Module 6 Respiratory Dysfunction - Acute Lung Failure Part 1

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the processes is the initiating factor in Type 1 hypoxemic acute lung failure?

  • Decrease in the amount of CO2 expelled from the body
  • Reduction in the effectiveness of the body's natural breathing patterns
  • Compromised gas exchange (correct)
  • Dysregulation in the body's natural PH balance

What is the primary physiological concern in Type 2 hypercapnic/hypoxemic respiratory failure?

  • Pulmonary vasoconstriction causing increased blood flow to unventilated areas
  • Increased oxygen-binding capacity of hemoglobin
  • Reduced alveolar surface area for gas exchange
  • Impaired ventilation leading to carbon dioxide retention (correct)

Which condition affecting structures outside the lungs can lead to respiratory failure?

  • Pulmonary Embolism
  • Pneumonia
  • Neuromuscular disorders (correct)
  • Compromised alveolar capillary membrane

What intrapulmonary issue directly impairs the transfer of gases within the lung?

<p>Compromised alveolar capillary membrane (A)</p> Signup and view all the answers

What is the primary concern regarding alveolar hypoventilation in the context of respiratory function?

<p>Reduced oxygen uptake and carbon dioxide removal (B)</p> Signup and view all the answers

What is the effect of ventilation-perfusion mismatching on gas exchange?

<p>Compromised oxygen and carbon dioxide transfer (B)</p> Signup and view all the answers

What direct effect does intrapulmonary shunting have on arterial oxygen levels?

<p>Decreased arterial oxygen content due to blood bypassing ventilated alveoli (C)</p> Signup and view all the answers

What is an essential target PaO2 level for patients with acute lung failure?

<p>Maintain PaO2 above 60 mmHg (C)</p> Signup and view all the answers

During an episode of acute lung failure, why might positioning be used as an intervention?

<p>To improve ventilation-perfusion matching (A)</p> Signup and view all the answers

In managing acute lung failure, when are neuromuscular blocking agents considered?

<p>To facilitate mechanical ventilation and reduce oxygen consumption (D)</p> Signup and view all the answers

What is the typical purpose of using diuretics in the management of acute lung failure?

<p>Reduce fluid overload and pulmonary edema (D)</p> Signup and view all the answers

In managing acute lung failure, which of the following interventions directly addresses the need to balance oxygen supply and demand?

<p>Maintaining adequate CO/monitor hemodynamics (C)</p> Signup and view all the answers

Why is providing nutrition support an important aspect in the comprehensive management of acute lung failure?

<p>To support respiratory muscle strength and the healing process. (B)</p> Signup and view all the answers

Why is it important to mobilize secretions in patients with acute lung failure?

<p>To maintain airway patency and prevent infection (A)</p> Signup and view all the answers

How does acidosis directly interfere with the critical oxygen delivery process to tissues during acute lung failure?

<p>Acidosis increases the affinity of hemoglobin for oxygen, preventing its release to tissues. (B)</p> Signup and view all the answers

How does the management of acute lung failure prioritize the balance between patient comfort and physiological stability?

<p>By using interventions to decrease anxiety and promote comfort, which can reduce oxygen consumption and improve respiratory mechanics, aligning comfort with physiological needs. (C)</p> Signup and view all the answers

What role does patient and family education play in the ongoing treatment and care of individuals suffering from acute lung failure?

<p>It is crucial for ensuring compliance with the treatment plan, promoting early recognition of complications, and supporting effective long-term management. (C)</p> Signup and view all the answers

Bronchodilators are administered during acute lung failure to directly target which issue?

<p>To dilate the airways, reducing resistance and improving airflow. (B)</p> Signup and view all the answers

How can preventing desaturation contribute to stabilizing patients experiencing acute lung failure?

<p>By ensuring adequate oxygen reserves, which mitigates potential tissue hypoxia and related complications. (C)</p> Signup and view all the answers

How does using sedatives and analgesics support the treatment and recovery process in acute lung failure?

<p>By reducing patient anxiety and pain, thus lowering oxygen consumption and improving tolerance of mechanical ventilation. (D)</p> Signup and view all the answers

In the context of the oxygen-hemoglobin dissociation curve, what physiological change would cause the curve to shift to the right, indicating a decreased affinity of hemoglobin for oxygen?

<p>An increase in 2,3-diphosphoglycerate (2,3-DPG) levels in erythrocytes. (A)</p> Signup and view all the answers

A patient with acute respiratory distress syndrome (ARDS) has a PaO2/FiO2 ratio of 150 despite being on high levels of ventilatory support. Which intervention is most likely to improve oxygenation?

