ARDS (Acute Respiratory Distress Syndrome) Nursing - Pathophysiology, Treatment
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- čas přidán 10. 07. 2024
- ARDS nursing lecture (acute respiratory distress syndrome) with free quiz to help nursing students prep for NCLEX. This lecture will cover ARDS pathophysiology, treatment, symptoms, nursing diagnosis, and more.
What is acute respiratory distress syndrome (ARDS)? It’s a type of respiratory failure that occurs when the capillary membrane that surrounds the alveoli sac becomes damaged, which causes fluid to leak into the alveoli sac.
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ARDS has a fast onset and tends to occurs in people who are already sick (hospitalized) and usually develops as a complication to a systemic inflammation process occurring in the body.
What can cause the capillary membrane to become more permeable and leak fluid?
This is usually triggered by an event that leads to major systemic inflammation, which can be indirectly damage the capillary membrane or directly damage the capillary membrane.
Indirect (source isn’t the lungs): capillary membrane is INDIRECTLY damaged due to a systemic inflammatory response system (SIRS) by the immune system:
*Sepsis (most common and very poor prognosis for patients who have gram-negative bacteria)
Burns
Blood transfusion (multiple)
Inflammation of the pancreas
Drug overdose
Direct (source is the lungs)….capillary membrane is DIRECTLY damaged
Pneumonia
Aspiration
Inhaling a toxic substance
Significant drowning event
Embolism
This pathophysiology of ARDS is discussed in-depth in this video and features the 3 phases of ARDS (Exudate, Proliferative, Fibrotic Phases)
Signs and Symptoms of ARDS (acute respiratory distress syndrome):
Tachypnea, refractory hypoxemia (hallmark sign and symptoms), cyanosis, mental status changes, abnormal lungs sounds like crackles in the late stages, tachycardia, respiratory alkalosis that can progress to respiratory acidosis, etc.
Nursing interventions for ARDS include: maintaining respiratory function with mechanical ventilation with PEEP (monitoring for complications of this therapy), pulmonary artery wedge pressure reading (helps to determine if this is pulmonary edema due to ARDS or a cardiac issue), prone positioning, administering medications (inotropics, fluids, corticosteroids, antibiotics, GI drugs to prevent stress ulcers etc.
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Hey Everyone! I'm so excited to have this video for you all! I know MANY have requested it. Don't forget about:
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THANK YOU!!!! I had the hardest time with ARDS! Thank you for helping me pass my classes! Everyone in my class LOVES YOU!
hi can you make a video for hiv !
Very nice, can you make a video for mechanical ventilator,modes and settings
Hi Sarah! Can you consider doing a mechanical ventilation video? Preferably before my exam- Thursday this week 😩😂 thanks for your awesome videos!
Do you have a video on vents?
I am in my last semester and I can honestly say I don't know how I would have made it to this point without you. You help so many people, not only by being a nurse, but also an educator. Thank you for taking on the role of both.
Nice 😊
I survived ARDS in 2015. I was in a coma for 8 days while on a ventilator and in a rotoprone bed. It actually spins you around like a rotisserie. It is used to keep your upper lobe from filling up with fluids. I have no memory of any of it. They initially told my wife I would not make it. Thank God for the wonders of modern medicine and thank you for your explanation and teaching
My mother was in a coma for 7 days with ARDS after a 5 day hospital stay with pneumonia in 2000. The hospital had to bring in one of those beds on a helicopter from another hospital. She also survived but the doctors said to plan her final arrangements with the funeral home. They gave her a less than 5% survival rate. Here we are 20 years later and she is totally fine with no memory of the event.
@@shannonsenn184 Amazing. Outside the hospital the chance of survivng pneumonia is 99% with antibacterial treatment in your own home.
Happy survival
Honestly I learned more in your 25 minute video than my professor's 1 hour lecture. You simplify everything and touch on the key points! Thank you for your help 💜. Just curious, are you a nurse educator? You seem perfect for the role.
My professor did a 2 hour lecture and was so mad at us for not understanding her...
Omg same here girl.
Omg ! 1hr !
