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ACUTE RESPIRATORY DISTRESS
SYNDROME(ARDS)
PREPARED BY : AYUSHA NEUPANE
ROLL NO.:1
BSN II YEAR
ARDS:
PATIENT WITH ARDS
INTRODUCTION;
• Severe life threatening form of progressive
respiratory insufficiency.
• Involves pulmonary tissue diffusely
• Exists in 2 forms :neonatal and adult type
• Formation of hyaline membrane in alveoli
• Hence, termed as hyaline membrane
disease(HMD).
• Two forms have different clinical settings ,
response, consequences, etiology, pathogenesis
but similar morphology.
CAUSES
• Neonatal ARDS:
• >preterm infants
• >infants with diabetic mother
• >delivery by caesarean section
• >birth asphyxia
• >idiopathic
CONTINUE
• Adult ARDS:
• >shock
• >diffuse pulmonary infections
• >pancreatitis
• >oxygen toxicity
• >inhalation of toxins
• >narcotic over dose
• >aspiration pneumonitis
• >fat embolism
PATHOPHYSIOLOGY
CLINICAL FEATURES
. Neonatal ARDS
>dyspnea within few hours of birth
>tachypnoea
>hypoxia
>cyanosis
>death within few hours in severe cases.
CONTINUED…
• ADULT ARDS
>Sudden respiratory distress
>tachypnoea
>tachycardia
>cyanosis
>severe hypoxia.
DIAGONOSTIC INVESTIGATION
• History taking
• Physical examination
• X-ray
• CT-scan
• Haematological examination
• Sputum culture
• ABG
X-RAY :
MANAGEMENT:
Circulatory support
Oxygen administration
Positioning
Meditation
Postural drainage
Nebulization
Pain management.
CIRCULATORY SUPPORT:
OXYGENE ADMINISTRATION:
POSITIONING :
ROATATING BED:
PEEP(positive end expiratory pressure)
COMPLICATIONS
• Atelectasis
• Respiratory failure
• Shock
• Death
THANK YOU SO MUCH…..

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Acute respiratory distress syndrome(ards)