Acute Respiratory Distress Syndrome (ARDS) for Nursing Students
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- čas přidán 24. 06. 2017
- This video provides an overview of acute/adult respiratory distress syndrome for nurses.
I am Gail L Lupica with over 20 years of experience teaching nursing at the pre-licensure level. I earned a Bachelor Science in Nursing at SUNY Binghamton in 1986, a Master's in Nursing Education in 1992 from New York University (NYU) and a PhD in Adult and Post-Secondary Education in 2011. I have many years of experience in NCLEX-RN test preparation and remediation.
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As a fellow Nurse Educator I often look for resources for my student to hear from an alternate source other than me. This was a very nice concise overview of this very complex topic. Thank you.
In addition to my full-time job, I teach nursing clinical students in ICU. I show this and your ventilator lectures to the students before they ever set foot in a patient's room in ICU. Your concise descriptions are just terrific! Thank you.
This is one of the best nursing lectures I have ever watched. Excellent easy to understand language. Highly recommend.
Danielle MacDonald
Yup She is amazing lecturer. Prof. Gail was my nursing instructor in Med Surg. 2
Dr. Lupica, thank you for posting these videos! They have been a tremendous help to me as I progress through nursing school. Keep 'em coming! You are invaluable!!
Thank you for filming this video and all the others you have done. Your explanation of the patho, treatment, outcomes, nursing management, etc are second to none! I learn so much more and recall so much more than reading books on my own. I am a better RN because of you. Thank you!
I have been a critical care nurse for 2 years and am currently studying for the CCRN exam, and these videos are a great review! Thanks!
Man she is an excellent teacher one of the best on CZcams for nurses.
I came across your videos because I am now a nursing instructor looking for more information and how to present some material. Couldn't believe it when I realized you were my nursing instructor at Touro over 10 years ago. So glad to see you making these videos. Its helping me refresh on some material. Thanks Gail!
Thank you! Thank you so much. You are so helpful and you explain things in a way that makes sense, and you explain things FULLY. I spent the whole day reading about this in my nursing textbook and then I find your video and everything I was trying to pull together that didn't make sense before just clicked after watching your videos! I am so lucky to have found your videos! :)
I have watched several of your videos. You are extremely good at explaining medical topics. Thank you.
Such a sweet and straight to the point video! You make critical care topics so much easier to understand!
Thanks so much for doing these videos. I’m already a RN but its so great to get a review of these topics
THANK YOU FOR THESE VIDEOS! YOU DO A GREAT JOB OF EXPLAINING AT A GREAT LEVEL OF UNDERSTANDING!
I am in Med-Surg 2/Critical care class right now and your videos are AMAZING in preparing me for exams and clinicals. Thank you!!
RT student here, just graduated! Fantastic lectures Dr. Lupica, thank you!
Love this video! Straight to the point and great explanation to break down this concept! Much thanks Dr. Lupica.
this is by far THE BEST explanation/ video. you made this SO simple!!! Ive been trying to understand this concept for days now because my med-surg book is so confusing. I cannot thankyou enough!!! keep these videos coming!
Just AMAZING! I just love your style of teaching made ARDS easy to understand.
Fabulous presentation! Very easy to comprehend ARDS after watching this! Thanks for sharing your knowledge!
Thank you, this summed up ARDs completely and basically the 30 paragraphs in my med surg book. I have a better understanding....you rock!!!!!
That's so wonderful! I wish you great success on your exam!
I've been trying to understand what ARDS for awhile...this was just amazing...thank you :)
I'm so glad ! Thank you for letting me know!
LOVE LOVE LOVE your videos.
You have a video for everything i've been studying this week!! I'm an RT student. Thank you!!
You're so welcome! I'll be putting up more in the upcoming weeks.
This is a FANTASTIC video that helped me to understand ARDS. Thank you!!!!! Im in the LPN to RN bridge and we do not get lectures or any input from faculty.
I LOVE your videos! They are always so clear and very easy to understand. They have definitely helped me while I'm getting through nursing school! Thank You!!
AMAZINGLY GREAT PRESENTATION OF THE THEME. CONGRATULATIONS. THANKS FROM GREECE
over 10 years i hate to study respiratory system disorders.. you make it easier for me, thank you !
Excellent review! Such a clear and easy to understand explanation! BRILLIANT!
