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Respiratory failure &ards منتدى تمريض مستشفى غزة الاوروبي

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Health & Medicine
1 of 76
Hala Ayyash EGH-NSG.ForumPalestine.com
[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
(1) Respiratory Failure (RF) Hala Ayyash
Respiratory Failure (RF) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definitions RF ,[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Classification of RF Hala Ayyash
Classification of RF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Distinction between Acute and Chronic RF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Diagnosis of RF 1 – Clinical (symptoms, signs) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
 
Diagnosis of RF 2 – Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Diagnosis of RF 2 – Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Diagnosis of RF 2 – Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
 
Diagnosis of RF 2 – Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Diagnosis of RF 3 – Common causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
 
Diagnosis of RF 3 - Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Diagnosis of RF 3 - Investigations ,[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Diagnosis of RF 3 - Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
 
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of AR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Management of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
Complications of ARF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hala Ayyash
 
(2) ARDS
ARDS Also known as DAD (diffuse alveolar disease) or ALI (acute lung injury) a variety of acute and diffuse infiltrative lesions which cause severe refractory arterial hypoxemia and life-threatening arrhythmias
Memory Jogger ,[object Object],[object Object],[object Object],[object Object]
Direct Causes (Inflammatory process is involved in all) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indirect Causes ( Inflammatory process is involved) ,[object Object],[object Object],[object Object],[object Object]
 
Pathophysiology of ARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiologic Stages in ARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The essential disturbances of ARDS **interstitial and alveolar edema and atelectasis
Clinical Manifestations: Early ,[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations: Early ,[object Object],[object Object]
Clinical Manifestations: Late ,[object Object],[object Object],[object Object]
Clinical Manifestations: Late ,[object Object],[object Object],[object Object]
Clinical Manifestations ,[object Object],[object Object]
Chest X-Ray of ARDS
Clinical Manifestations ,[object Object]
Nursing Diagnoses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Planning ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dyspnea and Tachypnea The Auscultation Assistant - Breath Sounds
Nursing Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Tests ,[object Object],[object Object],[object Object],[object Object]
Severe ARDS
*Goal of Treatment for ARDS Maintain adequate ventilation and respirations. Prevent injury Manage anxiety
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cont. ,[object Object],[object Object]
Proning ,[object Object],[object Object]
Proning-Principles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect of prone position on ventilation distribution. In the supine position, the distribution of ventilation is preferentially distributed to the ventral regions. When the patient is prone, the stiffness of the dorsal chest wall favors the distribution of ventilation to the dorsal regions, facilitating reinflation in this area.
Prone Device ,[object Object],[object Object],No benefit in mortality
Benefits to Proning Before proning After proning
Positioning ,[object Object],[object Object]
Continuous Lateral Rotation
Oxygen Therapy ,[object Object],[object Object],[object Object],[object Object]
Respiratory Therapy ,[object Object],[object Object]
Mechanical ventilation ,[object Object],[object Object],[object Object],[object Object]
Medical Supportive Therapy ,[object Object],[object Object],[object Object]
Medical Supportive Therapy ,[object Object],[object Object]
Medical Supportive Therapy ,[object Object],[object Object],[object Object],[object Object]
Medical Supportive Therapy ,[object Object],[object Object]
Medications ,[object Object],[object Object],[object Object]
Questions?? Hala Ayyash
THANK YOU

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Respiratory failure &ards منتدى تمريض مستشفى غزة الاوروبي

Editor's Notes

  1. Effect of prone position on ventilation distribution. In the supine position, the distribution of ventilation is preferentially distributed to the ventral regions. When the patient is prone, the stiffness of the dorsal chest wall favors the distribution of ventilation to the dorsal regions, facilitating reinflation in this area.