Resp II

Question 1

How do you treat ARDS? [4]

Answer 1

• Large randomised trials have shown that low tidal volume ventilation reduces mortality in ARDS
• Haemodynamic support: To maintain mean arterial pressure >60 mmHg.
• DVT prophylaxis.
• Nutritional support: Using enteral/parenteral means if necessary.
• Regular repositioning of patient for pressure ulcer prophylaxis.
• Antibiotics should be administered only if an infectious cause for the ARDS is identified (such as pneumonia or sepsis).

Question 2

Prior to discharge, following an acute asthma attack, a patient should have been stable on their discharge medication (i.e. no nebulisers or oxygen) for []-[] hours

Answer 2

Prior to discharge, following an acute asthma attack, a patient should have been stable on their discharge medication (i.e. no nebulisers or oxygen) for 12-24 hours