Acute Respiratory Distress Syndrome (ARDS) **** Flashcards
1
Q
2 mechanisms of causes?
A
Direct lung injury and 2* to severe systemic illness
2
Q
Pathophysiology
A
Lung damage and release of inflammatory mediators cause:
- Increased capillary permeability
- Non-cardiogenic pulmonary oedema
3
Q
Causes:
- Pulmonary
- Other causes?
A
Pneumonia Inhalation Gastric aspiration ===== Shock Septicaemia Haemorrhage Pancreatitis ALF Trauma
4
Q
Clinical features:
A
Cyanosis
Tachycardia
Peripheral vasodilation
Bilateral fine inspiratory crackles
5
Q
Investigations:
Bedside - 1
Bloods - 7
Imaging - 1
A
ABG ===== FBC U+E LFT Amylase Clotting CRP Cultures ====== CXR - bilateral infiltrates
6
Q
What are the 4 parts of the diagnostic criteria?
A
Acute onset
CXR - bilateral infiltrates - due to pul oedema
Lack of clinical congestive HF
Refractory hypoxaemia
THINK ABOUT ACTUAL DEFINITION
7
Q
Management:
3 main things
A
Admit to ITU
Resp support - O2, mechanical ventilation
Cardiac support - Fluid balance, transfusions
8
Q
WATCH VID ON YOUTUBE
A
WATCH VID ON YOUTUBE