Medical Surgical ARDS & Acute Respiratory Failure #5

Question

Which of the medicinal treatments below for a vent client with ARDS should the nurse question?

Answers

  1. Antibiotics
    • Rationale:

      This answer is not correct because antibiotics are used to treat the infections associated with ARDS. Antibiotics can also be used for prevention of infections in the client on ventilatory support.

  2. Anticoagulants
    • Rationale:

      This answer is not correct because anticoagulants are used in clients with ARDS because of their immobility. This puts the client at risk for clots and anticoagulants are used to prevent clots from forming in the client with ARDS.

  3. Sedatives
    • Rationale:

      This answer is not correct because sedatives are used for ARDS clients on ventilatory support for several reasons. Sedatives relieve anxiety, making it easier for the client to breathe on the ventilator. Sedatives also lower the body’s oxygen needs and help prevent movement.

  4. Corticosteroids
    • Rationale:

      This answer is correct because corticosteroids are associated with equivocal studies that indicate these meds have been associated with adverse outcomes and decreasing mortality. Some studies suggest corticosteroids should not be used in clients with ARDS, whereas some studies share information showing use in early or late stages make a small difference. There are a lot of variables to consider with corticosteroid use and the ARDS client.

Overview

Medicinal treatment for ARDS include antibiotics, anticoagulants, sedatives, muscle relaxants, and acid-reducing medications. Corticosteroids are controversial with equivocal studies that indicate these meds have been associated with adverse outcomes and decreasing mortality.

Explanation

Learning Outcomes

The main focus of ARDS treatment is oxygen support. Treatment for ARDS includes ventilatory support, prone positioning, fluid management, ECMO, and medications. Medicinal treatment for ARDS include antibiotics, anticoagulants, sedatives, muscle relaxants, and acid-reducing medications. Corticosteroids are controversial with equivocal studies that indicate these meds have been associated with adverse outcomes and decreasing mortality. Antibiotics are used to treat and prevent the infections associated with ARDS. Anticoagulants are used to prevent clots from forming as a result of the client’s immobility. Sedatives relieve anxiety, making it easier for the client to breathe on the ventilator and lower the body’s oxygen needs.

Test Taking Tip

Understand appropriate treatments for ARDS clients.

Video Rationale