NSG 4106: Critical Care Nursing
Template via Course Faculty
Student Name:Melanie Wilson Clinical Date: 2/6—2/7 MEDICAL/SURGICAL DIAGNOSIS RESEARCH
| ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS)
| Acute respiratory distress syndrome (ARDS) is a life-threatening lung condition that prevents enough oxygen from getting to the lungs and into the blood. ARDS can be caused by any major injury to the lung. Some common causes of ARDS are breathing vomit into the lungs (aspiration), inhaling chemicals, lung transplant, pneumonia, septic shock (infection throughout the body) and trauma. ARDS leads to a buildup of fluid in the air sacs. This fluid prevents enough oxygen from passing into the bloodstream. The fluid buildup also makes the lungs heavy and stiff, and decreases the lungs' ability to expand. The level of oxygen in the blood can stay dangerously low, even if the person receives oxygen from a breathing machine (mechanical ventilator) through a breathing tube (endotracheal tube). ARDS often occurs along with the failure of other organ systems, such as the liver or kidneys. Cigarette smoking and heavy alcohol use may be risk factors.
| Signs/Symptoms(Indicate symptomsdisplayed by patientwith an asterisk *)
| Difficulty breathing, low blood pressure and organ failure, rapid breathing, shortness of breath, listening to the chest with a stethoscope (auscultation) reveals abnormal breath sounds, such as crackles, which may be signs of fluid in the lungs. Often the blood pressure is low. Cyanosis (blue skin, lips, and nails caused by lack of oxygen to the tissues) is often seen. Other symptoms can occur, depending on the event that caused the ARDS. For example, if pneumonia is causing the ARDS, symptoms may also include chest pain and fever.
| Basic NursingInterventions(Underline thoseperformed by student)
| 1.Maintain a patent airway by suctioning. Use sterile, non-traumatic technique. 2.Ensure adequate...
Please join StudyMode to read the full document