, surfactant fails, alveoli collapse, edema comes and
makes it worse
hypoxemia with 100% O2
decreased pulmonary compliance
dyspnea
bilatreral pulmonary edema
pulmonary infiltriates on xray
◉ Acute Respiratory Distress Syndrome (ARDS) Patho Causes.
Answer: Acute lung injury
Sepsis, burns, pancreatitis, trauma, transfultion
systemic inflammatory response
◉ Acute Respiratory Distress Syndrome (ARDS) Physical
assessment.
Answer: Lung sounds normal
noisy respirations,
,cyanosis
pallor
intercostal/substernal retraction
sweating
change in LOC
◉ Acute Respiratory Distress Syndrome (ARDS) Diagnostic test.
Answer: Low PaO2
progressive need for O2
X-ray
ECG-no specifics
Sputum cultures
◉ Acute Respiratory Distress Syndrome (ARDS) Phases.
Answer: Exudative
Fibropoliferative
resolution
◉ Acute Respiratory Distress Syndrome (ARDS) Exudative.
Answer: dyspnea/tachycardia
alveoli fluid filled, pulmonary shunting, atelctasis
Intervention: support pt and give O2
, ◉ Acute Respiratory Distress Syndrome (ARDS) Fibropoliferative.
Answer: increased lung injury
polmonary HTN, fibrosis
compensation= reduced gas exchange
give O2
◉ Acute Respiratory Distress Syndrome (ARDS) Resoution.
Answer: occurs after 14 days, either cured or dead
◉ Acute Respiratory Distress Syndrome (ARDS) Intervention.
Answer: Intubation/mechanical ventilation
assess lung sounds/suction frequently
prone positioning
ECMO
antibiotics
conservation fluid therapy
nutrition (enteral or parenteral)
◉ Endotracheal Intubation (ETT).
Answer: Tracheostomy if needed greater than 10-14 days
anesthsiologist or respiratory therapist can do
