NUR 2016: ACUTE RESPIRATORY DISTRESS SYNDROME: TEST QUESTIONS WITH COMPLETE SOLUTIONS

NUR 2016: ACUTE RESPIRATORY DISTRESS SYNDROME:
TEST QUESTIONS WITH COMPLETE SOLUTIONS




1) What are the complications of ARDs? -- Answer ✔✔ Barotrauma, volutrauma,
hypoxia, MODs (AKI, shocky liver, AMS, hypotension)


2) How to support pulmonary gas exchange? -- Answer ✔✔ Mechanical ventilation,
maintain CO being mindful of fluid overload, prone positioning


3) What is the benefit of prone positioning? -- Answer ✔✔ Improved dorsal lung
expansion, improved alveolar expansion, better disbursement of blood = improved
ventilation/perfusion ratios


4) How to optimize oxygen delivery? -- Answer ✔✔ Immobilize, hypoventilation


5) How to maintain nutritional balance in the ARDs patient? -- Answer ✔✔ Give trickle
feeds, approximately 10 mL/hour


6) What is the point of trickle feeds? -- Answer ✔✔ To maintain blood flow to the gut
so it does not become necrotic. (Nutrition is the a good side effect but not the point
of trickle feeds)