ARDs (adults)

Question 1

What is ARDs

Answer 1

a pattern of lung changes that leads to patterns of clinical manifestations (not a disease)

Question 2

What is ARDs caused by

Answer 2

inflammatory injury to the alveolar capillary membrane

Question 3

Why do alveoli collapse in ARDs

Answer 3

inflammatory infiltrates

Question 4

s/s of ARDs

Answer 4

productive cough, increase in HR, accessory muscle use, pulmonary edema

Question 5

What is often used but might not be effective

Answer 5

supplemental oxygen

Question 6

What type of ventilation is used

Answer 6

positive pressure mechanical ventilation

Question 7

What side should affected patient lay

Answer 7

left side

Question 8

What does continuous lateral rotation do

Answer 8

decreases pulmonary complications

Question 9

What medications are used

Answer 9

corticosteroids, inhaled vasodilators, surfactant replacement (only in infants), vasopressors, sedation, analgesic, neuromuscular blockage

Question 10

What positioning can increase oxygen

Answer 10

prone

Question 11

When is prone positioning contraindicated

Answer 11

patients with increased ICP and spinal fractures

Question 12

Prognosis of ARDs

Answer 12

slow progression of lung repair, symptoms can continue long term

Question 13

Nursing management outcomes

Answer 13

support pulmonary gas exchange, optimize O2 delivery to body systems, maintain nutritional balance, minimize pain/anxiety/delirium/promote sleep, promote communication/provide family support