resp failure/ARDS Flashcards
classification (2)
acute vs chronic, hypoxemia or hypercapnic
hypoxemic MOA
shunt or v/q
acute hypoxemia
pneumonia, ards, cardiac pulm edema, lobular, pneumothorax, severe acute ILD
chronic hypoxemia causes
COPD, pulm fibrosis, pulm hen, intra card shunt, pulm male, hepatic pulm
hypercapnic
headspace and something else
delivering o2
give least you can
o2 complications
cytotoxic reactive, blindness, bronchopulm dysplasia, atelectasis, hyper cap in cp
ARDS
acute hypoxemia injury to alveoli, increase permeability, pulm edema
def of ARDS
acute onset, abnormal image, resp failure, hypozemia (surfactant!)
4 types of vent lung injury
volutrauma, barotrauma, biotrauma, atelactrauma
volutrauma
injury to lung indistinguishable from ARDS (avoid with low Tidal volume)
Barotrauma
rupture of alveoli with gas escaping into pleura space (pneumothorax)
biotrauma
injury to lung releases harmful cytokines> further lung/organ injury
atelectrauam
repetitive opening/clising of alveoli injury (prevent with PEET)
PEET prevents
atelectrauma