<p>Initiating neuromuscular blockade to improve chest wall compliance and reduce oxygen consumption. (A)</p> Signup and view all the answers

A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted with acute hypercapnic respiratory failure. Which ventilator setting adjustment could worsen their hypercapnia?

<p>Decreasing the tidal volume. (B)</p> Signup and view all the answers

What is the primary rationale for implementing prone positioning in patients with severe acute respiratory distress syndrome (ARDS)?

<p>To improve oxygenation by redistributing lung perfusion and ventilation and reducing dorsal lung compression. (C)</p> Signup and view all the answers

In managing a patient with acute lung injury (ALI) and a PaO2/FiO2 ratio of 250, what is the most appropriate initial strategy to optimize oxygenation and prevent progression to ARDS?

<p>Applying lung-protective ventilation strategies with low tidal volumes and appropriate PEEP levels. (C)</p> Signup and view all the answers

A patient with acute respiratory failure exhibits signs of increased work of breathing, including tachypnea, accessory muscle use, and paradoxical abdominal movement. What is the most appropriate initial intervention?

<p>Initiating non-invasive positive pressure ventilation (NIPPV) to provide ventilatory support and reduce the work of breathing. (C)</p> Signup and view all the answers

A patient with acute respiratory failure secondary to cardiogenic pulmonary edema is being mechanically ventilated. What ventilator adjustment is most likely to improve cardiac output and reduce pulmonary congestion?

<p>Increasing the positive end-expiratory pressure (PEEP) to improve alveolar recruitment. (D)</p> Signup and view all the answers

A patient with severe asthma exacerbation develops acute hypercapnic respiratory failure. Which intervention is most likely to address the underlying cause of respiratory failure?

<p>Administering bronchodilators and corticosteroids to reduce airway inflammation and bronchospasm. (A)</p> Signup and view all the answers

After intubating a patient, what initial ventilator setting adjustment would be MOST appropriate for a patient without any prior respiratory issues?

<p>Setting a tidal volume of 6-8 mL/kg of ideal body weight with moderate PEEP. (C)</p> Signup and view all the answers

A patient with acute lung failure requires high levels of PEEP. What potential complication should the healthcare provider closely monitor for as a result of this therapy?

<p>Pneumothorax (A)</p> Signup and view all the answers

A patient with known COPD is admitted with acute respiratory failure. Blood gas results reveal significant hypercapnia with a pH of 7.20. What intervention should be implemented immediately?

<p>Assisted Ventilation (B)</p> Signup and view all the answers

What is a key consideration when initiating enteral nutrition in a mechanically ventilated patient with acute respiratory failure?

<p>Monitoring for abdominal distension and gastric residuals to evaluate tolerance to feeding. (B)</p> Signup and view all the answers

A patient with ARDS is on mechanical ventilation. The provider adjusts the ventilator to decrease the tidal volume from 8 ml/kg to 6 ml/kg based on ideal body weight. What is the primary rationale for this adjustment?

<p>To decrease the peak inspiratory pressure and reduce the risk of barotrauma. (B)</p> Signup and view all the answers

While managing a patient on a ventilator, the high-pressure alarm begins to sound frequently. What is the most important initial action by the healthcare provider to address this?

<p>Assess the patient for possible causes such as a kinked tube, secretions, or bronchospasm. (D)</p> Signup and view all the answers

Which diagnostic measure is MOST important in differentiating between Acute Lung Injury (ALI) and Acute Respiratory Distress Syndrome (ARDS)?

<p>The PaO2/FiO2 ratio. (C)</p> Signup and view all the answers

A patient with acute respiratory failure is receiving mechanical ventilation. The patient develops a sudden decrease in blood pressure and an increase in heart rate. What immediate action should the nurse take?

<p>Assess for signs of pneumothorax. (B)</p> Signup and view all the answers

When educating the family of a patient with acute respiratory failure receiving mechanical ventilation, which aspect should the nurse emphasize to promote understanding and reduce anxiety?

<p>The reasons and goals for mechanical ventilation and the plan to wean the patient off the ventilator. (B)</p> Signup and view all the answers

In the management of acute respiratory failure secondary to a neuromuscular disorder like Guillain-Barré syndrome, what is the PRIORITY intervention?

<p>Mechanical ventilation to support respiratory muscles. (B)</p> Signup and view all the answers

Flashcards

Acute Lung Failure

Also known as respiratory failure, it involves the lungs' inability to maintain adequate gas exchange.

Type 1 - Hypoxemic Failure

Type of acute lung failure characterized by issues with oxygenation.

Type 2 - Hypercapnic/Hypoxemic Failure

Type of acute lung failure involving issues of ventilation and ineffective breathing patterns; can include hypoxemia.

