LESSON TITLE: ACUTE RESPIRATORY DISTRESS SYNDROME

​ ​ NUR 155
FIRST SEMESTER | A.Y 2025-2026 | Page

●​ However, only a small number of people who

Overview have these injuries actually develop ARDS
●​ While none can predict who will get ARDS,
●​ life-threatening lung condition cigarette smokers, those with chronic lung
●​ form of breathing failure that can occur in disease, or those who are over age 65 are more
very ill or severely injured people at risk of developing ARDS
●​ not a specific disease; may systemic infections
pwedeng magkaroon ng direct effect sa lungs Symptoms
●​ starts with swelling of tissues in the lungs and
build-up of fluid in the tiny air sacs that transfer

⬆️
oxygen to the bloodstream.
●​
●​
SOB
⬇️
Fast, labored breathing - 02

​ ​ ⬇️
●​ INFX: capillary permeability

fluid will lead into the interstitial fluid/tissues

●​
●​
Bluish skin or fingernail color
Rapid pulse - compensate; hypoxia
of the body
​ ​ ⬇️ Dx.

⬇️
pupunta yung fluid sa ALVEOLI (swelling)

O2 cant diffuse​
●​ Suffering from severe infection/injury
develops breathing problems
●​ CHEST X-RAY: shows fluid in the air sacs of
●​ this leads to LOW BLOOD O2 LEVELS
●​ ARDS is similar infant respiratory distress
syndrome, but the causes and treatments are
both lungs
⬇️
●​ Blood tests show a O2 in the blood
●​ Other conditions that could cause breathing
different problems have been ruled out
●​ ARDS can develop in anyone over the age of 1 ●​ BP check
y/o. ●​ Blood tests for oxygen levels and signs of
Causes infection as well as levels of BNP (brain
●​ Direct injury to the lungs:
1.​ Chest trauma - penetration; sharp
natriuretic peptide; made by the heart;
⬆️
ma-identify if there is heart problem ) a
marker of heart failure
objects ●​ Analysis of coughed-up matter; sputum
​ ​ ​ ​ Blunt; non penetrating; (mycobacterium tuberculosis), c/s
force; bugbog ●​ ECHOCARDIOGRAM/ 2D ECHO (heart UTZ),
2.​ Breathing vomit rule out congestive heart failure; assess our
3.​ Breathing smoke, chemicals or salt heart chambers kung paano nagdedeliver ang
water heart to the different parts of the body
4.​ Burns ●​ Pulmonary artery catheterization to aid in
●​ Indirect injuries diagnostic work-up; chinecheck kung may P.
1.​ Severe infection; sepsis HYPERTENSION
2.​ Massive blood transfusion ●​ Bronchoscopy: analyze airways;
3.​ Pneumonia PULMOLOGIST; laboratory examination may
4.​ Severe inflammation of the pancreas indicate presence of certain viruses, cancer
(pancreatitis); nagproproduce ng cells, etc.
energy ●​ Open lung biopsy - reserved for cases when
5.​ Overdoses of alcohol or certain drugs diagnosis is difficult to establish
(aspirin, cocaine, opioids,
phenothiazines, and tricyclic
antidepressants)
6.​ Lung and bone marrow Nursing Dx.
transplantation (HSCT) - within few ●​ Ineffective Airway Clearance
days of a lung transplant, the recipient ●​ Ineffective Breathing Pattern
is prone to develop ARDS; once the pt ●​ Impaired Gas Exchange
underwent → 1st week; hindi pa active ●​ Anxiety
⬇️
ang bone marrow → neutropenia ;
WBC
Treatment
Risk Factors
●​ Treat the underlying cause/injury
●​ ARDS usually develops in people who are ●​ Provide support until lungs heal
already in the hospital and are being treated ●​ Mechanical ventilation (breathing machine);
for an injury through a tube placed in the mouth or nose,
thru an opening created in the neck

Zusmitha Shayne V. Soriano / BSN

 LESSON TITLE: ACUTE RESPIRATORY DISTRESS SYNDROME
​ ​ NUR 155
FIRST SEMESTER | A.Y 2025-2026 | Page

●​ Monitoring blood chemistry and fluid levels

●​ ARDS patients are sedated to tolerate these
treatments

Zusmitha Shayne V. Soriano / BSN