Explain why the solution or treatment is appropriate.

Fraction of inspired oxygen

FiO2 – Fraction of inspired oxygen; it is the amount of oxygen a patient is inhaling produced by a oxygen device (i.e.) oxygen mask. PEEP – Positive end expiratory pressure (It opens alveoli through exhalation, even when interstitial fluid (ARDS) is trying to collapse them. BiPAP – is a machine that blows air at the mouth and nose. It increases Tidal Volume like the IPPB but it also provides resistance during exhalation. It keeps the alveoli inflated even when the patient is exhaling. Bi – Both phases of breathing. PAP – Positive Airway Pressure. IPPB – is intermittent positive pressure breathing (i.e.) Positive pressure when the patient inhales. Discussion Questions Case Study #1a: Explain what ARDS is. Explain what is significant with her lab results using the ABG normal values and the nursing mnemonic ROME which I have included. Explain why the solution or treatment is appropriate. Asthma Case Study# 1b: Aaron is a 10-year-old boy (32 kg) presenting to the emergency department with an exacerbation of his asthma. His mother reports he has had an upper respiratory tract infection (URI) for the last two days, and has been using his albuterol inhaler more frequently. Today, he has received treatments every 3 hours, but still complains of shortness of breath and has frequent coughing. His controller medication is Flovent® 110 mcg 1 puff BID. A call to the pharmacy verifies the drug has been refilled at appropriate intervals. Discussion Questions Case Study #1b: Your Assignment is to research the Disorder of Asthma and Discuss the following regarding Asthma: Causes or triggers. Symptoms. Management: ( A) Normal long term control and preventive measures: employing inhalers such as “Flovent” or “Symbicort.” (B) Serious exacerbations: employing Albuterol inhalers via small volume nebulizer and using oral corticosteroids.

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