T2 - AF, ARDS, PE, Chest Trauma (Josh)

Question 1

Acute Respiratory Failure (ARF):

Which type is Type I?

Which type is Type II?

Answer 1

Oxygenation Failure

Ventilatory Failure

Question 2

Acute Resp. Failure (ARF):

What are ABGs in Type I?

Answer 2

PaO2 less than 60 (hypoxemia is hallmark sign)

SaO2 less than 90

PCO2 35-45 (normal)

Question 3

Acute Resp. Failure (ARF):

What is etiology of Type I?

Answer 3

Breakdown of O2 transport from alveolus to the arterial flow

V/Q Mismatch
- air movement adequate but perfusion is decreased

Question 4

Acute Resp. Failure (ARF):

What do ABGs look like with Type II?

Answer 4

PCO2 greater than 45 (Hypercapnea)

pH less than 7.35 (acidic)

Question 5

Acute Resp. Failure (ARF):

Etiology of Type II

Answer 5

Musculoskeletal or anatomical lung dysfunction or suppression

V/Q Mismatch:
- air movement inadequate but perfusion ok

Question 6

Acute Resp. Failure (ARF):

COPD, Head Injuries, Narcotic Overdose, ALS, Guillain-Bare, and Muscular Dystrophy are causes of which Type of ARF?

Answer 6

Type II (Ventilatory Failure)

Question 7

Acute Resp. Failure (ARF):

Pneumonia, Aspiration, Atelectasis, and PE are causes of which type of ARF?

Answer 7

Type I (Oxgenation Failure)

Question 8

Slide 10

Answer 8

Slide 10