ARDS Response 1

Subjective: y I cannot move very well and becoming short of breath

Objective: y RR 30, BP elevated, HR 110, Slight fever, bronchial breath sounds, Spo2 75%, ABG s indicates respiratory alkalosis

Assessment: y y y y Plan y y y y Contact physician for impending respiratory failure Up regulate oxygen therapy Up regulate hyperventilation therapy Monitor and reevaluate Increased SOB Worsening atelectasis Moderate hypoxemia Impending respiratory failure

Response 2 Subjective: y I m feeling worse

Objective: y vitals signs unstable, BS crackles bilaterally, anterior chest tenderness

Assessment: y y y Plan: y y y Contact physician for impending ventilatory failure Oxygen therapy protocol Hyperventilation protocol Continued increase WOB Worsening atelectasis Impending acute ventilatory failure (ABG)

Response 3 Subjective: y N/A patient unresponsive

Objective y Vital signs unstable, Hypertensive, tachycardic, tachypneic, increased infiltrates bilaterally, ABG s indicate ventilatory failure.

Assessment: y y Plan: y y y y Contact physician STAT Prepare for immediate intubation and mechanical ventilation Up regulate hyperinflation therapy Up regulate oxygen therapy protocol Worsening interstitial lung process, Acute ventilatory failure