The nurse is caring for a patient intubated for acute respiratory distress syndrome (ARDS). Which medications should the nurse expect to be prescribed for this patient?
: Select all that apply.
1. surfactant
2. antibiotics
3. nitrous oxide
4. anticoagulants
5. cardiac glycosides
Correct Answer: 1, 3
Although there is no definitive drug therapy for ARDS, a number of medications may be used. Inhaled nitric oxide reduces intrapulmonary shunting and improves oxygenation by dilating blood vessels in better-ventilated areas of the lungs. Surfactant therapy may be prescribed. Surfactant reduces the surface tension within the alveoli, helps maintain open alveoli, reduces the work of breathing, improves compliance and gas exchange, and prevents atelectasis. Antibiotics, anticoagulants, and cardiac glycosides are not indicated in the treatment of ARDS.
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