00:01 And the most common cause of ARDS is Sepsis. 00:04 I'm going to pause for just a moment because that's really important that you understand it. 00:09 Sepsis is a wicked, wicked process. 00:14 But the most common cause of ARDS, this syndrome is sepsis. 00:19 So make sure you have a star right by that. 00:22 Now there's some other causes but I want to keep reinforcing the most common cause is ARDS. 00:30 Now there's other things let's talk about them. 00:32 So if you're breathing in high concentrations of smoke or chemicals, or you have a severe pneumonia, this is going to risk the development of ARDS. 00:42 Because inhalation of harmful substances, like aspiration or near drowning is considered a pretty acute insult or injury to the lungs, that puts the patient at risk for developing ARDS. 00:55 And we talked about that pneumonia, but I wanted to make it a special bullet point. 00:59 Because if you a severe pneumonia, and remember everything is on a continuum. 01:05 If I have a touch of pneumonia and I'm pretty young and active I can bounce back from that quickly. 01:11 But if I have a severe pneumonia, that means every one of my lobes are infected that puts me in an increased risk for developing the syndrome of ARDS. 01:22 Now if I take a big injury if I have a head, a chest or other major injury, damage to the actual lungs or the portion of my brain that controls breathing, that increases my risk for the development of ARDS. 01:35 Now the last of five categories. 01:38 This one has some kind of some unusual things, so I want you to pay attention because this tends to be a test question. 01:44 Now the last category includes pancreatitis. 01:48 So go ahead and circle that and start it. 01:50 Because I promise you, that may likely show up on an exam for you. 01:54 But when a patient has pancreatitis or inflammation of the pancreas, this puts them at an increased risk for ARDS. 02:03 It progresses, it can happen. 02:05 So make sure you know that you're watching your patients with pancreatitis, for increasing respiratory distress. 02:12 Now the other categories massive blood transfusions, like what happens when someone's in a big trauma, or a patient who has suffered from burns. 02:21 Okay. 02:22 This is a slide that's worth your time. 02:24 This is a slide that's worth you focusing and really pausing here and making sure you have a clear picture. 02:31 You know what ARDS looks like on a chest x-ray, you know you have the opacities, you know we have to rule out other causes, like CHF or lung collapse. 02:41 Now, we know that there had to be an event. 02:44 Because remember that very first line of the Berlin definition, said that these need to have happened within a week. 02:51 That's important. 02:52 So this type of injury, one of these five things happened, within the last week. 02:58 Now the patient is progressing towards ARDS.
The lecture ARDS: Causes (Nursing) by Rhonda Lawes, PhD, RN is from the course Acute Respiratory Distress Syndrome (ARDS) (Nursing).
Which clients have an increased risk for developing ARDS? Select all that apply.
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