Excellent explanation! Easy to comprehend. 👏🏻
I am a PACU ,ICU Nurse i am learning every day. Thank you
Thank you for this video... I'm a respiratory care student and this video was perfect for me... thank you for sharing and explaining so well.
This helped clear ARDS up for me. Thanks so much!!
Great information thank you so much for making it so clear and simple to understand. I’m currently going to RT school and currently studying about ARDS.
Great video!! Helped me understand this concept really well!!
Thank you so much for the explanation!
Thank you for this clear and concise video!!!
your videos are insane helpful! thank you!:)
this helped me a lot! pkease keep uploading lectures thank you
Glad to hear that Shn! I will.
Great video for nursing students!!
Thank you very much for your lecture, you connected the dots and presented the in depth clinical information necessary to understand ARDS & the treatment considerations.
I am very happy to do that for you.
I LOVE your videos!
Wow! Very well explained. I understand it now! Thank youuuu!!!
Having survived an ARDS diagnosis, I hope someone might benefit from my experience.
Having caught my daughter's common cold, and after having spent a night welding in a poorly ventilated area, I went to the local ER, where I was diagnosed with double pneumonia. Several days later (and feeling fine), I was to be discharged the following morning. Unfortunately, the following morning for me was 5 mornings later, as I awakened (intubated - tubes in) in ICU, and from a medically induced coma, with my wife having been told I had a 50/50 chance of survival, while I was unconscious. Learning the following later that day (after extubation - tubes out), I'd apparently only met 5 of the 6 points of criteria for doing so, but from what I'd learned from my medical records, a Fentanyl patch was placed on my shoulder the night of my respiratory failure. I am not disparaging the use of such medications (I'm a multi-level spinal fusion patient, and they are incredible medications), and had a similar bout with post surgery morphine (oxy sats down to 73), so I'm more sensitive to some forms of opiates/oids.
My wife was informed I'd had ARDS (total white-out), and that there was a good chance I might require months of hospitalization. I was in absolutely miserable shape. Natural athlete, rugged biker type me felt as though I were Superman with a bar of Kryptonite on my chest. For days, my sister spoon-fed me peas, and it took me nearly 30 seconds to grasp a small cup of water, sip, and return the cup to the stand.
After 4 days, they sent me to a different observation unit, where little changed, UNTIL this great nurse accidentally saved my life, or at least months of hospitalization. What changed? She was the very first staff member to have me sit up from the standard 30 degree bed angle, actually leaning slightly forward (to check my lungs from the back), which was just enough to prompt a slight cough, which I hadn't had the strength to muster in nearly a week. My cough became a bit more productive over the next minute, when I asked if she could walk extremely weak me to a visitor's chair within my room, and asked to bring me boxes of Kleenex. Still leaning forward, I continued to cough up more and more fluid. After 45 minutes, I was feeling significant improvement, and after another 45 minutes of bringing up the last of the fluid, my lungs felt incredible. Over the course of 90 minutes of continued coughing, my strength was back, I was walking freely through the unit, and was later that night transferred to a room on the main floor of the hospital.
As one who's no stranger to surgeries and hospitalizations (also a psych hospital tech for a decade), I'd had two (separate) room-mates, both of which had room-clearing uninary, then multi bowel episodes, which led me to essentially insist on my discharge from the hospital (which was appreciatively granted the next day), as the possibility of further infections/complications were of great concern to me, particularly after all I'd already been through.
In closing, my experience is clearly mine, and ARDS may have been a misdiagnosis for all I know. I was age 50 at the time (actually in coma during my 50th birthday), a smoker, in better than average physical shape, and very determined to live.
I'm well aware I'm not a doctor, and my story is not intended as medical advice, but if I ever come down with pneumonia again, I won't be taking it lying down! (productive humor) :)
Thank you for sharing that! That is a life-altering experience. Life is fragile and precious.
@@gaillupica9187 ...but there was fluid in his lungs.. ? From your explanation it sounds like this is the definition of ARDS. Is there another diagnosis where the fluid is in the lungs, but not filling the alveoli?
Information very well outlined, Thank you
absolutely phenomenal!!!
thank you!
Awesome video. Thank you!!
YOU are a ANGEL sent from God! Thank you Ms Lupica!
