Respiratory Distress In Health Care

Karen Meunier, is the education consult for New Orleans’s Childrens Hospital Ventilator Assisted Care Program (VACP). Mrs. Meunier educated the audience on the history of ventilators. Next, Mrs. Meunier stated the criteria for the children who are enrolled in the Ventilator Assisted Care Program. Overall, these children either have a neuromuscular, brain and/or spinal cord injury, and/or birth related diagnosis. The children in the program live at home in Louisiana, under the age of 26, Medicaid eligible, and require daily mechanical support of respiratory efforts. Lastly, Mrs. Meunier informs the audience about each member in the VACP staff. The VACP staff includes an education consultant, respiratory therapist trainer, two case managers,

This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.

1. A physician is called to the intensive care unit to provide care for a patient who received second- and third-degree burns over 50 percent of his body due to a chemical fire. The patient is in respiratory distress and is suffering from severe dehydration. The physician provides support for two hours. Later that day the physician returns and provides an additional hour of critical care support to the patient.

I didn’t know what to expect with my observation with the respiratory therapist. All what I knew about them was they floated around and gave patients aerosol breathing treatments. I learned that a respiratory therapist does a lot more than that. They have access to the Pixis, and are able to give patients any type of respiratory medication. They teach patients how to correctly use inhalers. They educate their patients on way they have to do breathing treatments, or why they have to take certain respiratory medications. They also do an examination to find out what type of breathing treatment or oxygen device is needed to help a patient get the oxygen they need, or help with expanding their lungs, etc

Postnatal respiratory complications among newborns are common. The most commonly reported cause of neonatal respiratory distress is transient tachypnea of the newborn (TTN), with an estimated incidence of 1% to 2% of in all newborns.1

Participants reaffirmed that the guidance of the nursing team at the moment of discharge were specific to the care in relation to the drug therapy or to invasive devices, such as probes and tracheostomies, without a focus on the guidance about the general care related to the chronic health conditions and the importance of following-up the child after the hospital discharge. One can say that the factors associated with the readmission of children are related to the age group of infants, with respiratory problems associated with chronic conditions, besides the lack of effectiveness in the post-discharge follow-up. Accordingly, it is relevant to reflect about the role of the nursing team in the planning of interventions capable of providing the adaptation of children and their families over the period of admission, at the moment of discharge and in the post-discharge. The combination of guidance of verbal and written strategies can help us to understand the trajectory of illness and adaptation, thereby avoiding

The American Association for Respiratory Care is a non-profit organization which provides numerous resources for registered respiratory therapists all over the United States. Membership through the AARC renders an abundance of incentives such as professional development, respiratory care education, social networking opportunities, continuing education programs and much more. The American Association for Respiratory Care truly believes in the cause of respiratory therapy and in the rights of their patients to receive competent respiratory care. Their advocacy team works with local, state and federal governments concerning public policies that affect their patients as well as their profession.

This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possible effects on baby’s outcome. Pseudonyms will be used to maintain patient confidentiality in order to keep in with the nursing and midwifery council code of conduct. (NMC 2004)The

By entering the field of respiratory therapy, one is entering a growing field of opportunity. There are continually emergent job opportunities in this field whereas there is also a rise of growth in the technology and developments in the field such as medicines, techniques, and other aspects.

According to the American Lung Association, “Acute respiratory distress syndrome (ARDS) is a rapidly progressive disease occurring in critically ill patients.” ARDS is an extreme manifestation of a lung injury that can be associated with an acute medical problem. This occurs as a result of direct or indirect trauma to the lungs. With nearly 200,000 cases in the United States each year, ARDS is not extremely common (“Acute Respiratory Distress Syndrome”). Most people who acquire this disease are critically ill patients within the hospital. The most common predisposing medical problems of ARDS consist of: shock, trauma, pulmonary infections, sepsis, aspiration, and cardiopulmonary bypass (Ignatavicious, 2013). ARDS is a severe syndrome and even with prompt and aggressive medical treatment, almost fifty percent of those diagnosed do not survive. Those who survive have a longer hospital stay along with recurring hospital admissions throughout their lifetime (“Acute Respiratory Distress Syndrome”). Acute respiratory distress syndrome is a rapidly progressive disease which requires thorough assessment, rapid diagnosis, and emergency treatment measures in order to successfully respond to the disease process.

