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TL ARDS
HESI ARDs
| Question | Answer |
|---|---|
| Define ARDs. | The exchange of CO2 for Oxygen is not adequate for cellular metabolism – an unexpected complication occurring in persons with no previous pulmonary problems |
| Name five distinctive characteristics of ARDs. | persistent hypoxemia even with 100% oxygen; decreased pulmonary compliance; dyspena; noncardiac bilateral pulmonary edema; Dense pulmonary infiltrates on X-ray = White out |
| Why aren’t there crackles or wheezes on auscultation when a person is developing ARDs? | The excess fluid is in the interstitial spaces not the airways’ |
| What mortality rate is associated with ARDs? | 50% |
| Why do we use PEEP to ventilate a person with ARDs? | prevents collapse of alveoli |
| What is the usual setting for PEEP for a person with ARDs? | 5-10cm H20 |
| Describe what you would see in the patient with ARDs. | Dyspena, hyperpnea, intercostals retractions, cyanosis, pallor, anxiety and restlessness |
| What is distinctive about ARDs and PO2? | PO2 is <50mm Hg with Fio2 >60% |
| Give 5 nursing diagnoses appropriate for the patient with ARDs. | impaired gas exchange, risk for deficient fluid volume, ineffective breathing pattern, risk for injury, risk for infection |
| Give 3 values that are indicative of respiratory failure. | PCO2 >45 or PO2 <60 on 50% oxygen |
| What percentage of oxygen is appropriate for a child in severe distress? | 100% |
| Name eight risk factors for Respiratory failure in children. | congenital heart disease, respiratory distress syndrome, infection/sepsis, neuromuscular disease, trauma and burns, aspiration, fluid overload or dehydration, anesthesia or narcotic overdose |
| In a nutshell what are we doing for the patient with ARDs? | position for best lung expansion, monitor for hypoxemia/O2 toxicity, breath sounds for pneumothorax with PEEP, Suction secretions, vital signs, cardiac monitor, blood gases, vital organ function, CNS/LOC and Renal, fluid and lytes, |
| What assessment findings indicate a child is in danger of respiratory failure? | “bad- looking”, very slow or rapid RR, tachycardia, cyanosis/pallor/mottled, irritability to lethargy, retractions, nasal flaring, poor air movement, hypoxia/hypercapnea/respiratory acidosis |
| What PO2 value indicates hypoxemia? | below 50 mm Hg |
| What blood value indicates hypercapnea? | above 45 |
| Identify the condition that exists when PO2 is less than 50 mm Hg on 60% oxygen. | Hypoxemia |
| List three symptoms of Respiratory failure in adults. | Dyspnea/tachypnea, retractions, cyanosis |
| List five common causes of respiratory failure in children. | congenital heart disease, infection/sepsis, respiratory distress syndrome, aspiration, fluid overload or dehydration |
| What percentage of oxygen should be delivered to a child in respiratory distress? | 100% |
Created by:
Perseverandovercome
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