I got ards due to sepsis. Xrays showed my lungs completely whited out. I guess I was unconscous because I awoke in the ICU, and couldn't catch my breath no matter how big a breath I took. I didn't know what happened to me, but all I could think to do was to use controlled breathing. It was really hard to control how much breath I was taking in, and to control my exhales, but I struggled like hell to maintain that control. After a few minutes I began to feel less anxious -as I began to feel like I was actually getting oxygen. After 20 minutes or so, I no longer felt like a fish out of water. I was actually getting oxygen with each breath I took. The pulmenary doctor came into my room with my xray in hand and prepared to have me ventilated. He couldn't believe his eyes when looked up at the monitor and saw that my oxygen was at 85%. He told me that it was nothing short of a miracle, that I had the worst case of ARD's that he'd ever seen. After that, I was given tons of diaretics to rid my body of fluids, I guess to treat the ARD's? I never did have to be put on a ventilator, but it did take 6 weeks in the ICU of recovery time. Hats off to the ICU nurses, they were the best!
You're just amazing.
I wish she had more videos, i watched most of them that she already has posted.
Thanks so much, its' so clear and it helps for my final exam!
Please continue making videos!!!
You're amazing... Thank you
Awesome video. Thank you
More please.. your amazing maam👏👏👏👏👏👏
Very informative AND clear lecture
Thanks
You are awesome. Thank you.
Very good explanation! Thank you! I see they are using ECMO for Corona Virus patients. Came here to learn more. Again thank you! My daughter was on the ECMO machine 2 weeks ago. This video and the others I watched helped me learn a lot. Also, you are very beautiful and smart. Sorry. Someone had to say it. Have a nice day! Subscribed!
great video. Thanks!
You're my favorite CZcams channel to watch before my nursing exams. I'm in my last semester of RN school. If I could make one request it would be for more perfusion/cardiac vids and more talk on medications used through our nursing interventions.
Hi Jared! Thank you for that! Over time I will get to pharmacology and more med-sug topics. I'm so glad I could help.
Thank you Jared! I'll get to more pharm over time for sure.
You're wonderful!
Thanks! This is most relevant.
Thank YOU!!
Excellent video.
Thanks so much. So helpful understood better from your lecture than class lecture
That's great that it helped! Thank you for letting me know!
Great video!
Thank you it helped me to understand it :)
Brilliant.
Thank you
Please come back and make more videos!!
thank you
Great Video Mam! Can you make one for acute respiratory failure too, they both are bit confusing.
Good brush up for understanding COVID19 tx. Great explanations
thanks madam make more and more video iam from india 2 bsc nursing student need you so much
Thank you for letting me know!
Please make videos on electrolytes!♥
Can ARDS patients be ventilated through a tracheostomy tube ? Or only ETT ?
thnq
I understand that the inflammatory markers involved in ARDS are TNF-a, IL-1, and IL-6. What about the fibroblasts that cause fibrosis in ARDS - are they responsible too?
Love u doc
I remember this!! How are you??
Very good. Comin from an RT
Ausmm 👌
So ARDs is basically extreme pnumonia? Considering it causes a large amount of moisture to enter the lungs alveoli?
Well it's more like EXTREME and RESISTANT pulmonary edema
This is a good lecture. Question did you mean to say acidosis instead of alkalinity when you were talking about hyperventilating?
Hi Alex, I'm not sure where you mean. I'll check it out.
when hyperventilate you exhale too much co2 which leads to respiratory alkalosis
Alkalosis is correct. When you start to hyperventilate, you breathe off CO2, which is acidic. Less acid= alkalosis
Can you please make a video for copd
When do you need it by?
You look BEAUTIFUL
How to set proper pressure to avoid barotrauma ?
Respiratory therapy has overall pressure guidelines but ultimately the choices are very individualized based on patient's severity of disease and risk factors for barotrauma. The goal is to provide "optimal" oxygenation without inducing barotrauma. So, that optimal is the challenge for the HC team
is it adult resp distress syndrom or acute resp distress syndrom?
the original name was adult respiratory distress syndrome, but acute respiratory distress syndrome is the correct current terminology. see the berlin definition for me details.
whatsapp study group for nursing study!!
madam please madam make whatsapp study group for bsn nursing student
Arti bahasa indonesianya apa
Guess i cant watch sense I’m a medic.... NURSES ... why is everyone making this a point for “nursing” only lmao
Adult Respiratory Distress Syndrome?????? LOL
Thank you
Thank you