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A concise overview of essential concepts in pulmonology intensive care, focusing on the interpretation of arterial blood gases (abgs), the signs and symptoms of acute respiratory distress syndrome (ards) and pneumonia, and the management of pulmonary emboli. it includes questions and answers covering ventilator settings, airway management, and potential complications. This resource is valuable for nursing students and professionals seeking to enhance their knowledge and understanding of critical care pulmonology.
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ABG interpretation - ✅✅pH 7.35 - 7. PaCO2 35 - 45 mmHg HCO3 18 - 24 mEq/L PaO2 > 90 mmHg S/S of ARDS - ✅✅Acute onset, bilateral infiltrates, PAWP < 18 Hypoxemia, PHTN, decreased pulmonary compliance, dyspnea, tachypnea, dry cough, tachycardia, crackles/ronchi/wheezes Treatment: Perfusion, positioning (prone), protective lung ventilation, protocol weaning, prevent complications S/S of pneumonia - ✅✅Cough, SOB, fever/chills, dyspnea, rapid/shallow breathing "Good lung down" Pulmonary Emboli - ✅✅A pulmonary emboli is a piece of foreign material that has traveled from another part of the body and is lodged, blocking the pulmonary artery.
D-dimer, CXR, CT pulmonary angiography, pulmonary angiogram, or MRI Criteria for intubation and extubation (?) - ✅✅Failure to oxygenate, failure to ventilate, failure to protect airway, sepsis, ICP, and diagnostic