Term
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Definition
Origin: Some foreign substance that blocks blood flow in the pulmonary system
Matter that Causes: tumor, fat, bone, air, throbus, etc
Risk factors: age, smoking, surgery, immobility, fractures of long bones, vaginal delivery
S/S: SUDDEN Dyspnea, pleuretic chestpain, tachycardia, Cough
TX Goals: Keep O2 stat up!
Blood thinners
*Heparin & Coumadin= heparin- short term, apTT 1.5-2.5, 3-5
days
Coumadin- longer term start day 3ish-
level btwn 2-3, watch INR w/coumadin
Thrombolytics |
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Term
| Acute Respiratory Distress Syndrome |
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Definition
ARDS the build up of fluid in your aveioli this makes it hard for your lungs to perform adequate oxygen exchange-that makes it hard to breathe
http://www.mayoclinic.com/health/ards/DS00944 |
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Term
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Definition
Fluid, protien, inflammatory cells- fill the air spaces
Subtle dyspnea/tachypnea, critical time for EARLY TX, cyanosis, course bilateral crackles
TX- Give O2 |
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Term
ARDS
End of Exudative Phase |
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Definition
INCREASED EDEMA OF LUNG- SOB, fast heart rate, course crackles-
resistant to O2 (you keep giving more O2 but they do not respond)-
INJURY TO CELLS-
watch for Increased wbc count, BP, Fever, micro-emboli, MODS |
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Term
ARDS
Fibroproliferative stage |
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Definition
"Connective tissue and other structural elements in the lungs poliferate in response to the initial injury"
http://www.ards.org/learnaboutards/whatisards/brochure/
DANGER for PNEUMONIA SEPSIS & RUPTURE of lungs...
watch for Increased wbc count, BP, Fever, micro-emboli, MODS |
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Term
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Definition
develops 7-10 day after ward
risk for pneumo
inc airway pressure d/t fribrotic lung changes,
O2 and CO2 levels decrease
pulmonary edema worsen |
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