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Septic shock
Patients with sepsis or septic shock are at the highest risk for developing ARDS. This is especially true when the sepsis is due to a gram-negative infection. The nurse should monitor respiratory status of these patients closely.

Severe head injury
Patients with severe head injuries can have a secondary injury to the lungs resulting from central nervous system damage. This can result in the development of ARDS, and the nurse should monitor these patients accordingly.

Amniotic fluid embolus
Patients with any type of embolism—fat, air, amniotic fluid, or thrombus—are at higher risk for developing ARDS. The nurse should monitor the respiratory status of these patients accordingly.

In assessing a patient's arterial blood gases, who is diagnosed with early stage acute respiratory failure, the nurse would expect to see which of the following results?

A. pH 7.38, PaCO2 48mm Hg, HCO3 24mm Hg, PaO2 88mm Hg, SaO2 96%
B. pH 7.48, PaCO2 30mm Hg, HCO3 26mm Hg, PaO2 52mm Hg, SaO2 90%
C. pH 7.48, PaCO2 44mm Hg, HCO3 30mm Hg, PaO2 70mm Hg, SaO2 94%
D. pH 7.34, PaCO2 40mm Hg, HCO3 18mm Hg, PaO2 74mm Hg, SaO2 98%

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What is the appropriate intervention for patients with ARDS?

The most common treatment for ARDS is oxygen therapy. This involves delivering extra oxygen to patients, through a mask, nasal cannula (two small tubes that enter the nose), or a tube inserted directly into the windpipe. Ventilator support: All patients with ARDS need oxygen therapy, as noted above.

When assessing the patient with ARDS which symptoms will the nurse anticipate?

In the first 24 to 48 hours, signs and symptoms include dyspnea, tachypnea, dry cough, fatigue, and tachycardia. Even with supplemental oxygen, a patient's skin may look cyanotic and mottled.

Which therapy would the nurse incorporate into the plan of care for a patient with ARDS?

Using the prone position as an effective therapy to reduce mortality for patients with ARDS is recommended for moderate to severe cases and for those who meet inclusion criteria.

What are some nursing interventions for acute respiratory failure?

Nursing Management.
Manage nutrition..
Treating the underlying cause or injury..
Improve oxygenation with mechanical ventilation..
Suction oral cavity..
Give antibiotics..
Deep venous thrombosis prophylaxis..
Stress ulcer prophylaxis..
Observe for barotrauma..