My teacher did it within 15 min. by just reading the slides 😂😂, & also it wasn't a huge title then, it was just like "ARDS you know it is a serious condition " yea the hell we know now
Im graduating this December because of you!!!!!!
So nice
Sarah, what can I say??? You have been so important to so many people. You have really created change in this world with your hard work, compassion and teaching. What a kind and giving person you are. I can't begin to imagine the tens of thousands of patients whose lives you have helped through the thousands of nurses you have taught. We can never thank you enough. My very best to you and your family.
I am telling you that God is watching over me and you, I am in my last semester of Nursing and I am taking advanced med-surge. This was the topic for the first lecture and while i understood it somewhat, you really connected the dots. I wish I can meet you in real life to hug you, you have gotten through every last one of my semesters and every time I say to myself God I hope she covers this topic you post it weeks later. You deserve half of my degree but I would not have made it without you
I have worked as a Registered Respiratory Therapist for 26 years now, I really have to tip my hat to you and all the future Nurses. This is great learning material, we didn't have the "WEB" back in the day, we had to cram and read and cram again. Great presentation and "I" personally thank you. Salute to you all. Ken BS RRT-RRT II
Hi Sarah,
I wanted to stop here and let you know that I just became CCRN certified today, and you were the first person I wanted to thank. You helped me tremendously in my studying and I am so grateful to you. I PASSED! WOOHOO
Yay! Congrats. That's an awesome accomplishment. Thanks so much for watching!
Please make a ventilator video! This video was so helpful!
YAS QUEEEEEN
I absolutely love your videos. Seeing you wants me to be a great nurse
Yes
Yes please!
Former ARDS patient here!! Thank you for this video. I really appreciate learning what exactly was happening inside of me.
Hey just wondering!! Did you have to go to the hospital?
My dad's ards, has gotten worse. But we feel that, if we go to the hospital, he's gonna be labeled as a covid-19 patient.
You are a lifesaver! I read my nursing books and go immediately to your lecture for every topic. I would not make it through nursing school without you!
This video helped me understand ARDS. I could grasp it before and now it’s basically like a light turned on. Literally said “ohhhh now I get it” multiple times! Thank you so much
Hello Sarah! You're truly a treasure to all of us Nursing students and current Nurses i'm sure. You are able to explain and make complicated material so much easier to grasp. Honestly every single Nursing school in the country should be giving you a percentage of their profits because I am sure you have gotten about 99% of all Nurses through school! Continue to do the amazing work you do for us all, and whenever I am stuck on a topic i will be running back to you!!! Many blessing and love your way!!
This is about to become very important
I’m a respiratory therapy student and this was very helpful to me, huge thank you💁🏻♀️💁🏻♀️💁🏻♀️💁🏻♀️
I know you see this comment more than you can appreciate however, due to covid, my last semester on RN school is online. We don't get good lectures.. our instructors read us a power point for 3 hours and that is it. THANK YOU for sharing your knowledge and being so in depth.
Your videos have helped me so much throughout nursing school. The way you explain everything is easy to understand and the mnuemonics are amazing. Thank you for making videos! Please do a video on pulmonary embolism!
Great explanation! This is great review for critical care nurses as well as students!! A lot of what you touched on I took a few moments to recall! 👍💯
Thank you so much for posting these videos. It's really benefecial for nursing students and those who'll be taking the nclex. You're exceptional! God bless you Nurse Sara 💕😊
i just wanna meet you and give you a big big big hug for all that you've done for me. thank you so much. i am only a minute in and i had to pause to leave this comment because you never fail to explain every topic clearly and i'm just so grateful for you. i got a 68% on my first pathophysiology exam but then i started watching your videos to prepare for my 2nd exam and i bumped up to a 91%!! you are a life saver
It One thing to be a nurse but another to be an educator and a very exceptional one. It’s not just you patients your helping it’s everyone’s who watches your videos.
I'm in a self paced distance learning program.. your videos help a lot! Thank you so much!!!
