ACUTE RESPIRATORY

DISTRESS SYNDROME

NSG128
 is a life-threatening lung injury
that occurs when fluid builds up in the
tiny, elastic air sacs in your lungs called
the alveoli. The fluid will keep your
lungs from filling with enough air,
which means less oxygen reaches your
bloodstream hence depriving your
vital organs of the oxygen they need to
NSG128f u n c t i o n t h u s c a u s i n g s y s t e m i c
complications.
ANATOMY AND PHYSIOLOGY
ANATOMY AND PHYSIOLOGY
ANATOMY AND PHYSIOLOGY
ANATOMY AND PHYSIOLOGY
ANATOMY AND PHYSIOLOGY
ANATOMY AND PHYSIOLOGY
ANATOMY AND PHYSIOLOGY
ANATOMY AND PHYSIOLOGY
DIRECT LUNG INJURY
PNEUMONIA
LUNG CONTUSION
NEAR DROWNING
CHEMICAL PNEUMONITIS
INDRECT LUNG INJURY
SEPSIS
PANCREATITIS
FAT EMBOLI
TRANSFUSION-RELATED ACUTE
LUNG INJURY (TRALI)
 DRUG OVERDOSE

COCAINE
OPIODS
ASPIRIN TOXICITY
PATHOPHYSIOLOGY
 DIAGNOSTIC TEST
• Imaging:
 Chest X-ray
 Computerized tomography (CT)
SCAN

• Lab test

• Heart tests:
 Electrocardiogram
 Echocardiogram
DIAGNOSTIC TEST
MEDICAL MANAGEMENT
 No definitive pharmacology treatments
 Supportive care: Oxygen therapy
 Extracorporeal technique (ECMO
 Adjunctive pharmacologic treatment:
oNeuromuscular blockade
oCorticosteroids
oPulmonary vasodilators
oAnti-inflammatory agents
oBeta agonists
 NURSING MANAGMENT
 Assess breath sounds (determine presence of crackles or rales sound).
 Monitor O2 saturation and symptoms.
 Monitor respiration and depth of respiration.
 Assess ABG level.
 Assess patient mental status.
 Monitor blood chemistry and fluid levels.
 Assess chest x-ray.
 Assist patient in a prone position to optimizes respiration.
 Prepare the client for intubation as indicated.
 Monitor ventilation alarms and settings.
 For patient prognosed to fibrotic ARDS: Long term O2 supplementation/ventilation.
 Manage nutrition.
 SURGICAL MANAGEMENT

Surgical Lung Biopsy (for diagnose

pulmonary fibrosis)
SURGICAL MANAGEMENT

EXTRACORPOREAL
MEMBRANE OXYGENATION
(ECMO)
SURGICAL MANAGEMENT

LUNG TRANSPLANTATION
THANK YOU FOR
LISTENING! 