• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
Ards
 

Ards

on

  • 321 views

Ards Acute respiratory distress syndrome

Ards Acute respiratory distress syndrome

Statistics

Views

Total Views
321
Views on SlideShare
321
Embed Views
0

Actions

Likes
0
Downloads
3
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Ards Ards Presentation Transcript

    • Care of the Client with Acute Respiratory Distress Syndrome (ARDS) 1
    • Acute Respiratory Distress Syndrome _____________________________________ Is a sudden, progressive disorder characterized by: 1. Acute Lung Inflammation 2. Diffuse Alveolocapillary Injury 2
    • Cause Of ARDS ___________________________ A. Insult (Bacteria) B. Medical Condition (Multiple Trauma, CABG, Burns) C. Noxious Event ( Smoke Inhalation, Radiation) 3
    • Conditions Causing ARDS ___________________________ 1. Direct Pulmonary Trauma 2. Indirect Pulmonary Trauma 4
    • Early Signs & Symptoms of ARDS _____________________________________ Rapid, Shallow Breathing Air Hunger Cough Restlessness Respiratory Alkalosis Marked Dyspnea Hypoxemia Lung Sounds Clear to Fine Crackles 5
    • ARDS -Later Signs & Symptoms ___________________________ Decreased Lung Compliance Diffuse Bilateral Crackles & Rhonchi Diffuse Bilateral Infiltrates Metabolic or Respiratory Acidosis Intercostal & Suprasternal Retractions Tachycardia & AMS Low PaO2 & High PaCO2 Cyanosis & Pallor Extensive Interstial & Alveolar Infiltrates (White Lung) 6
    • Clinical Progression of ARDS ___________________________________ Hyperventilation | Respiratory Alkalosis | Dyspnea & Hypoxemia | Metabolic Acidosis | Respiratory Acidosis | Further Hypoxemia | Hypotension & Decreased Cardiac Output | Death 7
    • Treatment Goals for Clients with ARDS _____________________________ 1. Respiratory Support 2. Treat Cause 3. Prevent Complications 8
    • Treatment for the Client with ARDS _____________________________ 1. Mechanical Ventilation with PEEP 2. Sedation 3. Neuromuscular Blocking Agents a. Pavulon (Pancuronium) b. Vecuronium c. Atracuronium 9
    • Treatment for the Client with ARDS _____________________________ 4. Sedative/Anesthetic Agent a. Diprivan 1. Dose: 5-50 mcg per kg per minute 5. Treat Cause – Shock or Infection 6. Monitor for Complications 10
    • ARDS Complications ___________________________ Cardiac Dysrhythmias O2 Toxicity Renal Failure Thrombocytopenia GI Bleed Sepsis DIC 11
    • Mechanical Ventilation _____________________________ 1. Intubation a. Endotracheal Tube 1. Laryngoscope 2. E.T. Cuff b. Tracheostomy Tube 1. Keep at bedside: 2nd trach. tube, obturator, trach. dilator 2. Suctioning a. Wall pressure adult – 80 –120 mmHg b. Suctioning distance – 20 – 24 cm 12
    • Complications of Positive Pressure Ventilation ___________________________________ 1. Decreased Cardiac Output 2. Decreased Blood Flow to the Splanchnic Area a. Ischemic Gastric Mucosa b. Decreased Renal Blood Flow 3. Respiratory Alkalosis 4. Barotrauma 5. Volu-pressure Trauma 6. Alveolar Hypoventilation 7. Alveolar Hyperventilation 8. Ventilator Associated Pneumonia 13
    • Nursing Care of the Client on a Ventilator ________________________________ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Respiratory Assessment Suctioning Oral Care ABG &/or continuous O2 sats. Supplementary Respiratory Treatments Providing for hydration Maintaining Nutrition ROM Exercises Rest & Sleep Anxiety Communication 14