100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR254/ NUR 254 (Latest 2024/ 2023 Update) Childbearing and Child Caring Families Review| 100% Correct| Grade A- Galen $17.99   Add to cart

Exam (elaborations)

NUR254/ NUR 254 (Latest 2024/ 2023 Update) Childbearing and Child Caring Families Review| 100% Correct| Grade A- Galen

 1 view  0 purchase
  • Course
  • Institution

NUR254/ NUR 254 (Latest 2024/ 2023 Update) Childbearing and Child Caring Families Review| 100% Correct| Grade A- Galen

Preview 2 out of 8  pages

  • October 22, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
avatar-seller
Exam 1: NUR254/ NUR 254 (Latest 2024/ 2023 Update)
Childbearing and Child Caring Families Review| 100%
Correct| Grade A- Galen


Type 1 Acute Respiratory Failure - ANSWER Hypoxemic

Type 2 Acute Respiratory Failure - ANSWER Hypercapnic

Hypoxemic respiratory failure (T1) is characterized by... - ANSWER PaO2 <60
mmHg despite increased inspired O2 with a normal or low PaCO2.

Hypercapnic respiratory failure (T2) is characterized by... - ANSWER respiratory
acidosis, PaCO2 > 50 mmHg, and pH <7.35... hypoxemia may or may not be
present

Risk Factors for acute resp. failure - ANSWER - Impaired Ventilation
(Hypoventilation)
- Ventilation Perfusion Mismatch
- Impaired Diffusion (Alveolar)

RF for acute resp. failure: Impaired ventilation (hypoventilation) causes - ANSWER -
Airway obstruction
-Resp muscle weakness/paralysis, sometimes caused by myasthenia gravis
- Chest-wall injury
-Anesthesia
- opioid administration

RF for acute resp. failure: Ventilation-Perfusion Mismatch causes - ANSWER -
COPD
- Restrictive lung disease (sarcoidosis, pulmonary fibrosis)
- Atelectasis
Pulmonary embolus
- Pneumothorax

RF for acute resp. failure: Impaired Diffusion (Alveolar) causes - ANSWER -
Pulmonary edema
- ARDS

Diagnostics done for Acute Resp. Failure - ANSWER - ABGs (hypoxemic - initially
alkolotic... hypercapnic - acidotic w/or w/out hypoxemia)
- H/H
-C X-ray
- Sputum Cx

Treatment for Acute Resp. Failure - ANSWER Not a disease... must treat CAUSE

, What is ARDS? - ANSWER A severe form of acute resp. failure

- non-cardiac pulmonary edema with refractory hypoxemia (despite hi flow O2)

ARDS is defined by the following characteristics: - ANSWER - Acute onset of <7
days
- Refractory hypoxemia
- Bilateral infiltrates R/O cardiac pulmonary edema as cause

Causes of ARDS (Direct & Indirect) ... most common? - ANSWER Common: Sepsis
Direct:
- Pneumonia
-Severe trauma
- aspiration
- Inhalation injury
- Pulmonary contusion
- PE

Indirect:
-Sepsis, shock
-Pancreatitis
- Burns
- massive transfusions (TRALI -> transfusion related acute lung injury)
- cardiopulmonary bypass
- drug/alc. overdose

Foundation of ARDS Pathophysiology - ANSWER Unregulated systemic
inflammatory response to either the acute injury or inflammation. Chemical
inflammatory mediators released.

What are the 3 stages to ARDS> - ANSWER - Exudative
-Proliferative
-Fibrotic

Exudative Phase
- When does this phase occur?
- This phase is the result of...
- Alveolar cells produce ___________, which maintains surface tension of alveoli to
prevent collapse... but with damage to alveoli there is decreased production causing
_______ - ANSWER - occurs 24-48 hours after injury
- Disruption in the alveolar-capillary membrane due to the release of inflammatory
mediators... causing fluid shift from capillaries into the interstitial space and alveoli
(SEVERE V/Q mismatch)
- SURFACTANT, ATELECTASIS

Clinical Manifestations of Exudative Phase: - ANSWER - hyperventilation
- Tachy <3
---> compensatory responses to hypoxemia
- ATELECTASIS

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller tutorsection1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$17.99
  • (0)
  Add to cart