ARDS

Question 1

What is ARDS

Extra

Answer 1

Massive infilatration to both luns
Cause of Pulnonary Edema not fully Explained

Question 2

ARDS
Signs and Symptoms

Answer 2

• Dyspnea, Tachypnea, Accessory Muschle use, Increased work of breathing
• **Physiologic Hallmark of ARDS **
• Reflactory Hypoxemia
• Increased Shunt Fraction
• Decreased Pulmonary Compliance
• Increased VD Ventialtion
• Bilateral Pulmonary Infitrates
  - Normal Cardiac silhouette

Question 3

** Risk Factors
Direct Pulmonary

Test

TEST

Answer 3

• PNA
• Acid Aspiration
• Inhalation Lung Injury
• Lung Contusion
• CHest trauma
• Near Drowning

Question 4

**Extrapulmonary Causes **
Risk Factor

Answer 4

• Sepsis or Shock
• Pancreatitis
• Trauma
• Massive Transfusiion
• Burns or ICP

Question 5

ARDs Diagnosis

EXtra

Answer 5

• Clinical Diagonosis
• Acute onset
• B/l lung Infiltrates
• PaO2/FiO2 ratio < 300
• Assess of Left VEntrical Funtion (ECHO ) : R/O CHF but ARD can be with CHF and Without

Question 6

Berling Definition
Sub-classifactin
Mild

Answer 6

PaO2 /FiO2

200 -300 mm Hg

Question 7

Sub-classifactin
Moderate

Answer 7

PaO2 /FiO2

100 - 200 mmHg

Question 8

Sub-classifactin
Severe

Answer 8

PaO2 /FiO2
< 100 mm Hg

Question 9

Volutrauma

Answer 9

Large Tidal Volumes or
+/- Pressure breaths
Bruise Alveoli overdistension

Question 10

Atelectotrauma

Answer 10

Lung Injury with Repetitive Recruitment - Decruitment

Question 11

PEEP
Positive END - Expiratory Pressure

Answer 11

PFO
GET ECHO

Question 12

Platenua pressure ARDS

Answer 12

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