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Acute Respiratory Distress Syndrome (ARDS)


  • Acute respiratory vex syndrome (ARDS) is a life-threatening lung proviso. It is a construct of living want that can supervene in very ill or sternly damaged tribe.
  • It is not a inequitable distemper.
  • It starts after a while turgescence of web in the lungs and found up of smooth in the lilliputian air sacs that transport oxygen to the lineagestream. This leads to low blood oxygen flattens.
  • ARDS is homogeneous infant respiratory vex syndrome, but the origins and treatments are unanalogous. ARDS can amplify in anyone balance the age of one year old.
  • Also unconcealed as Adult Respiratory Vex Syndrome, Respiratory Vex Syndrome,


Direct wear to the lungs: 
  • Chest trauma, such as a dull blow
  • Breathing vomit
  • Breathing fume, chemicals, or salt water
  • Burns
Indirect wear to the lungs:
  • Severe infection
  • Massive lineage transfusion
  • Pneumonia
  • Severe inflammation of the pancreas (pancreatitis)
  • Overdoses of alcohol or fixed drugs (eg, aspirin, cocaine, opioids, phenothiazines, and tricyclic antidepressants)
  • Lung and curse substance assignation–within few days of a lung assign, the repository is prone to amplifyment of ARDS.

Risk Factors

  • ARDS usually amplifys in tribe who are already in the hospital and are entity treated for an wear listed aloft.
  • However, solely a feeble number of tribe who own these injuries in-effect amplify ARDS.
  • While none can prophesy who gain get ARDS, cigarette fumers, those after a while constant lung distemper, or those who are balance age 65 are further at promote of amplifying ARDS.


  • Shortness of breath
  • Fast, studied living
  • Bluish skin or fingernail color
  • Rapid pulse


  • A peculiar asceticism from stern corruption or wear amplifys living problems
  • A chest x-ray exhibitions smooth in the air sacs of twain lungs
  • Blood tests exhibition a low flatten of oxygen in the lineage
  • Other provisos that could origin living problems own been resolute out
  • Blood pressure check
  • Blood tests for oxygen flattens and signs of corruption as well-behaved-behaved as flattens of BNP (brain natriuretic peptide) a marker of courage want
  • Chest x-ray
  • Analysis of coughed-up matter
  • Occasionally, an echocardiogram (courage ultrasound), to administration out congestive courage want
  • Pulmonary artery catheterization taid in symptom work-up
  • Bronchoscopy to stir airways. A laboratory evidence may evince closeness of fixed viruses, cancer cells etc.
  • Open lung biopsy is cautious for cases when individuality is arduous to substantiate.

Nursing Diagnoses


  • Treating the underlying origin or wear
  • Providing maintenance until the lungs heal:
    • Mechanical ventilation (a living medium) through a tube placed in the bunghole or nose, or through an gap created in the neck
    • Monitoring lineage chemistry and smooth flattens
    • Often, ARDS patients are sedated to admit these treatments.


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