A 65-year-old, 2 ppd smoker admitted with pneumonia 2 days ago has now developed ARDS
a. Describe some of the factors you might see clinically with this disorder.
b. When assessing this client, what would you expect to see?
c. What treatment would you suggest for this client?
Students' answers should include the following:
a. Some items to include but not limited in discussion might be hematologic factors, prolonged smoke inhalation, repeat lung infections, metabolic disorders, and septicemia.
b. Discussion of ARDs should include such things like time of onset, physical signs in early and late disease process, mental confusion, anxiety, and cerebral anoxia.
Discussion should also include diagnostic findings on chest x-rays and blood gases.
c. Airway clearance and patency is always number one and should be included in the discussion. Discussion should also include ventilation and what type of PEEP to use for ARDs and the risks involved with a pneumothorax if too much PEEP is used. Other signs and symptoms should be discussed such as edema and hypotension and possible treatments for these. Nutrition should also be addressed in the discussion.
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