PDF-RESPIRATORY FAILURE

Definition Inability to meet ones need for tissue oxygenation and elimination of CO2 often but not always associated with distressWill focus on Pulmonary aspects of this process50 of pediatric I. Introduction to hospital medicine:. Common respiratory admits. Learning objectives. Discuss common respiratory admits and their management. Pneumonia: community acquired . vs. HCAP . vs. aspiration pneumonia. Aylin. Seven. CAUSES OF RESPIRATORY FAILURE. Upper – croup/epiglottis. Lower – bronchiolitis. Lung – pneumonia/ARDS, pulmonary . oedema. Status . Epilepticus. Apnoea. of prematurity. Intoxication. Respiratory structures such as the airways, alveoli and pleural membranes may all be affected by various disease processes . These respiratory diseases include. :. . Infections. such as pneumonia. . Hap Farber. Pulmonary Center. Boston University School of Medicine. Respiratory Failure. 1) ABG single most important laboratory test for evaluating of respiratory disorders.. 2) Respiratory failure: ABG w/ pCO2 > 50 and/or pO2 <60. HCT II. Asthma. Respiratory disease usually caused by a sensitivity to an allergen. Dust. Pollen. Animals. Food. Asthma Symptoms. Occurs when bronchospasms narrow openings of bronchioles, Mucus production increases, edema develops in the mucosal lining. Emídio Lima. MD, PhD. Mortality Increases with the Duration of Mechanical Ventilation and Weaning Failure. Weaning Failure. The Average Rate is 30%. Increases Mortality (43%) and Morbidity. The Size of the Problem. EXAMINATION OF THE RESPIRATORY SYSTEM. The most critical initial question in Pediatrics is whether or not the patient is actually ill. Observation of the patient prior to the actual exam can be tremendously helpful in making this determination.. By: Yazmin Realivasquez. Stephen Huang . Jose Torres. What is ARDS?. ARDS is a respiratory condition characterized by hypoxemia, and stiff lungs, without mechanical ventilation most patients would die. ARDS represents a response to many different insults/injuries and evolves through different phases: alveolar capillary damage to lung resolution to a fibro-proliferative phase. The pulmonary epithelial and endothelial cellular damage is characterized by inflammation, apoptosis, necrosis and increased alveolar-capillary permeability, which lead to the development of alveolar edema. . Classification of RF. Type 1. Hypoxemic RF **. PaO2 < 60 mmHg with normal or ↓ PaCO2. Associated with acute diseases of the lung. Pulmonary edema (Cardiogenic, noncardiogenic (ARDS), pneumonia, pulmonary hemorrhage, and collapse. ICD-. 10. . State. a. cuity. type . Acute . Chronic. Acute. on chronic . Classification. of respiratory failure . Hypoxemic. Hypercapneic. Both. . 3/1/14cditipsheet. Most important documentation requirement . Self-assessment case histories. Dr Nicola Cooper. Consultant Physician. The respiratory system. Main function – to supply oxygenated blood and remove CO. 2. Ventilation. Gas exchange. Circulation . Understanding Oxygen. Lots of ways of giving it. FiO2. Fraction of inspired oxygen. What you see isn’t necessarily what you get…. Increasing oxygen requirements should be a red flag. Wards have a “safety” cap of FiO2 of 0.5. What is your overall interpretation?. Scroll or use arrows to advance and reverse slide animations. Images courtesy of . Samantha King, MD. Diffuse bilateral alveolar infiltrates with air bronchograms, right mainstem intubation.. An Intensivist’s Assessment . Omer Mirza, MD, Intensivist - Covenant HealthCare. a thing to remember. An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you know and what you don't know..