ARDS Flashcards
1
Q
What is ARDS
A
Acute Respiratory Distress Syndrome
2
Q
ARDS Risk Factors - Ps
A
- Pneumonia
- Pulmonary Contusion
- Pancreatitis
- Pulmonary vaculitis
3
Q
ARDS Risk Factors - Injuries
A
- Major trauma
- Inhalational injury
- Severe burns
- Drug overdose
- Drowning
4
Q
ARDS Risk Factors - Other
A
- Non-pulmonary sepsis
- Aspiration of gastric contents
- Non-cardiogenic shock
- Multiple transfusions or transfusion-associated acute lung injury (TRALI)
5
Q
ARDS Berlin Definition Includes
A
- Timing
- Chest Imaging
- Origin of Edema
6
Q
ARDS Timing
A
Within 1 wk of a known clinical insult or new/worsening respiratory symptoms
7
Q
ARDS Chest Imaging
A
Bilateral opacities
- Not fully explained by effusions, lobar/lung collapse, or nodules
8
Q
ARDS Origin of Edema
A
- Respiratory failure not fully explained by cardiac failure or fluid overload
- Need objective assessment (eg echo) to exclude hydrostatic edema if no risk factor present
9
Q
ARDS Mild - Oxygenation
A
200 < PaO2/FiO2 <= 300
PEEP or CPAP >= 5
10
Q
ARDS Moderate- Oxygenation
A
100 < PaO2/FiO2 <= 200
PEEP >= 5
11
Q
ARDS Severe - Oxygenation
A
PaO2/FiO2 <= 100
PEEP >= 5
12
Q
ARDS Position
A
Prone
13
Q
ARDS Tidal Volume
A
Lower
- 6 mL/kg
