Pathophysiology

Acute Respiratory Distress Syndrome (ARDS)

Acute Respiratory Distress Syndrome (ARDS)

ARDS is a sudden, progressive form of acute respiratory failure where the alveolar capillary membrane becomes damaged and more permeable to intravascular fluid.

Phases

  • Exudative: Pulmonary edema and atelectasis
  • Proliferative: Fibrosis begins
  • Fibrotic: Diffuse scarring of the lung

Nursing Focus

  • Mechanical ventilation with PEEP
  • Prone positioning to improve oxygenation
  • Manage sedation and neuromuscular blockade
  • Maintain fluid balance to prevent pulmonary edema

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