Ards and lung trauma - Study guides, Class notes & Summaries

obstructive sleep apnea (OSA) repetitive pharyngeal collapse during sleep, which leads to absence of breathing; can produce daytime drowsiness and elevated blood pressure OSA manifestations -loud snoring -snorting -witnessed apnea -gasping during sleep -recurrent waking during sleep -choking OSA treatment 1. Weight loss and avoidance of alcohol 2. Nasal CPAP 3. Surgical widening of airway 4. Avoid use of sedatives 5. Oral appliances surfactant deficiency disorder Disorder c...

It will be most important for the nurse to check pulse oximetry for which of these patients? a. A patient with emphysema and a respiratory rate of 16 b. A patient with massive obesity who is refusing to get out of bed c. A patient with pneumonia who has just been admitted to the unit d. A patient who has just received morphine sulfate for postoperative pain Answer C Rationale: Hypoxemia and hypoxemic respiratory failure are caused by disorders that interfere with the transfer of oxygen into...

52 yo man - 6 hrs after onset of severe, epigastric abd pain > began at cocktail party > was there for 4 hrs - 3 martinis, lot of food PMHx: HLD (statin) 100.4F 104/min 150/92 mmHg PE: diffuse tenderness over upper quadrants BL - esp epigastrium; no guarding/rebound labs: WBC WNL, BR 3 (direct 2.4), alk phos 210, AST 325, ALT 360, amylase 1200, lipase 600 most likely cause of symptoms? - ANSWER-common bile duct obstruction choledocholithiasis = stone in CBD lipase high so th...

Pulmonary Valve Stenosis correct answersis a condition in which a deformity on or near your pulmonary valve, the valve that influences the blood flow from your heart to your lungs, slows the blood flow. Cx: COngenital, endocarditis, rheumatic fever (A disease that can result from inadequately treated strep throat or scarlet fever) Sx: fainting, SOB, Palpitations, cuanosis, poor wt gain Tests: cardiac cath, ECG, CXR, Echocardiogram Tx: prostaglandins, dieuretics, anti-arrythimics, blo...

Comprehensive CRNA Interview Review Accurate responses are given. Comprehensive CRNA Interview Review Norepinephrine Mechanism of Action (MOA) A1, A2, B1 agonist. Primary agent used in distributive shock because it's ability to recruit venous volume and augment preload, while increasing arterial tone, and increasing cardiac output. Alpha one causing peripheral smooth muscle contraction. (low dose venous, high dose venous and arterial). Alpha 2 adrenoreceptor agonism actually ant...

NUR 265 EXAM 2 QUESTIONS AND ANSWERS Graded A What is ARDS? - Acute Resp. Failure with these features: -Refractory hypoxemia -Decreased pulmonary compliance -Dyspnea What is refractory hypoxemia? - No matter how much oxygen the patient is on, the O2 sats are not getting any better Is ARDS reversible? - Yes, it is reversible but it needs to e caught early. It can progress to Resp. Failure! What are some common causes of an acute lung injury? - Shock Trauma Serious nervous...

Pulmonary Valve Stenosis correct answersis a condition in which a deformity on or near your pulmonary valve, the valve that influences the blood flow from your heart to your lungs, slows the blood flow. Cx: COngenital, endocarditis, rheumatic fever (A disease that can result from inadequately treated strep throat or scarlet fever) Sx: fainting, SOB, Palpitations, cuanosis, poor wt gain Tests: cardiac cath, ECG, CXR, Echocardiogram Tx: prostaglandins, dieuretics, anti-arrythimics, blo...

ARDS EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED/ What is ARDS? - --Most severe form of Acute Lung Injury (ALI). -Can occur from multiple causes. -Prevents normal gas exchange in the lungs due to inflammation, severe fluid buildup, and alveolar fibrosis. -Sudden failure of the respiratory system -Can occur in anyone who is critically ill What is the condition that precedes ARDS that has the highest incidence of mortality? - -Gramnegative septic shock What are characteristi...

ARDS EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED/ Which of the following describes the underlying pathophysiology of Acute Respiratory Distress Syndrome (ARDS)? Insulting agent causes fluid to accumulate in the alveoli which dilutes the surfactant and results in a decrease in lung compliance. Which of the following are common insults that may lead to the development of ARDS? -Sepsis -Aspiration -Pancreatitis -Chest Trauma -Pneumonia -Multiple transfusions (transfusion r...

Exam 2: ARDS/RF (NCLEX)The nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory distress syndrome. The nurse should assess for which earliest sign of acute respiratory distress sysndrome? a. Bilateral wheezing b. Inspiratory crackles c. Intercostal retractions d. Increased respiratory rate - correct answer D When assessing a 22-year-old patient who required emergency surgery and multiple transfusions 3 days ago, the nurse finds that the patien...