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학습 자료 둘러보기 →The immediate priority for a patient with Goodpasture's syndrome and active pulmonary hemorrhage is to secure the airway and support breathing. Hemorrhage into the alveoli directly obstructs gas exchange, leading to rapid hypoxemic respiratory failure.
Continuously monitor respiratory status: rate, depth, breath sounds, and oxygen saturation. Position the patient upright to optimize ventilation and have suction equipment immediately available to maintain a patent airway.
Do not place the patient in a Trendelenburg position, as this can worsen respiratory distress by increasing pressure on the diaphragm and raising intracranial pressure. Kidney dysfunction, while serious, is a secondary concern to the immediate threat of airway compromise.
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