Acute Respiratory Stress Syndrome Essay

This is a 50 years old male with no significant past medical history presented initially with shortness of breath and hypoxia and was transferred to the ICU. He was treated for bilateral pneumonia that required prolonged mechanical ventilation via a tracheostomy. He has necrotizing pneumonia and he has been in the hospital for 6 weeks due to the development of multi-organ failure. He was weaned from mechanical ventilation to the point he was tolerating a CPAP/PS mode. Later on, it was noticed that he

A.W., a 52-year-old woman disabled from severe emphysema, was walking at a mall when she suddenly grabbed her right side and gasped, “Oh, something just popped.” A.W. whispered to her walking companion, “I can’t get any air.” Her companion yelled for someone to call 911 and helped her to the nearest bench. By the time the rescue unit arrived, A.W. was stuporous and in severe respiratory distress. She was intubated, an IV of lactated Ringer’s (LR) to KVO (keep vein open) was started, and she was transported to the nearest emergency department (ED).

Acute Respiratory Distress Syndrome (ARDS) is also known as shock lung, wet lung, post perfusion lung and a variety of other names related to specific causes.

Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,

The neonatal ARDS disease processes result in lung pathophysiology associated with pulmonary hypertension and poor oxygenation. Conventional mechanical ventilation, surfactant administration, and nitric oxide administrations are the first modalities used in order to increase the tissue perfusion and respiratory insufficiency. When these interventions fail, ECMO will allow for lower ventilator settings, preventing lung injury caused by the ventilator.

respiratory insufficiency, if a victim were to have a respiratory failure, this would lead to life-threatening complications

About a year ago, I came home from work one night and walked into the kitchen to where my mother was standing. There was a feeling of uneasiness and the panic began to clench my stomach. She looked so sad, so stressed; maybe it was the frizzy hair, the bags beneath her eyes, the way her back slouched in a low negative curve, or her eyes. Her eyes looked at me before she turned them away, but in that fragment of a second, it’s almost like I could look inside her narrow eyes and search until I would come upon this thing. This thing has no name, but it scares her. She wouldn’t exactly explain to me what it was but I felt the sudden movements of uncertainty with the way she shifted her body and

Respiratory therapy refers to both a subject area within clinical medicine and to a distinct health care profession. During the 20th century, there were many health care fundamental transformations. Here are 10 possible predictions of what may occur in the future of respiratory care: (1) Less focus on raising PaO2 as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to

ARDS is acute respiratory failure with persistent hypoxemia, decreased pulmonary compliance, dyspnea, noncardiac-associated pulmonary edema, and dense pulmonary infiltrates on the chest x-ray. The main site of injury within the lung is the alveolar-capillary membrane

Though many advances were made & multiple research done, in 2012 the medical community once again got together. An expert panel agreed that ARDS is a type of acute diffuse, inflammatory lung injury, leading to increased pulmonary vascular permeability, increased lung weight, and loss of aerated lung tissue. “The clinical hallmarks are hypoxemia and bilateral radiographic opacities, associated with increased venous admixture, increased physiological dead space, and decreased lung compliance. The morphological hallmark of the acute phase is diffuse alveolar damage (ie, edema, inflammation, hyaline membrane, or hemorrhage).”3 It was at this conference that the Berlin definition was put into existence. Though it is to note that most research to date has been done using the AECC definition, the Berlin definition removed what was known as acute lung injury. Under the new Berlin definition patients with a PaO2/FiO2 ratio of 200-300 while on a PEEP of +5 would now be classified as mild ARDS, while patients with a PaO2/FiO2 ratio of 100-200 would be classified as moderate & anything under 100 would be classified as severe. With pulmonary capillary wedged pressures under 18mm HG. The Berlin definition defined acute stating that the maximum period between risk factor exposure and ARDS

Acute Pathophysiology is sudden failure of VENTILATION which means a sudden onset of hypoventilation. PaCO2 rises rapidly and the pH falls and death could possibly take place.

There is a considerable controversy regarding the use of OBL in patients with respiratory failure and those on mechanical ventilation because of the potential high morbidity and mortality associated with its use in those patients (20, 21). While the role of OLB has become well established in the diagnosis of interstitial lung disease (18), its utility and safety are more controversial in critically ill patients. Proponents of OLB argue that solid diagnosis of underlying aetiology can be helpful in determination of the best course of treatment (22). Moreover, the risk of biopsy is fairly low if adequate precautions are taken (23). In contrast, opponents of OLB believe that defining the underlying mechanism of injury is largely academic and it will not add new to the treatment of those patients because of the lack of specific therapies for underlying aetiologies of ARDS and respiratory

Respiratory Therapy Respiratory therapy profession is a health specialty that treats people with problems that is affecting their cardiopulmonary system. The therapist is involved in the treatment, management and control, diagnostic evaluation, and the care of patients with a respiratory problem. Respiratory patients can be found in different departments in the hospital. They can be found in newborn nursery, surgical and medical units, outpatient, emergency room, nursing homes, or in critical care units.

Respiratory Therapy is a health profession that specializes in Cardio Pulmonary functions and health. Respiratory therapists help with prevention, assessing patients, treatment, diagnostic evaluation, education, and care. They treat patients from all ages, from babies to the elderly. The requirements in becoming a Respiratory Therapist are taking Human Anatomy, Chemistry, Pharmacology, Microbiology, and Mathematics at a high school or college level. To begin the Respiratory Therapy Program out of high school you have to have a C or better in Chemistry, Anatomy, Algebra 2 minimum, and English. If these courses were not taken in high school, they would need to be taken at the college level to complete the prerequisites to apply for

Working in the respiratory field can be a blessing and also a challenge. It all depends on our perceptive views in accordance to the field. During my senior year, I made several researches prior to making a decision to study Respiratory Therapy. The primary reason I chose respiratory care is mainly due to the variety of places respiratory therapists can work at.