A Patient With Acute Respiratory Distress Syndrome Essay

A Patient With Acute Respiratory Distress Syndrome Essay

Length: 701 words (2 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

A patient with acute respiratory distress syndrome can present to the emergency room from home with a complain of acute onset respiratory distress or be an admitted patient in a hospital that is presenting with a worsening respiratory status or a new onset respiratory distress. According to The ARDS Definition Task Force, as cited by Rubenfeld (2012), “the clinical hallmarks are hypoxemia and bilateral radiographic opacities, associated with increased venous admixture, increased physiological dead space and decreased lung compliance” (p. 2528).
What sets ARDS apart from other lung diseases are four criteria established by the ARDS Definition Task Force. First is the presentation of an acute onset within one week of a known injury or a respiratory condition that has worsened; next is the radiologic presentation of the lungs that show opacity that is not caused by an effusion or collapse; third is the presence of pulmonary edema that is non-cardiac or fluid overload in origin; finally a ratio of partial pressure of arterial oxygen to fraction of inspired oxygen (PaO2/FiO2) of 200 or less (Rubenfeld ,2012).
With the definition, criteria and pathophysiology established, the following is a depiction of a patient that has ARDS. As a starting point, an initial event must have occurred where insult to the lungs (such as infection and inhalation of noxious substances) or other major injuries or physical stressors was exhibited. From that initial point, the patient experiences difficulty breathing as exhibited by shortness of breath that is worse on exertion, tiredness, fast rate of breathing, shallow breaths, use of accessory muscles and nasal flaring. If the patient has a history of respiratory disease such as asthma or COPD, they will...

... middle of paper ...

...s the efforts of decreasing pulmonary edema and undoing the problems in exchange of oxygen in the alveolocapillary level in the lungs. It is also important to note that initially, the patient is in an alkalotic state due to the hyperventilation, but as the condition worsens, there is a transition to acidosis due to the increased presence of carbon dioxide retained in the blood and tissues.
Further decline and worsening of this trend affects other systems in the body such as the brain, where hypoxemia and hypercapnia results in severe alteration in mental status; the endocrine system will release more stress hormones in response to the ongoing distress; the cardiac system will also be overworked through increased rate and force of beats. If uncorrected by the interventions, failure of many of the body’s systems and organ failures will result, ultimately causing death.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Consultation Within With Patient Characteristics Essay example

- Consultation in Conjunction with Patient Characteristics Each patient may exhibit unique qualities, which would require a clinical nurse specialist’s (CNS) distinctive skillset to interpret and provide insight to healthcare providers. These qualities or patient characteristics, described in the American Association of Critical Care Nurses (AACN) synergy model, melded with consultation concepts by the CNS, can influence patient care. This paper will describe a patient situation, the patient characteristics demonstrated by the patient, consultation concepts, and how the characteristics and concepts affect patient outcomes....   [tags: Acute respiratory distress syndrome]

Better Essays
1158 words (3.3 pages)

Acute Respiratory Distress Syndrome Essay

- Pathophysiology One of the important anatomical alteration with the ARDS is the Alveolar Damage. The damage of the alveoli is due to the fluid build up as well as the compromised respiratory mechanism. The condition is also correlated with the damage of the lung endothedlium. The ARDS occurs in three phases where the damage for both alveoli as well as the endothelium. The three phases are Exudative, Proliferative, and Fibrotic. Exudative Phase Occurs approximately during the first week, usually start within 24 to 48 hours after the direct lung injury....   [tags: pathophysiology, alveolar damage]

Better Essays
1608 words (4.6 pages)

Essay on Management of Acute Chest Syndrome

- Treatment of acute chest syndrome Acute chest syndrome occurs when there is a vaso-occlusive crisis in the pulmonary vessels. A combined treatment of oxygen, bronchodilators, blood transfusion, incentive spirometry, analgesics and antibiotics are usually required. The main goal of the treatment is to decrease the HbS concentration to below 30% and if the haematocrit is 30% or higher then an exchange transfusion is necessary. Transfusions given early can potentially halt progressive respiratory deterioration and can prevent further attacks when given long term....   [tags: Crisis, Pulmonary Vessels, Oxygen]

Better Essays
1111 words (3.2 pages)

