ARDS Flashcards
1
Q
What is ARDS
Extra
A
Massive infilatration to both luns
Cause of Pulnonary Edema not fully Explained
2
Q
ARDS
Signs and Symptoms
A
- Dyspnea, Tachypnea, Accessory Muschle use, Increased work of breathing
- **Physiologic Hallmark of ARDS **
- Reflactory Hypoxemia
- Increased Shunt Fraction
- Decreased Pulmonary Compliance
- Increased VD Ventialtion
- Bilateral Pulmonary Infitrates
- Normal Cardiac silhouette
3
Q
** Risk Factors
Direct Pulmonary
Test
TEST
A
- PNA
- Acid Aspiration
- Inhalation Lung Injury
- Lung Contusion
- CHest trauma
- Near Drowning
4
Q
**Extrapulmonary Causes **
Risk Factor
A
- Sepsis or Shock
- Pancreatitis
- Trauma
- Massive Transfusiion
- Burns or ICP
5
Q
ARDs Diagnosis
EXtra
A
- Clinical Diagonosis
- Acute onset
- B/l lung Infiltrates
- PaO2/FiO2 ratio < 300
- Assess of Left VEntrical Funtion (ECHO ) : R/O CHF but ARD can be with CHF and Without
6
Q
Berling Definition
Sub-classifactin
Mild
A
PaO2 /FiO2
200 -300 mm Hg
7
Q
Sub-classifactin
Moderate
A
PaO2 /FiO2
100 - 200 mmHg
8
Q
Sub-classifactin
Severe
A
PaO2 /FiO2
< 100 mm Hg
9
Q
Volutrauma
A
Large Tidal Volumes or
+/- Pressure breaths
Bruise Alveoli overdistension
10
Q
Atelectotrauma
A
Lung Injury with Repetitive Recruitment - Decruitment
11
Q
PEEP
Positive END - Expiratory Pressure
A
PFO
GET ECHO
12
Q
Platenua pressure ARDS
A
< 30
