PEDIA QUIZ

Question 1

It is an acute diffuse inflammatory lung injury diminish FRC

Answer 1

ARDS

Question 2

What does ARDS MEAN?

Answer 2

Acute Respiratory Distress Syndrome

Question 3

It is an pulmonary inflammtion leading to severe hypoxemia and RF

Answer 3

ARDS

Question 4

Confirmatory Value of ARDS

Answer 4

<300 PF ratio

Question 5

Non induced RDS value

Answer 5

<264 SF ratio

Question 6

CPAP level

Answer 6

<5 cmH2o

Question 7

Acute onset of ARDS

Answer 7

within 72 hrs and 7 days

Question 8

Gross appearance of ARDS

Answer 8

heavy,red beefy

Question 9

PATHOLOGY OF ARDS

Answer 9

Instertitial and intraalveolar edema and hemorrhage
alveolar consolidation
Intralveolar hyaline membrane function
Pulmonary surfactant deficiency
Atelectasis

Question 10

most common etiology of ARDS in children

Answer 10

lower respi tract infection

Question 11

direct lung injuries

Answer 11

near drowning, pneumonia, inhalational injuries,aspiration of gastric contents

Question 12

Indirect lung injuries

Answer 12

sepsis, trauma, pancreatitis, severe bleeding, fat embolism

Question 13

3 PHASES OF ARDS

Answer 13

Exudative , profirative, fibrotic stage

Question 14

begins when the inflammatory cascade is triggered by indirect and direct lung injury

Answer 14

exudative stage

Question 15

also called the chronic or late phase, results in total lung remodelling

Answer 15

fibrotic stage

Question 15

charcterized by proloferation of type ii pneumocytes and fibroblast

Answer 15

proliferative stage

Question 16

SIGNS AND SYMPTOMS

Answer 16

tachypnea, coughing, dyspnea, cyanosis

Question 17

It is designed in an attempt to create a noninvasive scoring system that would minimize the need for ABG sampling in children

Answer 17

Oxygen Saturation Index

Question 18

Primary tool used to diagnose ARDS

Answer 18

Radiography

Question 19

Rradograph show in ARDS pt

Answer 19

bilateral insterstitial and alveolar infiltrated without cardiomegaly

Question 20

significant anemia less than ________ can compromise O2-carrying capacity

Answer 20

<10 g/dL

Question 21

this results from lung inury that damages the alveolar capillary memebrane,imparng the ability to maintain lung fluid balance

Answer 21

ARDS

Question 22

this stage is day 1-7 from the initial injury

Answer 22

exudative stage

Question 23

this stage begins withon day 7 of illness

Answer 23

fibroproliferative stage

Question 24

this stage will begin approximateky 3 weks after the onset of illness

Answer 24

fibrolytic stage

Question 25

this stage will begin approximateky 3 weks after the onset of illness

Answer 25

fibrolytic stage

Question 26

refers to the accumulation of excessive fluid in the alvelar walls and alveolar spaces of the lungs

Answer 26

Cardiogenic Pulmonary Edema

Question 27

this condition produces a non-inflammatory type of edema a by the disturbance of starling forces

Answer 27

CPE

Question 28

pulmonary capillary pressure

Answer 28

10 mmhg

Question 29

Pathophysiology of cpe

Answer 29

⬆️ PRESSURE ⬆️ PULMONARY VENOUS PRESSURE ⬆️PULMO CAPILLARY PRESSURE ⬆️ FLUID IN INTERSTITIALSPACES ⬆️INCREASED PRESSURE IN INTERSTITIAL ⬆️FLUID IN ALVEOLI

Question 30

Signs and symptomsof CPE

Answer 30

frotty secretions, hypoxemia,dysmpea,orthopn

Question 31

also called as hyaline memrbane disease

Answer 31

RDSDS

Question 32

Clinical signs ARDS

Answer 32

tachypnea,coughing,dyspnea cyanosis

Question 33

Non invasive scoring system that would minimize the need for ABG sampling in children

Answer 33

OXYGEN SAT INDEX OSI

Question 34

Significant anemia less than ____ can compromise O2 carrying capacity

Answer 34

10g/dL