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Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)

Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)

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Study Tools For Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)

Acute Respiratory Distress Syndrome (ARDS) Interventions (Picmonic)
Acute Respiratory Distress Syndrome (ARDS) Assessment (Picmonic)
ARDS Pathochart (Cheatsheet)
ARDS Ventilation (Cheatsheet)
ARDS causes (Mnemonic)
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Outline

Respiratory Distress Syndrome

Definition/Etiology:

This is a form of noncardiogenic pulmonary edema. It is an inflammatory syndrome characterized by diffuse alveolar injury. It results in severe hypoxemia.

 

The cause can be traumatic or secondary to a disease process such as sepsis. Be sure to understand your ED’s sepsis protocol

 

Pathophysiology:

The inflammatory response causes increased permeability in the alveoli which causes fluid leakage into the lungs. Pulmonary edema results.

 

Clinical Presentation:

  • Acute respiratory distress
  • Tachypnea
  • Tachycardia
  • Cyanosis
  • Anxiety, restlessness, agitation
  • Accessory muscle use
  • Possible fever or hypothermia

Know the underlying mechanism

 

Collaborative Management:

  • Labs: CBC, CMP….ABG!! Early blood cultures.
    NEED A CHEST X-RAY – will show diffuse bilateral infiltrates, followed by complete “white out”. *X-ray may be negative early.
  • Need constant monitoring, IV access, and proper positioning….ER basics
  • Possible RSI and ICU admission. Pt needs PEEP and sedation.
  • Identify and treat underlying cause

 

Evaluation | Patient Monitoring | Education:

  • ABCs
  • Vent management
  • Be wary of fluids
  • I&O – renal failure common
  • Goal is to wean off vent
  • Monitor repeat chest x-ray and ABGs

 

Linchpins: (Key Points)

  • Early identification
  • Treat underlying cause
  • Provide ventilatory support
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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

  • Emergency Nurses Association. (2022). Emergency Nursing Orientation 3.0. Cambridge, MA: Elsevier, Inc.
  • Sheehy, S. B., Hammond, B. B., & Zimmerman, P. G. (2013). Sheehy’s manual of emergency care (Vol. 7th Edition). St. Louis, MO: Elsevier/Mosby.
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Certified Emergency Nursing (CEN)

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