Extrapulmonary Causes

Causes of lung failure that originate outside the lungs, such as neuromuscular issues or upper airway obstructions.

Signup and view all the flashcards

Intrapulmonary Causes

Causes of lung failure related to issues within the lungs themselves, such as lower airway/alveoli problems or issues with pulmonary circulation.

Signup and view all the flashcards

Alveolar Hypoventilation

Reduced ventilation in the alveoli, preventing efficient gas exchange.

Signup and view all the flashcards

Ventilation-Perfusion Mismatching

Mismatch between the air reaching the alveoli (ventilation) and the blood flow in the capillaries (perfusion).

Signup and view all the flashcards

Intrapulmonary Shunting

Blood passing through the lungs without participating in gas exchange.

Signup and view all the flashcards

Maintain Adequate Oxygenation

Ensuring sufficient PaO2 levels, typically above 60 mmHg, through methods like oxygen therapy and proper positioning.

Signup and view all the flashcards

Maintain Adequate Ventilation

In acute lung failure, this involves strategies such as mechanical ventilation to ensure adequate carbon dioxide removal.

Signup and view all the flashcards

Acidosis Management

A condition that can occur in acute lung failure, and treatments include addressing underlying causes and potentially administering bicarbonate.

Signup and view all the flashcards

Pharmacological Interventions

Use of bronchodilators, steroids, sedatives/analgesics, neuromuscular blocking agents, and diuretics.

Signup and view all the flashcards

Nutrition Support

Providing adequate caloric and nutrient intake to support the patient's energy needs and promote healing.

Signup and view all the flashcards

Prevent Complications

Vigilant monitoring and intervention to minimize potential complications such as infections, blood clots, or ventilator-induced lung injury.

Signup and view all the flashcards

Maintain Airway

Techniques such as endotracheal tubes, cough assistance, suctioning, and strategic positioning to ensure a clear and open airway.

Signup and view all the flashcards

Mobilize Secretions

Strategies such as hydration, humidification, and nebulized medications to help loosen and remove secretions from the airways.

Signup and view all the flashcards

Monitor Hgb

Monitoring hemoglobin levels to ensure adequate oxygen-carrying capacity in the blood.

Signup and view all the flashcards

Maintain Adequate CO

Monitoring and maintaining sufficient cardiac output to ensure adequate oxygen delivery to the tissues.

Signup and view all the flashcards

Decrease Anxiety

Interventions such as medication and comfort measures to alleviate anxiety and promote overall comfort for the patient.

Signup and view all the flashcards

Positioning

The physical placement of the patient to optimize respiratory function, such as prone positioning or elevating the head of the bed.

Signup and view all the flashcards

Prevent Desaturation

Strategies to prevent drops in oxygen saturation, such as adjusting ventilator settings or administering supplemental oxygen

Signup and view all the flashcards

Educating Patient/Family

Providing clear and understandable information to the patient and their family about the patient's condition, treatment plan, and expected outcomes.

Signup and view all the flashcards

Study Notes

  • Respiratory Dysfunction is also known as acute lung failure.

Types of Acute Lung Failure

  • Type 1 is hypoxemic and includes issues of oxygenation and impaired gas exchange.
  • Type 2 is hypercapnic/hypoxemic failure and includes issues of ventilation and ineffective breathing patterns include.

Causes of Lung Failure

  • Extrapulmonary causes include neuromuscular issues and upper airway problems.
  • Intrapulmonary causes include lower airway/alveoli issues, and pulmonary circulation or alveolar capillary membrane problems.

Pathophysiology

  • Alveolar hypoventilation can cause lung failure.
  • Ventilation perfusion mismatching can cause lung failure.
  • Intrapulmonary shunting can also cause lung failure.

Managing Acute Lung Failure

  • Maintain adequate oxygenation by keeping PaO2 above 60 mmHg, and positioning the patient.
  • Maintain adequate ventilation.
  • Manage acidosis.
  • Use pharmacology for treatment, including bronchodilators, steroids, sedation/analgesics, neuromuscular blocking agents, and diuretics.
  • Nutrition is important for support.
  • Prevent complications.
  • Maintain open airways through tubes, cough, suction and position.
  • Mobilize secretions through hydration, humidity, and nebulizers.
  • Monitor Hgb.
  • Maintain adequate CO and monitor hemodynamics.
  • Decrease anxiety and promote comfort.
  • Focus of proper positioning and preventing desaturation.
  • Educate patient and family.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Preventing Respiratory Failure
5 questions
Respiratory Failure Overview
8 questions
Respiratory Failure and Distress Quiz
10 questions
Use Quizgecko on...
Browser
Browser