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NURSING CARE OF PATIENT ON VENTILATOR 1
GROUP NO 03
NURSING CARE OF PATIENT ON VENTILATOR
GROUP MEMBERS
M.ZAHID
IFTIKHAR HUSSAIN
ADDUL REHMAN
ZAHIDA
NURSING CARE OF PATIENT ON VENTILATOR 2
Objectives
By the end of this session learners will be able to
 Understand nursing care of patient on ventilator
 Summarize the session
NURSING CARE OF PATIENT ON VENTILATOR 3
Nursing care of patient on ventilator
The components of the nursing care of patient on ventilator are
Promote respiratory function
Monitor for complications
Prevent infections.
Promoting Safety needs
Provide adequate nutrition
NURSING CARE OF PATIENT ON VENTILATOR 4
Promote respiratory function
 Auscultate lungs frequently to assess for abnormal sounds.
 Suction as needed.
Change posture every 2 hourly.
 Secure ETT properly and change lip site every 12 hourly
 Monitor ABG value and pulse oximetry.
NURSING CARE OF PATIENT ON VENTILATOR 5
Prevent from Infection
Strict hand washing
Aseptic technique with suctioning
Elevate head of bed 30-45 degrees (unless contraindicated)
Providing sedation vacations and assessing patient’s readiness to extubate
Providing peptic ulcer disease prophylaxis
 Providing deep vein thrombosis prophylaxis
 Perform oral care with chlorhexidine 2-4 H
NURSING CARE OF PATIENT ON VENTILATOR 6
Provide adequate nutrition
Providing nutrition support to the mechanically ventilated patient is the standard of care because
it is
Needed to fuel the immune system;
 Promotes wound healing;
 Prevents excess breakdown of lean body mass
Monitor I&O
NURSING CARE OF PATIENT ON VENTILATOR 7
Safety Needs
Prevent trauma & infection
Perform hand-hygiene & adopt sterile techniques.
Prevention of cross-infection & nosocomial infection.
Maintain warm & adequate body temperature.
Always keep side rails up.
Prevent pressure Ulcer
Visiting hours should be defined.
Look for ventilator Alarms and response accordingly
NURSING CARE OF PATIENT ON VENTILATOR 8
Nursing Diagnosis
High risk for impaired skin integrity
Altered nutrition status less then body requirement
Ineffective airway clearance
Anxiety
Impaired verbal communication
Altered family process
Immobility
High risk for infection
NURSING CARE OF PATIENT ON VENTILATOR 9
RASS score
Can any one know about RASS score?
NURSING CARE OF PATIENT ON VENTILATOR 10
NURSING CARE OF PATIENT ON VENTILATOR 11
Conclusion
Mechanical ventilation is life saving intervention which required multidisciplinary
team effort to prevent adverse effects of ventilator. Nurses have key role to
prevent patients from prolong hospital stay by giving quality nursing care.
NURSING CARE OF PATIENT ON VENTILATOR 12
Any question ??
NURSING CARE OF PATIENT ON VENTILATOR 13
References
Nursing care of the mechanically ventilated patient in ITU: 1.Br J Nurs. 1997 Apr 24-May
7;6(8):447-54
 Stites M. Observational pain scales in critically ill adults. Crit Care Nurse. 2013;33(3):68-78.
doi: 10.4037/ccn2013804. [PubMed: 23727853].
 Nelson JE, Meier DE, Oei EJ, Nierman DM, Senzel RS, Manfredi PL, et al. Self-reported
symptom experience of critically ill cancer patients receiving intensive care. Crit Care Med.
2001;29(2):277-82. [PubMed: 11246306].
Wang Y, Li H, Zou H, Li Y. Analysis of Complaints from Patients During Mechanical Ventilation
After Cardiac Surgery: A Retrospective Study. J Cardiothorac Vasc Anesth. 2015;29(4):990-4.
doi: 10.1053/j.jvca.2015.01.036. [PubMed: 25939965].
