The most important risk factor for acute respiratory distress syndrome in my country: severe pneumonia

Pathological basis: alveolar-capillary injury

In addition to the corresponding symptoms and signs of the primary disease, the earliest symptoms are accelerated breathing, progressively worsening dyspnea, and cyanosis, often accompanied by irritability, anxiety, sweating, etc.

Early signs may be normal, or only a small amount of fine moist rales may be heard in both lungs; in later stages, vesicular sounds may be heard more frequently, and there may be tubular breath sounds.

Wrong question: The lungs of patients with ARDS are also called "little lungs" or "baby lungs"

Actively treat the primary disease; improve oxygen delivery and correct hypoxia; maintain tissue perfusion to prevent further tissue damage; and perform organ function testing and protection to avoid the occurrence of primary disease.

Elaborate

1. Immediate care measures

2. Organ function monitoring

3. Artificial airway care

4. Mechanical ventilation care

5. Prone ventilation care

6. ECMO care

7. NO care

8. Analgesia and Sedation Care

9. Nutritional support care: Since the patient's epiglottic reflex has not fully recovered, he cannot eat within two hours after extubation to prevent aspiration.

10. early activity

1. There is bacteriological evidence or highly suspicious focus of infection

2. The SOFA score increase value is ≥2. If the patient does not have this data, qSOFA is feasible.

Those who meet two or more conditions can be initially diagnosed as sepsis.

3. After adequate fluid resuscitation, sepsis patients still need vasopressor drugs to maintain mean arterial pressure ≥65mmHg and blood lactate >2mmol/L

4.

1. Early fluid resuscitation: fluid resuscitation + vasoactive drugs glucocorticoids

2. Anti-infective treatment: used within 1 hour after diagnosis of sepsis, with a delay of no more than 3 hours

3. Treatment of the source of infection: rapid diagnosis and timely treatment of the infected site

4. Glucocorticoids

5. Support symptomatic treatment

1. Immediate care measures

2. routine care

3. Organ function testing and care

4. Infection Prevention and Care

5. Pain, agitation and delirium management

6. early activity

7. Complication observation

It refers to a clinical syndrome in which reversible dysfunction occurs simultaneously or sequentially in two or more organs on the basis of primary lesions of the body caused by a variety of acute pathogenic factors.

Differences from other diseases

Course of disease: 14 to 21 days, experiencing four states: shock, resuscitation, hypercatabolic state, and organ failure

1. Primary disease treatment

2. Correct tissue hypoxia and improve oxygen metabolism disorders

3. Organ function support and protection

4. Metabolic support and conditioning

5. Rational use of antibiotics

6. immune conditioning

1. immediate care

2. routine care

3. Condition observation

4. , organ function monitoring and care

5. Pain, agitation and delirium management

6. early activity

7. psychological and spiritual support