@the.big.dawg.rn: What's the difference between acute respiratory distress syndrome and acute respiratory failure? what's the difference between hypoxic and hypercapnic acute respiratory failure? #nurse #criticalcare #nursesoftiktok #rn #fyp
Is there a book you recommend for someone new to icu?
2026-03-25 14:37:42
8
LYZ :
how to treat the underlying causes?
2026-04-30 02:23:38
2
user5243424546298 :
Damn, I didn’t know Justin Bieber knew ball.
2026-03-26 05:46:09
160
Jackylyngrace :
Hi this is very helpful, can you talk about ventilator settings?
2026-03-25 14:04:39
30
Breezys Bookish Life :
I had ARDS during the pandemic. I was in a coma and on the ventventilator, had developed honeycombing. Sepsis several times and pneumonia. Covid was gnarly for me!
2026-09-09 22:21:32
1
MeetUsAtDisney :
~12:05 PM – Surgery began under general anesthesia.
• Lumbar drain placed
• Intrathecal fluorescein administered
~1:30–1:45 PM – Surgical exploration completed.
Operative findings: No encephalocele, no CSF leak; skull base intact.
1:55 PM – PACU arrival
PACU nursing note documents:
• Drowsy but alert and oriented x4
• Moving all extremities
• Following commands
• Vital signs within normal limits
⸻
Early Clinical Deterioration
~3:00 PM
PACU note:
• Patient became more somnolent
• Oxygen desaturation documented
⸻
Evaluation and Initial Interventions
3:48 PM
• Point-of-care glucose test performed
3:55 PM (handoff note)
• Narcan administered ×4
• Flumazenil administered ×2
• Anesthesia present at bedside
• No improvement in neurologic status
⸻
Severe Respiratory Failure Identified
~4:33 PM
• Arterial blood gas drawn
ABG result:
• PaCO₂ ≈ 93–95 mmHg
• Indicates severe hypercapnia
⸻
Physician Documentation
4:54 PM – Physician progress note:
• Concern for CO₂ narcosis
• Narcan and Flumazenil administered
• BiPAP ordered
⸻
Neurologic Deterioration
~5:05 PM
• Tonic-clonic seizure activity observed
⸻
Cardiac Arrest
5:13 PM
• Code Blue called
~5:15 PM
• Return of spontaneous circulation (ROSC) achieved
• Patient intubated and transferred to ICU
⸻
Post-Arrest Neurologic Status
8:41 PM – EEG initiated
Clinical state:
• Comatose
EEG interpretation:
• Diffuse slow-wave activity consistent with severe encephalopathy
No COPD
2026-03-30 14:51:25
3
Esme :
Hold on let me right that down 📝
2026-03-25 14:02:37
26
gratefulmedic2026 :
Watch the O2 curve hate it but understanding says a lot for prehospital and in hospital
2026-04-14 00:06:00
3
Ethan :
Acute respiratory failure can’t be diagnosed without a blood gas that’s how I remember it at least
2026-03-25 16:30:10
12
TLC :
🙋🏻♀️What is your tattoo? A dragon?
2026-03-27 03:07:03
3
Elevated_Sen :
Is it possible to have both hypo and hyper?
2026-03-27 04:29:24
3
K. :
Can you be my preceptor? lol in my second semester
2026-03-31 01:18:50
3
@Ice_berries 🫐 :
What kind of trauma causes it? Like a bronchoscopy or lavage?
2026-03-26 10:30:17
3
JensFunkyFarm :
Okay I’m so glad I’m here because I need answers! Did u have to cover tattoos in school? How did you? And does ur current job make you?
2026-05-06 23:40:42
3
Mistress Buttercup :
The xray and the ABG
2026-04-21 04:20:39
4
Alylove :
You are so good
2026-03-25 17:37:13
3
Badeye OG :
O2
2026-03-29 00:49:59
3
Mubi.N :
Sir ur explanation is superb 💯
2026-04-22 21:03:33
1
User12345 :
Ty
2026-03-25 20:00:46
5
Rev. Dr. Theresa Hearn Haynes :
thanks for sharing
2026-03-25 21:21:17
2
Ess :
Respiratory failure type 1 and type 2.
2026-04-06 06:10:15
0
Ally :
WTF !
2026-04-09 19:22:36
0
Kat🤍 :
Watching 30mins before my exam
2026-09-16 13:22:50
0
user2113138787870 :
Justin biebs. Look alike.
2026-04-29 17:48:15
0
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