NUR 641E Topic 4 DQ 1 Paper

The acute respiratory distress syndrome (ARDS) is a terrifying and emerging respiratory system medical condition. While numerous conditions may cause ARDS, such as trauma, sepsis, and other pulmonary diseases, the outcome is enormous pulmonary inflammation that damages the alveolar-capillary membrane and creates extreme pulmonary edema, hypoxemia, and V / Q mismatch (McCance and Huether, 2019). The differential diagnosis of this condition involves chest x-rays, which should depict bilateral infiltrates, a decreasing P / F ratio as well as a lack of left atrial hypertension. The P / F ratio is the measure of the partial oxygen pressure from the arterial system to the quantity of FiO2 expressed as a decimal (i.e. 40 percent FiO2 = 0.4). This ratio can be a useful tool for evaluating trends in the pulmonary condition of the patients.

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 Along with ventilator management, patients with more severe ARDS may be susceptible to prone treatment. This is a methodology in which the patient is positioned on the belly with arms stretched above them in an effort to maximize alveolar recruitment and thus raise the quantity of ventilation (Thompson et al., 2017). It’s a very hazardous, but sometimes essential intervention. Patients will typically remain susceptible for 16 hours and supine for seven hours. NUR 641E Topic 4 DQ 1 Paper

Education for this illness will be precautionary as people experiencing ARDS are not medically fit or educationally appropriate (Thompson et al., 2017). Training on how to handle the initial disease progression will be vital. Early interventions, such as incentive spirometer and antibiotic therapy, should be started early. A newer method that started with the COVID pandemic was the technique of self-proneness in people who had not yet decompensated. It has proven to be a very appropriate approach to the management of these patients. Once the patient has decompensated, education should be shifted to family-centered, including interventions, medications, and care objectives.

Reference

McCance, K. L., & Huether, S. E. (2019). Pathophysiology: the biologic basis for disease in adults and children. St. Louis, MO: Elsevier Inc.

Thompson, B. T., Chambers, R. C., & Liu, K. D. (2017). Acute respiratory distress syndrome. New England Journal of Medicine, 377(6), 562-572. NUR 641E Topic 4 DQ 1 Paper