NURSING CARE OF PATIENT ON VENTILATOR 14
NURSING CARE OF PATIENT ON VENTILATOR 15

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Care of patient on ventilator

  • 1. NURSING CARE OF PATIENT ON VENTILATOR 1
  • 2. GROUP NO 03 NURSING CARE OF PATIENT ON VENTILATOR GROUP MEMBERS M.ZAHID IFTIKHAR HUSSAIN ADDUL REHMAN ZAHIDA NURSING CARE OF PATIENT ON VENTILATOR 2
  • 3. Objectives By the end of this session learners will be able to  Understand nursing care of patient on ventilator  Summarize the session NURSING CARE OF PATIENT ON VENTILATOR 3
  • 4. Nursing care of patient on ventilator The components of the nursing care of patient on ventilator are Promote respiratory function Monitor for complications Prevent infections. Promoting Safety needs Provide adequate nutrition NURSING CARE OF PATIENT ON VENTILATOR 4
  • 5. Promote respiratory function  Auscultate lungs frequently to assess for abnormal sounds.  Suction as needed. Change posture every 2 hourly.  Secure ETT properly and change lip site every 12 hourly  Monitor ABG value and pulse oximetry. NURSING CARE OF PATIENT ON VENTILATOR 5
  • 6. Prevent from Infection Strict hand washing Aseptic technique with suctioning Elevate head of bed 30-45 degrees (unless contraindicated) Providing sedation vacations and assessing patient’s readiness to extubate Providing peptic ulcer disease prophylaxis  Providing deep vein thrombosis prophylaxis  Perform oral care with chlorhexidine 2-4 H NURSING CARE OF PATIENT ON VENTILATOR 6
  • 7. Provide adequate nutrition Providing nutrition support to the mechanically ventilated patient is the standard of care because it is Needed to fuel the immune system;  Promotes wound healing;  Prevents excess breakdown of lean body mass Monitor I&O NURSING CARE OF PATIENT ON VENTILATOR 7
  • 8. Safety Needs Prevent trauma & infection Perform hand-hygiene & adopt sterile techniques. Prevention of cross-infection & nosocomial infection. Maintain warm & adequate body temperature. Always keep side rails up. Prevent pressure Ulcer Visiting hours should be defined. Look for ventilator Alarms and response accordingly NURSING CARE OF PATIENT ON VENTILATOR 8
  • 9. Nursing Diagnosis High risk for impaired skin integrity Altered nutrition status less then body requirement Ineffective airway clearance Anxiety Impaired verbal communication Altered family process Immobility High risk for infection NURSING CARE OF PATIENT ON VENTILATOR 9
  • 10. RASS score Can any one know about RASS score? NURSING CARE OF PATIENT ON VENTILATOR 10
  • 11. NURSING CARE OF PATIENT ON VENTILATOR 11
  • 12. Conclusion Mechanical ventilation is life saving intervention which required multidisciplinary team effort to prevent adverse effects of ventilator. Nurses have key role to prevent patients from prolong hospital stay by giving quality nursing care. NURSING CARE OF PATIENT ON VENTILATOR 12
  • 13. Any question ?? NURSING CARE OF PATIENT ON VENTILATOR 13
  • 14. References Nursing care of the mechanically ventilated patient in ITU: 1.Br J Nurs. 1997 Apr 24-May 7;6(8):447-54  Stites M. Observational pain scales in critically ill adults. Crit Care Nurse. 2013;33(3):68-78. doi: 10.4037/ccn2013804. [PubMed: 23727853].  Nelson JE, Meier DE, Oei EJ, Nierman DM, Senzel RS, Manfredi PL, et al. Self-reported symptom experience of critically ill cancer patients receiving intensive care. Crit Care Med. 2001;29(2):277-82. [PubMed: 11246306]. Wang Y, Li H, Zou H, Li Y. Analysis of Complaints from Patients During Mechanical Ventilation After Cardiac Surgery: A Retrospective Study. J Cardiothorac Vasc Anesth. 2015;29(4):990-4. doi: 10.1053/j.jvca.2015.01.036. [PubMed: 25939965]. NURSING CARE OF PATIENT ON VENTILATOR 14
  • 15. NURSING CARE OF PATIENT ON VENTILATOR 15