ARDS Part 1

Question 1

ARDS affect what part of the lungs

Answer 1

Alveoli

Question 2

This is a form of acute respiratory failure

Answer 2

(ALI) ACUTE LUNG INJURY

Question 3

this is the most severe subset of ALI

Answer 3

ARDS

Question 4

In ARDS the what happens to the alveolar-capillary

Answer 4

disrupted or destroyed

Question 5

ALI is defined by ______ and presence of ______

Answer 5

Hypoxemia and bilateral infiltrates

Question 6

Ards is commonly affect what type of patient

Answer 6

Critically ill or injured

Question 7

ARDS starts with ______ of the lung tissue

Answer 7

Swelling

Question 8

In ARDS there are ______ in the tiny air sacs impeding gas exchange

Answer 8

Fluids

Question 9

In ARDS exudative phase occurs in the first __ days after exposure to ARDS risk factors

Answer 9

7

Question 10

What causes tachypnea and increased work of breathing

Answer 10

Respiratory muscle fatigue and respiratory failure

Question 11

Dyspnea is due _____

Answer 11

Increased work of breathing

Question 12

Proliferative phase starts from day __-__

Answer 12

7-21

Question 13

During what stage patients recover rapidly and liberated from mech vents

Answer 13

Proliferative

Question 14

In proliferative phase even patient may improve they can still experience the following symtoms

Answer 14

Tachypnea, dyspnea, hypoxemia

Question 15

What type of cell proliferates in the alveolar basement membrane to synthesise pulmonary surfactant to prevent alveolar collapse before converting to type 1 which lines the alveolar wall

Answer 15

Type 2 pneumocyte

Question 16

Patients with ards recover lung function within how many weeks

Answer 16

3-4 weeks

Question 17

During this phase, patient may need for long term mechanical ventilation support and supplemental oxygen

Answer 17

Fibrotic phase

Question 18

In fibrotic phase there is what lung damage

Answer 18

Extensive alveolar duct and interstitial fibrosis, mark disruption of acinar architecture leading to emphysema like changes with large bullae

Question 19

What caused progressive vascular occlusion and pulmonary HTN

Answer 19

Intimal fibroproliferation in the pulmonary microcirculation

Question 20

Pulmonary HTN and vascular occlusion can cause the following:

Answer 20

Pneumothorax, decreased lung compliance and increased pulmonary dead space