ARDS Part 2

Question 1

What are the direct cause of ARDS

Answer 1

Chest trauma, breathing vomit, breathing smoke, chemicals, or salt water, burns, aspiration of gastric content, toxic inhalation, near drowning

Question 2

What are the indirect cause of ARDS

Answer 2

Severe infection, massive BT, Pneumonia, severe pancreatitis, drug overdose , lung and bone marrow transplant

Question 3

What is the common indirect cause of ARDS

Answer 3

Pneumonia and sepsis 60-40%

Question 4

What meds can cause indirect ARDS

Answer 4

Aspirin, opioids, cocaine, phenothiazine, and TCA

Question 5

The common Risk factors for ARDS are:

Answer 5

Smoking, chronic lung disease, ages over 65 yrs old

Question 6

What are the clinical manifestation of ARDS

Answer 6

SOB, Fast laboured breathing, bluish skin or fingernails, tachycardia during early stage

Question 7

Give some assessment we can use for ARDS

Answer 7

History of infection, xray, ABG, Diff diagnosis, BNP, Sputum anakysis, ECG, Pulmonary artery catherization, bronchoscopy, lung biopsy

Question 8

In medical management we should treat the

Answer 8

Underlying cause

Question 9

Medical managament, we can provide mech ventilation of __ to __ ml/kg IBW to prevent ______

Answer 9

4-6, Ventilator induced lung injury

Question 10

ARDS patient is often sedated to _____ treatment

Answer 10

Tolerate

Question 11

What setting in mech vent can we use to prevent airway collapse during expiration

Answer 11

PEEP

Question 12

This is a marker of heart failure

Answer 12

BNP- Brain natriuretic peptide

Question 13

This is use to check airway for presence of virus or cancer cell

Answer 13

Bronchoscopy

Question 14

ECG in ARDS is used to rule out what

Answer 14

CHF

Question 15

ARDS alveolar duct and interstitial fibrosis can cause ____ due to pulmonary HTN leading to pulmonary artery resistance

Answer 15

CHF