Please Direct Your Question & Answer Guide (With Explanation)

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Break the problem into smaller parts and analyze each logically.

Key Explanation

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Original Question

please direct your attention to the assigned video lectures that provide first, extensive overview for ARDS Etiology, Clinical features, Diagnosis, and Basic Treatment. (There is a wealth of mechanical ventilator videos; most are dedicated to very fundamental concepts and Ventilator waveform analysis, targeting Medical Residents, Nurses and Medical Students.). The second two short videos are designed to provide a foundation for all students, in addition to Chapters 28 & 29, as a starting point for the Discussion Questions. Since the treatment of patients with COVID-19 has impacted RC practice so significantly since March 2020, please also contrast the findings of this Year in Review, to the older guidelines from the pre-COVID-19 2020 Year in Review: Mechanical Ventilation During the First Year of the COVID-19 Pandemic by Richard H Kallet Please answer the following questions and compare the findings of other people When engaged in the DDx process for a Pulmonary patient with moderate to severe hypoxemia, the Differential between Cardiogenic and Non-cardiogenic Pulmonary Edema must be initially tested. Identify three differentiating assessments that would lead to the conclusive Dx of ARDS. When an initial assessment of increasing Aa-DO2 and falling P/F ratio (<300 mmHg), with a provisional Dx of ARDS, the initial oxygenation status may actually, be worse, than indicated by the PaO2, measured with the ABG analysis. What is the reason for this phenomenon? When classifying the early stages for ARDS is the Hypoxemia the result of V/Q mismatch, Intrapulmonary Shunt or Diffusion Defect? Explain why and identify the primary oxygenation defect for the fibroproliferative phase. When the initial predisposing insult is identified and ARDS is the conclusive Dx. the patient is often intubated and managed with Mechanical Ventilation using the ARDSnet protocol. Why is this strategy also known as the "Open Lung" approach? Since ARDS has a well-described pathogenesis why is the initial predisposing insult need to be considered for Ventilatory Liberation? Additionally, what 4 other key assessments must be satisfied to attempt an SBT for the patient? An ARDS patient's hypoxemia is not responding to ARDSnet management protocols and the P/F ratio is deteriorating. Alternative options, at your disposal are: APRV, Inverse-Ratio Ventilation, HFOV, use of Prostacyclins or Prone positioning with continued use of the ARDSnet protocol. Please identify the approach, commonly used, in y facility, and why? add references

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