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03-18-2009, 10:42 AM
Adult respiratory
Distress $
Definitions It is a non cardiogenic pulmonary Edema respiratory failure
Causes
1- inhalation of an irritant gases
2- gm -ve septicemia.
3- Fat, air, amniotic fluid embolisms.
4- Pneurnocystic carnii, viral pneumonia
5- Uremia
Pancreatitis.
Pathology

The above causes.



disturbance in the alveolar-capillary membrane



transudation of fluid from Blood vessels alveoli



Pulmonary oedema
C/P
Cause
Respiratory failure (diffusion defect) Type I respiratory failure.
Investigations
1- X-ray Bilateral. Pulmonary lnfiltration.
2- O2< 50
Normal. heart (normal ejection fraction of the Left ventricle)
Treatment
1- Cause
2- O2 . ventilators.
3- Steroids improve capillaiy permeability!?
4- Diuretics !?

Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)