Acute Respiratory Failure: Overview and Ventilation Care Understanding the Disease, Treatments, and Nursing Interventions MEL DONALDSON
Introduction to Acute Respiratory Failure (ARF)
Causes of Acute Respiratory Failure
Signs and Symptoms
Diagnostic Tests Tests to Diagnose ARF: Arterial Blood Gases (ABG) Chest X-ray or CT scan Pulmonary Function Tests Electrolyte and complete blood count (CBC) tests
Pre-Operative Testing
Medical Treatments for ARF Ventilation Support: Non-invasive (BiPAP/CPAP) Mechanical ventilation Supplemental Oxygen: Via nasal cannula or mask Treating the underlying cause: Antibiotics for infection Diuretics for fluid overload
Post-Operative Care Monitor: Respiratory rate Oxygen saturation ABG levels Physiotherapy: To prevent complications like pneumonia Weaning from ventilator: Gradual reduction based on patient’s respiratory stability
Medications Used For ARF Treatment: Bronchodilators (e.g., Albuterol) Corticosteroids (e.g., Prednisone) Antibiotics or antivirals (if infection is present) Sedatives (e.g., Propofol for ventilated patients)
Expected Outcomes for the Patient
Nursing Care Provided
Creativity: Visual Aids & Engagement
NCLEX Question 1 Q: What is the priority nursing intervention for a patient in acute respiratory failure receiving oxygen therapy? A) Monitor blood pressure B) Assess oxygen saturation continuously C) Administer sedatives D) Check electrolyte levels Rationale: B - Monitoring oxygen saturation ensures therapy effectiveness.
NCLEX Question 2 Q: Which arterial blood gas result indicates hypercapnic respiratory failure? A) pH 7.45, PaCO2 35 mmHg B) pH 7.31, PaCO2 60 mmHg C) pH 7.48, PaO2 95 mmHg D) pH 7.40, HCO3 22 mEq /L Rationale: B - Hypercapnic failure is indicated by a high PaCO2.