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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Nursing Final

Concepts Covered:

  • Peripheral Nervous System Disorders
  • Shock
  • Acute & Chronic Renal Disorders
  • Immunological Disorders
  • Respiratory Emergencies
  • Cardiac Disorders
  • Noninfectious Respiratory Disorder
  • Disorders of Pancreas
  • Hematologic Disorders
  • Central Nervous System Disorders – Brain
  • Neurological Emergencies
  • Vascular Disorders
  • Infectious Respiratory Disorder
  • Upper GI Disorders
  • Renal Disorders
  • Disorders of Thermoregulation
  • Intraoperative Nursing
  • Medication Administration
  • Studying
  • Emergency Care of the Cardiac Patient
  • Respiratory
  • Emergency Care of the Respiratory Patient

Study Plan Lessons

Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Heart Valve Disorders
Ventilator Settings
Systemic Lupus Erythematosus (SLE)
Stroke Assessment (CVA)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Distributive Shock
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Metabolic Acidosis (interpretation and nursing diagnosis)
Hypothermia (Thermoregulation)
Anesthetic Agents
Anesthetic Agents
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Asthma for Certified Emergency Nursing (CEN)
Chest Tube Management Case Study (60 min)
Dysrhythmias for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Anemia for Progressive Care Certified Nurse (PCCN)
AVPU Mnemonic (The AVPU Scale)