Acute respiratory distress syndrome, also known as ARDS, is the abrupt collapse of the respiratory system. It can advance in anyone 1 year and older who is critically ill. An individual with ARDS has accelerated breathing, difficulty getting adequate air into the lungs and decreased blood oxygen levels. ARDS normally develops in people who have major injuries or already ill with another disease. ARDS is usually a hospital acquired disease. ARDS is normally grouped with an almost indistinguishable condition called acute lung injury, but people with ARDS have much decreased oxygen in their blood, the condition is more dangerous. ALI can progress into ARDS if the oxygen levels continue to decrease.

The practical level would be the code level that the American Association of Respiratory Care falls under. According to the text, the practical level is set up to be achieved by a majority of people with the attempt to follow the rules most of the time. Unlike the other code levels, the practical level fits the medical professions more closely. When a persons career or job involves the safety of another living beings life, I believe it is very important to follow the rules all of the time, as well as majority of workers should do so as well . Rules and principles are put in place to prevent harm to patients and also to protect the employees from harm. The AARC' code of ethics is really a safety guideline for everyone in that specific environment.

Acute respiratory distress syndrome otherwise known as ARDS, is very serious inflammatory lung injury that can cause very dangerous low oxygen levels throughout the blood. This condition is known as hypoxemia. Acute respiratory distress syndrome (ARDS) can lead to numerous and very serious problems.[2] Acute respiratory distress syndrome is a life-threatening injury and will require immediate attention to prevent further damage. There are many causes of ARDS but not all have been identified yet. The most common cause of acute respiratory distress syndrome is sepsis, Sepsis is where an infection and entered the blood stream and has had a rapid spread. For the most part sepsis occurs in the hospital but can be seen in the prehospital setting very frequently.[4,5] Alcohol and drug abuse seem to have and increased risk of ARDS in septic patients. Acute respiratory distress syndrome can also be caused when aspiration of the stomach contents into the lungs happens in hospitalized patients who have had an endotracheal tube placed into their lungs to help manage their airway.[1] This is also known as intubation. When a patient suffers massive blood loss and a blood transfusion is needed, acute pancreatitis can happen which can cause an increase in the risk of a patient developing acute respiratory distress syndrome. In the prehospital setting outside of the hospital pneumonia has become the most common

Patient’s in the NICU are considered to be very tiny and fragile and immunocompromised due to their immature organ systems which can lead to many dangerous medical problems. Patricia W. Stone states “maintaining a safe environment reflects a level of compassion and vigilance for patient welfare that is as important as any other aspect of competent health care” (Stone, 2008). The patient’s safety should always be a top concerned for a nurse because in a health care facility the purpose is to heal the patient and get them on the road to recovery. Nurses must learn from the errors of the past and use their knowledge to improve the quality of nursing to the patients to ensure if errors do happen again that the use of evidence-based practices are put into place to improve their outcomes. According to Higher Quality of Care and Patient Safety, “Registered Nurses (RNs) are instrumental in achieving multiple care goals, including promoting infant health and clinical stability, maintaining the integrity and cleanliness of central catheters, and preparing families for their role in infant care and successful transition it home” (Lake, 2016). Nurses are reasonable for the education of the families of the patients to ensure that the best quality of care for the patient is maintained outside the hospital to ensure the best medical outcome for the infants.

There are many diseases all around the world that affect our loved ones. One in particular that is common among many hospitals is Acute Respiratory Distress Syndrome, also known as ARDS. Originally it was called Adult Respiratory Distress Syndrome but realized that was not accurate because it not only affects adults but children also. ARDS is defined as "the acute onset of respiratory failure, bilateral infiltrates on chest radiograph, hypoxemia as defined by a PaO2/FiO2 ratio ≤200 mmHg, and no evidence of left atrial hypertension or a pulmonary capillary pressure (Fanelli et al., 2013) It can also include cyanosis, tachypnea, dyspnea, reduced respiratory compliance and an arterial blood gas showing respiratory alkalosis with evidence of hypoxemia. Out of the many pulmonary disorders out there, ARDS is one of the most difficult diseases to manage and has a high mortality rate that comes with it.