Acute Respiratory Distress Syndrome (ARDS) **** Flashcards

1
Q

2 mechanisms of causes?

A

Direct lung injury and 2* to severe systemic illness

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2
Q

Pathophysiology

A

Lung damage and release of inflammatory mediators cause:

  • Increased capillary permeability
  • Non-cardiogenic pulmonary oedema
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3
Q

Causes:

  • Pulmonary
  • Other causes?
A
Pneumonia 
Inhalation
Gastric aspiration 
=====
Shock 
Septicaemia 
Haemorrhage 
Pancreatitis 
ALF 
Trauma
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4
Q

Clinical features:

A

Cyanosis
Tachycardia
Peripheral vasodilation
Bilateral fine inspiratory crackles

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5
Q

Investigations:

Bedside - 1

Bloods - 7

Imaging - 1

A
ABG
=====
FBC
U+E
LFT
Amylase
Clotting 
CRP 
Cultures
======
CXR - bilateral infiltrates
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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

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7
Q

Management:

3 main things

A

Admit to ITU

Resp support - O2, mechanical ventilation

Cardiac support - Fluid balance, transfusions

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8
Q

WATCH VID ON YOUTUBE

A

WATCH VID ON YOUTUBE

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