Middle East Respiratory Syndrome Essay

- ... Patients are often treated with corticosteroids in order to reduce airway inflammation and decrease respiratory difficulties. Virally initiated illnesses typically cause a short duration of malaise depending upon the virulence of the pathogen. However, they are usually accompanied by secondary infection which can be from multiple origins, including but not limited to bacteria, fungi, other viruses, or even protozoa. Although there are no medications specifically for the treatment of MERs-CoV infections, antifungals, antibiotics, and antivirals can be used to reduce the incidence of the patient’s developing secondary infections....   [tags: infectious diseases]

Better Essays
1151 words (3.3 pages)

Transfusion Related Acute Lung Injury Essay

- Transfusion related acute lung injury (TRALI) has insidiously become the leading cause of transfusion linked deaths in the United States and most other developed countries. Its frequently was only recognized thanks to Serious Hazards of Transfusion (SHOT), a British hemovigilance system. It took note of an upward trending of deaths occurring after transfusion and hallmarked by lung complications. Although experts and major stake holders in the field are continually being convened to iron out a consensual definition of TRALI, the current working definition of TRALI is, a life-threatening adverse effect of transfusion characterized by development of acute respiratory distress with hypoxemia du...   [tags: health, developed countries]

Better Essays
1593 words (4.6 pages)

Essay on History Of Present Illness : The Patient

- Chest Pain History of present illness: The patient is a 71 year old male of the Veteran Association. His past medical history includes coronary artery disease and chronic obstructive pulmonary disease. The patient was involved in a contraindication at home where he was thrown into a dresser and hit his lower back. Shortly following the incident the police were contacted. During this time the patient consequently began to develop some substernal chest pain with a radiation to the left arm; the patient also became diaphoretic and somewhat out of breath....   [tags: Myocardial infarction, Heart, Cardiology]

Better Essays
1405 words (4 pages)

Capture Myopathy: Syndrome within Captive Animals Essay

- ... (3) Capture Myopathy is quite often referred to as white muscle disease, the muscle when used causes a change of metabolism from using oxygen to using the stored energy within the muscle. The change up allows for lactic acid to build up and make its way into the bloodstream where it changes the homeostasis of the body: the body pH and the heart output. In essence, if the heart is inefficiently pumping the correct oxygen to the muscle, the muscle will begin to deteriorate and ultimately lead to damages to the kidney and the effector organs....   [tags: dysfunction to muscle fibers]

Better Essays
633 words (1.8 pages)

Severe Acute Respiratory Syndrome Essay

- SARS EPIDEMIC2 SEVERE ACUTE RESPIRATORY SYNDROME (SARS) Introduction Severe acute respiratory syndrome (SARS) is a pulmonary disease. It primarily affects the lungs and a virus that was initially discovered in 2003 causes it. Infection with the SARS virus results in symptoms of respiratory distress characterised by severe breathing difficulty that sometimes leads to death (Ramen, 2005). It is an infectious disease spread from human to human. There have not been any known cases of SARS anywhere in the world since 2004 (Acton, 2012)....   [tags: SARS, disease outbreaks]

Better Essays
1752 words (5 pages)

Patient with Nephrotic Syndrome Essay

- From the results of the numerous tests carried out according to the patient history of frothy urine with a significant oedema over a maximum period of 5 days, the patient was diagnosed with Nephrotic Syndrome. This is condition that occurs due to leakage in the kidney filtration part leading to a large amount of protein leaking from the blood into the urine. This is mainly due to fluid retention known as oedema which is as a result of low protein level in the blood. It occurs due to abnormal functioning or a part of the kidney is affected (glomeruli)....   [tags: Nephrotic Syndrome]

Free Essays
881 words (2.5 pages)

Essay about Treatments For Acute Coronary Syndrome

- There are various treatments for acute coronary syndrome to prevent the occurrence of an acute myocardial infarction. The purpose of this essay is to discuss the current research of the pharmacological treatments of this condition and to evaluate the relevance of this research in relation to the practise of paramedics. The term acute myocardial infarction is used when talking about myocardial necrosis in a setting consistent with myocardial ischemia (Steg, et al., 2012). Acute myocardial infarctions are the major cause of disability and death worldwide....   [tags: Myocardial infarction, Atherosclerosis]

Better Essays
706 words (2 pages)