Pathophysiology Acute Respiratory Failure

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Predisposing factors, old age

(60 years old) history of


respiratory disease, Male,
DM

Precipitating factors: COPD, causative


organism K pneumoniae, pollution
from smoke belching vehicles

K
Pneumoniae

Decrease ciliary action and


macrophage action

Alveolar inflammation and

Area of decrease
ventilation
Capillaries are engorged in
blood
Stasi
Alveolar capillary membrane
Alveoli fill with blood and
Atelectas
is

Impaired gas
exchange related
to alveolarcapillary
membrane

Inflammation and increase mucus


production
Destruction of alveolar
Perbronchiolar
Mucus plug, narrowed
airway

Ineffective airway clearance


related to retained secretions

Air
trapping
Airways narrow and gas flow
prevented
Decrease alveolar minute
ventilation
Decrease PaO2 level and increase in
Hypoxem

SNS triggers
vasoconstriction

Increase in PVR increase


R-L
Decrease
Tissue
hypoxemia
Risk for fall
related to
insufficient
O2 supply

Ineffective tissue perfusion


related to impaired transport
of O2 across alveolar and
capillary membrane

Anaerobic metabolism and lactic


acidosis
Dizzine
ss

Cerebral
depressi

Insufficien
t O2
supply

Hypercap

Decrease O2 absoption and decrease in CO2


elimination
Increase O2 demand vs
supply
Tachypnea as
compensatory
Respiratory
exhaustion
Lost ability to
ventilate
O2 absorption and CO2 elimination did
not occur
Acute Respiratory
Failure

Exertiona
l
discomfo

Fatigu
e

Activity
intolerance
related to

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