1. ARDs is what kind of con- Acute
dition?
2. Direct cause of ARDS Damage or disruption of Respiratory system
-Aspiration
-smoke inhalation
-PE
-pneumonia
-near drowning
-pulmonary Contusion
3. Indirect Causes of ARDS processes or disorders occur outside of the respiratory system but
have a harmful effect on the lungs
-Sepsis
-Pancreatitis
-Drug overdose
-multiple blood transfusions
-CABG
-Burns
4. What happens in the ex- -Happens within 24 hours
udative phase? -Inflammatory mediators activated
-capillaries become leaky
-poor ventilation (hypoxemia)
-Surfactant becomes inactivated because there's so much fluid build-
ing up in alveoli (Atelectasis)
5. ARDS early clinical mani- -Dyspnea
festations -Tachycardia
-Chest XR shows clear lungs
-ABG's often within normal range
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, NUR 213 Midterm
-lung sounds clear
-restlessness
6. ARDS Late clinical mani- -Increased RR
festations -Increased intercostal retractions
-Increased use of accessory muscles
-Tachycardia
-Crackles and Ronchi
-atelectasis (diminished breath sounds)
- Cyanosis
-CXR shows interstitial changes with patchy infiltrates
-Hypoxemia and respiratory acidosis
-Increased agitation, confusion, and lethargy
7. Priority intervention for Maintain airway management using a resuscitation bag with face
the nurse if a patient has mask and connect to 100% o2
to be intubated?
8. What sedative would we -Propofol Drip
give along with pancuroni-
um?
9. What is the purpose of Reduces O2 demand by limiting muscle movement which suppresses
pancuronium? respiratory effort so the patient doesn't fight the vent
10. Paralytics like pancuroni- increase respiratory secretions
um can
11. Nursing interventions for Suctioning and scopolamine patch behind the ear
pancronium (paralytics)
12. High pressure alarms can Increase in airway pressure
be caused by -Secretions
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