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ARDS
myasthenia Gravis
Guillan Barre
Read the book
Answer questions at end of chapter
Check the PDF on GB vs MG on canvas
They appear very similar in early stages but how can we define which is which? Sometimes it comes down to further testing, what kind of testing? Blood gas? Chest x ray? What are we looking for on those?
For ARDS we need to know Berlin definition, what is it? What are the 4 things we need to know? Non cardio geneic, enlarged heart, bi lateral infiltrates “ground glass”, p/f ratio, need to be able to list if it’s mild moderate severe, “this will be your short answer on the quiz. ‘Give me the Berlin definition’”
Mild <300 >200
Moderate
Severe <100
“2nd part short answer essay comparison between GB versus MG”
Color ?
How to treat each
Systemically AND respiratory wise
How do we measure neuro muscular ? 20 30 40 rule!
We also need to watch if they can/we need to maintain their airway
Know lab results for ARDS
Know direct and indirect causes for ARDS
direct is anything that affects the lungs directly like pneumonia or aspiration - direct cause
Indirect cause would be trauma, sepsis
You should know what pulmonary changes are sssociated with ARDS, what would you expect to see with the. Lungs, why are we getting areas of atelectasis, what’s expected in CXR
Guillan Barre causes? Virus 3 weeks in advance, more than one for sure
Know what happens to nervous system
One involves myelin sheath the other is acetylcholine receptors
How to we diagnose neuromuscular diseases? Nif MIP, EMG test, testing muscular strength
How to we diagnostically test for Myasthenia gravis? Quick test?
What’s the worst thing for neuromuscular patients? Can’t breathe. If they go apneic!
Sometimes diseases like this can take a turn for worst
Talk about tx
Something dro genic???
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