Exam 1 Care of the Patient with Critic

Acute Respiratory Failure (ARF) correct answers (there are 1,000s of things that cause ARF) -Inadequate gas exchange (definition) -The hallmark of ARF is **HYPOXEMIA** -Most common organ failure in ICUs -Mortality rate = 22-75% -Extrapulmonary vs. Intrapulmonary causes Some extra pulmonary causes are -- HF -- sepsis -- drug OD (before or during care) -- burn -- brain injury -- spinal cord injury -- obesity (limited diaphragmatic movement (when they are in bed especially)) -- trauma (especially chest trauma) -- shock -- stroke -- any neuromuscular disorders -- abdominal distention Pathophysiology of Hypoxemia (Mechanisms of Hypoxemia) correct answers -Alveolar Hypoventilation -V/Q Mismatch -Shunt Alveolar Hypoventilation correct answers -Identification **Respiratory failure due to Alveolar Hypoventilation is Respiratory Acidosis with Hypoxemia -Causes Week 1 (in respiratory acidosis section) -Management Week 1 (in respiratory acidosis section -- help him ventilate)