I survived severe ARDS on top of acute kidney failure, after major cardiovascular surgery. They had to lay me on my stomach to drain that fluid and improve function. I then had to go on ECMO while unconscious for days to weeks. Luckily I made it through ECMO, and had to stay on ventilation. All praise due to the most high🙏. This was no joke. Almost didn’t make it
This is so interesting. I was in the hospital for 3 months. I was in a coma for 35 day's. I am so thankful god was with me. When i woke up i surprised everyone. ( Doctors, Nurses and family.. And im finally home with my kids..
Amen Hod is good 🙏🏻🙏🏻
I have the sickness but Iam still in college .All the struggle breathing because of the fluid. But thanks to God for keeping me strong and going...Hope I make it through this semester 🙏👍👍God is for me.
Excellent job Nurse Sara. Starting the respiratory system this week in my 4th semester. And the subject on ARDS was spot on and took some good notes. Thank you once again for your hard work to helping students like myself
Thank you for all of your videos! I would GREATLY appreciate a PE video
Thank you for everything you do. I have learned so much from you. You make everything easy to understand. I have my final tomorrow. I been watching your videos to help me review. I'm in my last semester of nursing. I will graduate from nursing school May 21, 2021. Thank you for being part of my nursing journey, much love to you💖🌸
I have just discovered your lectures and I’m so happy! This lecture was a very good refresher for me and the subject was well explained. Thankyou
I love you Nurse Sarah! I am surviving nursing school thanks to you!
Thank you for posting all you nursing related videos! It helped me understand some of the complicated pathophysiology, and learn more about the other topics for NCLEX, passed my NCLEX @75 last 3weeks! Please keep posting more videos @RegisteredNurseRN, cuz im still interested to watch all of it! 😊
Thanks for doing this. I don't even need to prep for the NCLEX but it's good to review anyhow.
Im studying for NCLEX and I been out of school for awhile. This is a awesome quick refresher!
She's a bomb nurse!!! I learn so much better from watching her videos...
As far as I know, you are the best online lecturer out there. It helps me a lot to refresh everything that I need. God bless and more blessings to come.
This is high level on so well explained. Medical students would benefit from watching this!
You are so comprehensive and easy to follow it ‘all clicks’ when I listen to you thanks so much
God bless you. You do such a good job explaining this. Thank you for all of your Nursing Videos!!
A bunch of things just clicked for me! thanks so much!!!
You are such a great nurse! I love to watch your amazing, easy to understand videos. Well done girl! I have learned so much from you🌷
God bless you a hundred fold sarah!!!! i was SO confused on this topic, you explain things so simply and thoroughly!!!!!! i would not be in my last semester if it weren’t for you- MUCH love from iowa💜💜💜💜💜
Nicely put.you really know how to simplify things and am finding it easy to understand thank you Soo much.kindly add a video for Pulmonary Embolism
THANK YOU for sharing and teaching us nursing students...i have watched your videos and suggested them to many fellow students...you break things down in a way that a good teacher does...so, that your students can grasp the concept....
Thank you so much for allowing me to understand nursing content soooo much better. God bless!
Thanks for watching, Evelyn. May God bless you in school and in your career!
This lecture was absolutely amazing! Thank you
Seriously so helpful!! Thank you!
VERY HELPFUL , THANK YOU SO MUCH !
Thank you for this video and all the others, for your passion and hard work. It is immensely helpful during this difficult times that caught many nurses, such as me, shamefully unprepared.
I literally watched all of your videos for the past 2 weeks. And I think it really helped me a lot understanding each and every systems and nursing responsibilities. I’m gonna take my NCLEX next month and my anxiety is overflowing right now 🥺🥺🥺
Thank You so Much... love you... being a medicine student, Your lectures help a Lot.....! 🖤
Tahnkuu mam ...🙏🙏 very interesting as usual.. you doing great job for us .. may god bless you 🤗🤗 our whole class is following you
This video is AWSOME helped me alot!
Thanks
Love all your videos!!!! What is nursing without you?!!! God Bless you!
Sarah, thank you for this video. I hope to one day be as smart as you are as a RN. I am in my final nursing semester just hoping to make it to the end. I know I will get there. Thanks for all your helpful videos.
Best video for ARDS on CZcams, thank you!
literally saving my life with these videos. thank you so much for your efforts.
