acute respiratory distress syndrome

Question 1

define Respiratory failure?

Answer 1

when not enough oxygen passes from your lungs into your blood

Question 2

define acute respiratory distress syndrome?

Answer 2

quick diffuse alveolar damage + inflammation throughout lungs

Question 3

explain pathophysiology on how an Infection can lead to ARDS?

Answer 3

Infection –> Diffuse alveolar damage –> ↑permeability of alveolar capillaries –> fluid leaks into alveoli –> pulmonary oedema –> ↓O2 sats, SOB, ↑RR
–> ARDS

Question 4

how many pts with ARDS end up dying?

-%

Answer 4

40% die

Question 5

causes of ARDS?

-5

Answer 5

pneumonia, sepsis, aspiration, trauma, acute pancreatitis

Question 6

main feature on CXR?

Answer 6

bilateral oedema

Question 7

what do you hear on auscultation?

what is this a sign of?

Answer 7

crackles

Fluid in air sacs

Question 8

fluid in lungs alveoli is called what?

Answer 8

infiltrate

Question 9

what is best treatment?

Answer 9

Ventilation

Question 10

pt has ARDS.
needs organ support.

what do you give?

Answer 10

vasopressors

Question 11

pt has ARDS from infection and has acutely deteriorated.

what other emergency should you be thinking?

Answer 11

sepsis

Question 12

vital of pt with ARDS?

- 2 main ones

Answer 12

↑RR

Low O2

Question 13

main symptom?

Answer 13

Dyspnoea

Question 14

how should they be positioned?

Answer 14

prone

Question 15

pt on ward with ARDS clinical picture.

where do you send to treat?

Answer 15

ICU