Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
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Included In This Lesson
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)
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
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.
4510 exam 2
Concepts Covered:
- Respiratory
- Lower GI Disorders
- Shock
- Neurological Trauma
- Immunological Disorders
- Respiratory Emergencies
- Noninfectious Respiratory Disorder
- Respiratory Disorders
- Emergency Care of the Respiratory Patient
Study Plan Lessons
10.03 Acute Respiratory Failure for CCRN Review
Bowel Perforation for Certified Emergency Nursing (CEN)
Neurogenic Shock for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan for Distributive Shock
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care Plan (NCP) for Anaphylaxis
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
ARDS Case Study (60 min)
ARDS causes Nursing Mnemonic (GUT PASS)
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Impaired Gas Exchange
Nursing Care Plan (NCP) for Respiratory Failure
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)