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Critical Care Units 1 and 2 (II)

Kate Fetter MSN RN
Across
_____ the most severe form of ARF
Proning has two concerns, airway and
Although many times is needed to aid in respiratory support in ARDS it also increases intrathoracic pressure, potentially leading to decreased cardiac output.
Early short-term administration of ____________ blocking agents in patients with severe ARDS may improve survival and increase the time off the ventilator without increasing muscle weakness in this subset population
________ causes of ARDS include: • Aspiration of gastric contents • Diffuse pneumonia • Fat embolism • Near-drowning • Neurogenic pulmonary edema • Oxygen toxicity • Pulmonary contusion • Multisystem trauma (chest and/or lung injury) • Radiation (chest)
A ________ shunt exists when areas of the lung that are inadequately ventilated are adequately perfused
agents are routinely administered to facilitate clearance of mucus. Recombinant human DNase (Pulmozyme) is the drug of choice. It decreases the viscosity of sputum by catalyzing extracellular DNA into smaller fragments.
2 words Witnessed written document or oral statement in which instructions are given by a person to express desires related to health care decisions. The directive may include, but is not limited to, the designation of a health care surrogate, a living will, or an anatomic gift.
This invasive procedure provides direct anatomic visualization of the pulmonary vasculature. __________ ___________
When ventilation is reduced, PaCO2 is increased called
POSITIVE _____ IS NON definitive but can occur in a number of other conditions, such as infection, cancer, surgery, pregnancy, heart failure, and kidney failure.
Appropriate withdrawal, limiting, or withholding of therapy does not constitute ________ or assisted suicide, both of which are illegal most states.
Competing family members are present and want to make critical decisions on behalf of the patient
ARDS is characterized by acute and ______ ______ to the lungs leading to respiratory failure. It occurs in three phases: the acute exudative or inflammatory phase, the proliferative phase, and the fibrotic phase.
Down
states that all persons should be free to govern their lives to the greatest degree possible.
Check the tube you DOPE!! D is for
_______ ______ is an important factor in maintaining respiratory muscle strength, assess for recent weight loss, muscle wasting, nausea, vomiting, abdominal distension, and skin turgor quality.
A key clinical finding of ARDS is respiratory distress with dyspnea, 399tachypnea, and hypoxemia that does not respond to ________ ______
_____2 is the variable used to evaluate ventilation.
_________ triad includes (1) venous stasis, (2) hypercoagulability of blood, and (3) damage to the vessel walls.
Used for oral care of ventilated patient to prevent VAP
A _ _ mismatch can occur in conditions such as pneumonia or pulmonary edema when obstructed airways inhibit ventilation (and perfusion is normal), or in the cases of pulmonary embolism when a clot in the pulmonary circulation obstructs perfusion.
_______ for ARDS include (1) acute onset within 1 week after clinical insult; (2) bilateral pulmonary opacities not explained by other conditions; and (3) altered PaO2/FiO2 ratio.
one of the primary ethical obligations of professional nurses is protection of their patients’ _____ ______
A growing number of states have endorsed the use of a standardized end-of-life order set for inpatient or outpatient use, known as