You're the best 👩💻👍
Thank you for this video. You explained this better than the doctors. My mother passed away from this a few days ago.
Great video. I have a test coming up and your video has given me confidence to pass it.
As a medical student i enjoyed this stuff very much and i needed them badly , thnx.
You have been such a great help. Watching your videos helps me so much. Thank you for all that you do and providing the platform for nursing students to go to for a resource. Couldn’t have made it this far without your amazing videos and quizzes!!!!
Currently studying for my ccrn exam. Thank you!
Hi nurse Sarah,,i learned more from u than in my colllege days coz u explained it one by one,,u help me a lot to understand everything..
I wish you were my instructor. You always have great videos.
Become an DNP or MD already you're so knowledgable god bless
This was so amazing! Thank you x
You're the reason I have made it through nursing school!!!!!
Very helpful in light of Covid 19
i'm Amira from malaysia. i am so glad to learn ARDS from this channel. easy to understand. tq so much..
Whos here after the Corona virus outbreak....
I thought it was causing a pneumonia - ards leaves me with little to no hope for all those needing a vent. ARDS has such a high death rate ! :(
joey_rooklyn pneumonia makes ards
joey_rooklyn be hopeful because without it, our current state is even more grim. I am thankful I had nurses and doctor’s that said “not today” for an answer and fought hard to keep alive. I was septic, my lungs hemorrhaged and then I went into ARDS. It took them 3 weeks, and a tracheotomy to get me off the vent, but I am a 20 year survivor.
Keep hope in your toolset when working on such sick patients, and with their families. I still remember one special nurse that said she wasn’t giving up on me. She helped me to want to fight my way back, because I had overheard all of the grim conversations too. (Never forget patients can sometimes hear even when they are in a coma).
I'm scared, cause I think my dad has ARDS.
@@anonymous_yo_mama6728 is he ok?
My dad has it, and they might put him on ECMO
I'm terrified
Thank You! Very straight to the point
awsome totally awsome helps me alot in learning and working with ARDS pts
This video made the difference between arf and ard so clear!!
Thank you, you are great teacher and it helped so much!!!
Great stuff. Please make a ventilator video. That subject seems to cover a lot of territory. I love your work you helped me pass my final last spring and hopefully(my last semester) this fall!
wowwwww this is our topic for tomorrow and it popped up on my feed thank u for this
The video really helped very much
I find your videos so helpful. Thank you so much
Thank you for your videos! I repeat knowledge regularly to stay on top of my game! Greetings from Germany
Wow! Literally sitting here taking notes from a 25 minute video that's way better than a 2 hour lecture. P.S. glad I got here before my test! lol
My Mom, unfortunately has ARDS currently. She's been in ICU since December 30th. Doctors are telling our family 1 out of 2 usually make it. I'm praying.
How is your mom?
I would not make it through nursing school without you. Thank you so much ♥ ♥
I love your videos. Keep them coming pls👌🏻
This video is PERFECT!!
Watching from Australia and you are a excellent teacher! Thank you!
Thanks Sarah. You are an amazing teacher.
Your videos are great! Thank you!
Love your videos!!! Please make a video over ventilators!!!
I am a survivor of ARDS. I got an infection from a tongue piercing and it ended up in my heart and then ARDS hit. I spent two months on life support. My husband wax deployed to Iraq at the time. I was so close to death they sent him home. Obviously i kicked ards ass. 😊
Thank you so much! Your videos have literally got me through nursing school. I am 7 weeks away from graduation. Thanks again Sarah!
Thank you as always! In my last semester I will be utilizing you a lot.
Your videos are great!
Your passion is unmatched. Wow
u r an amazing nurse!!! tq so much! GOD BLESS U~ take care and stay healthy!
congrats on your baby🥰🥰🥰
very very very helpful thanks alot
Hey u r amazing M non mbbs Doctor. But m getting lots of knowledge due to u. Thanks
Interesting and easy to understand 🙏
Greetings, Your doing a great job. I'm learning valuable information as I'm working threw a lung problem...Your teachings are very helpful . Thank You.
Thank you for video,I understand it very well✨✨✨✨✨keep it up