ARF Flashcards

1
Q

Acute respiratory failure is a consequence of _____

A

Respiratory dysfunction

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2
Q

ARF is defined by an arterial blood gas values of Arterial Oxygen _____ Arterial Co2_______ and PaCo2 ________

A

<50-60 mmHg, > 50 mmHg, 8kPA ( 60mmHg)

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3
Q

What is the normal PaCo2 in mmHg and kPa

A

38-42 or 35-45 mmHg and 5.1 - 5.6 kPa

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4
Q

ARF occurs when lung air sacs cannot release enough _______ into the blood

A

O2

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5
Q

ARF can be classified as

A

Ventilatory pump Failure, Pulmonary Failure or Hypoventilation, chronic airflow limitation, ARDS

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6
Q

Respiratory system can be divided into

A

Gas exchange apparatus and Pump apparatus/ Ventilatory pump

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7
Q

What consist the gas exchange apparatus / pulmonary pump

A

Lungs

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8
Q

Pump apparatus is consist of :

A

Respiratory muscles, chest wall, central control system

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9
Q

The two mechanism of ARF are

A

Pulmonary failure and ventilatory failure

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10
Q

In the first mechanism , the co2 level remains _____ while the o2 level _____

A

High since it can diffuse out of the capillaries while O2 decreases since alveoli fails to adequately diffuse it to the blood causing hypoxemic respiratory failure

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11
Q

In ventilatory pump failure there is ____ Co2 and _________ O2 since

A

High Co2 and steady or severely low O2 since alveoli cannot adequately perform gas exchange

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12
Q

The common cause of ARF is

A

COPD

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13
Q

In failure of oxygen there is ______ without a rise in _____

A

Hypoxemia, co2

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14
Q

Hypoventilation have both ____ and _____

A

Hypoxemia and hypercapnia

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15
Q

Give atleast 3 signs of ARF

A

Dyspnea,tachypnea, SOB, Agitation,Dysarrythmia, Hypotension, Tachycardia, HTN, impaired judgement, restlessness, cyanosis

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16
Q

What assessments can we use in ARF

A

ABG, History, History, Assessment, X-ray

17
Q

What meds can we give to patients with ARF

A

Bronchodilators, anticholinergics, corticosteroid, antibiotics, sedation and analgesia

18
Q

In Oxygen therapy what can be considered if ARF is caused by hypoventilation

A

CPAP

19
Q

What can be use to manage airway

A

ET- Short term
Tracheotomy- Longterm

20
Q

2nd mechanism causes what type of failure

A

Hypercapnic RF