Acute Respiratory Failure And ARDS N180 Stokke
Acute respiratory failure when it occurs can be either hypoxemic or hypersonic. As we just covered acute respiratory failure in class today there will be a text in some time. The quiz below is designed to check what we have covered and help you note areas to polish up on. Give it a try and all the best!
- 1.Acute Respiratory Failure can be defined as _____________________________.
- A.
Sudden life-threatening deterioration of gas exchange in the lungs
- B.
Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2
- C.
Sudden life-threatening pulmonary edema that causes a deterioration of gas exchange despite treatment with O2
- 2.Which of the following is NOT a type of ARF?
- A.
Ventilatory failure
- B.
Atelectasis
- C.
Oxygenation failure
- D.
None of the above
- 3.In ventilatory failure, all of the following are true EXCEPT:
- A.
Perfusion is normal, but ventilation is inadequate
- B.
Air morvement in/out of the lungs is the problem
- C.
Less oxygen in the alveoli
- D.
Low CO2 levels in blood
- E.
None of the above
- F.
All of the above
- 4.All of the following are possible causes of Ventilatory failure EXCEPT:
- A.
Pulmonary embolism
- B.
Pneumo/hemothorax
- C.
Kyphoscoliosis
- D.
Damage to the respiratory control center in the brain
- E.
Decreased function of respiratory muscles
- F.
None of the above
- 5.All of the following are true of oxygenation failure ARF EXCEPT:
- A.
Movement of air is adequate
- B.
It can be caused by a PE
- C.
Perfusion is inadequate
- D.
None of the above
- 6.CHECK ALL THAT APPLY: Which of the following are EARLY signs and symptoms of ARF?
- A.
Confusion
- B.
Lethargy
- C.
Dyspnea
- D.
Anxiety
- E.
Diaphoresis
- F.
Accessory muscle use
- G.
Restlessness
- H.
Tachycardia
- I.
Decreased breath sounds
- J.
Elevated BP
- K.
Cyanosis
- L.
Respiratory arrest/failure
- 7.CHECK ALL THAT APPLY: Which of the following are ADVANCED signs and symptoms of ARF?
- A.
Confusion
- B.
Lethargy
- C.
Dyspnea
- D.
Anxiety
- E.
Diaphoresis
- F.
Accessory muscle use
- G.
Restlessness
- H.
Tachycardia
- I.
Decreased breath sounds
- J.
Elevated BP
- K.
Cyanosis
- L.
Respiratory arrest/failure
- 8.Acute Respiratory Distress Syndrome (ARDS) can be defined as _____________________________.
- A.
Sudden life-threatening deterioration of gas exchange in the lungs
- B.
Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2
- C.
Sudden life-threatening pulmonary edema that causes a deterioration of gas exchange despite treatment with O2
- 9.CHECK ALL THAT APPLY: Which of the following are the 5 characteristics of ARDS?
- A.
Dyspnea
- B.
Myasthenia Gravis
- C.
Refractory hypoxemia
- D.
Cyanosis
- E.
Dense pulmonary infiltrates on CXR
- F.
Decreased pulmonary compliance
- G.
Non-cardiac pulmonary edema
- H.
Chest pain
- 10.During the Acute Exudate Phase of ARDS, ____________________ .
- A.
Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance
- B.
The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.
- C.
Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.
- 11.During the Proliferative Phase of ARDS, ____________________ .
- A.
Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance
- B.
The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.
- C.
Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.
- 12.During the Fibrotic Phase of ARDS, ____________________ .
- A.
Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance
- B.
The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.
- C.
Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.
- 13.CHECK ALL THAT APPLY: Which of the following are early s/sx of ARDS?
- A.
Retractions - not always (tissues between ribs and above sternum pull in)
- B.
Dyspneic
- C.
Non-productive cough
- D.
Accessory muscle used
- E.
Pallor or cyanosis
- F.
Significant CXR changes; pulmonary infiltrates
- G.
Restlessness
- H.
CXR clear
- I.
Respiratory alkalosis
- J.
Respiratory acidosis
- 14.CHECK ALL THAT APPLY: Which of the following are advanced s/sx of ARDS?
- A.
Retractions - though not always (tissues between ribs and above sternum pull in)
- B.
Dyspneic
- C.
Non-productive cough
- D.
Accessory muscle used
- E.
Pallor or cyanosis
- F.
Significant CXR changes; pulmonary infiltrates
- G.
Restlessness
- H.
CXR clear
- I.
Respiratory alkalosis
- J.
Respiratory acidosis
- 15.CHECK ALL THAT APPLY: Which of the following are appropriate management interventions for ARDS?
- A.
O2 therapy
- B.
Maintain IV volume and IV access
- C.
Ambulation
- D.
Treat cause
- E.
Conserve energy
- F.
ABGs
- G.
Monitor vitals
- H.
Glucocorticoids
- I.
Antibiotics
- J.
Pulse Ox
- K.
Turn regularly
- 16.Which of the following describes the condition when partial pressure of oxygen in the blood keeps decreasing despite treatment?
- A.
Treatment-resistant hypoxemia
- B.
Refractory hypoxemia
- C.
Refractory Hemo-deoxygenation
- 17.True or False: Management of ARDS are usually only supportive, there is little we can do to reverse the process.
- A.
True
- B.
False
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