Acute Lung Injury



Acute Lung Injury

Introduction

The main purpose of this paper is to develop the evidence based care of nursing practice. The paper deals with a patient in advanced intensive care and the required care for the patient. The paper is an overview of the patients presenting illness and medical history and the major therapeutic interventions for caring the patient and the impact of these interventions on the patient's care. The paper also discusses the ways through which the changes can be implemented in the current practice.

Overview of Patient

The patient is a 52 years old and is suffering from Acute lung injury. He has been admitted in hospital for care. The patient was suffering from intense care and had been admitted in intense care unit. Acute lung injury (ALI) is a very common and prevailing condition having the main reason of acute severe hypoxia. Acute lung injury is a result of hypertension. Acute lung injury (ALI) and Acute Respiratory Distress Syndrome (RDS), are entities that present with a high incidence in the ICU and are associated with high mortality. These patients often require mechanical ventilation (MV). It is a relatively rare clinical syndrome, which may constitute a threat to life and is characterized by acute respiratory failure and cardiogenic pulmonary edema during or after a transfusion of blood products . The TRALI (transfusion related acute lung injury "acute lung injury caused by transfusion") is a clinical syndrome that presents as acute hypoxemia and noncardiogenic pulmonary edema during or after a transfusion of blood products. Acute lung injury and acute respiratory distress syndrome (ARDS) can occur as a result of pulmonary and extrapulmonary disorders and their pathophysiology is the result of a complex interaction of humoral mediators and cells. Among all mediators (including derivatives of arachidonic acid, clotting factors, mechanism of injury and repair of the cell membrane, etc.), Cytokines and chemokines is the most important group, and focus them. Apoptosis is another mechanism of alveolar and endothelial injury, through close association with the inflammatory response will be treated together. The patient is suffering from this disease since last 8 years and now his condition has been critical. In order to provide a comprehensive treatment, the patient has been admitted to intensive care unit.

Treatment Duration

The patient is suffering from acute lung injury; therefore, he will be provided a treatment for one week. In the one week of treatment, the patient is provided different therapeutic interventions and proper monitoring will be done in order to take care of the patient.

Major Therapeutic Interventions

In order to deal with this patient suffering from acute lung injury, a treatment plan has been developed. This treatment plan includes different therapeutic interventions which are required by this patient. The main therapeutic interventions which have been used in providing care to this patient are as followed:

- Ventilation Strategies: A proper ventilation facility for one week is provided to this patient.

- Physical interventions: Different physical impairments have been used in order to deal with this ...