CARE OF PATIENT ON VENTILATOR.pptx
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Mechanical ventilation provides breathing support for patients unable to breathe on their own. The nurse cares for patients on ventilators by monitoring vital signs, ensuring proper endotracheal tube placement and securing, adjusting ventilator settings per orders, preventing infections and complications, meeting nutritional needs, and coordinating with respiratory therapists. Potential complications include pneumothorax, decreased cardiac output, ventilator-associated pneumonia, and airway injury.
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Mechanical ventilators are machines that deliver controlled gas flow into a patient's airways to help with breathing when they can no longer breathe on their own due to illness, injury or anesthesia. A tube is inserted into the airway and connected to the ventilator, which pumps air and oxygen into the lungs. Ventilators can fully or partially take over breathing and apply pressure to keep the lungs open. While life-saving, ventilators carry risks like infection, lung damage and weakness from prolonged use, so the goal is to treat the underlying illness and remove the ventilator as soon as possible.
care of child on ventilator
This document discusses care of children requiring long-term ventilation. It begins with objectives which include discussing incidence, goals, modes of ventilation, guidelines, monitoring, weaning, complications and nursing management. It then covers incidence rates, the difference between pediatric and adult respiratory systems, types of respiratory failure, functions and definitions related to mechanical ventilation. Various modes of ventilation are described along with initial settings, adjustments, weaning priorities and criteria for extubation. Monitoring, complications and troubleshooting are also addressed. Nursing management is a multidisciplinary team approach. Bundles are discussed as a way to ensure delivery of standard care and assess interventions.
mechanical ventillator weaning
The document discusses the process of weaning patients off ventilators. It involves three stages: withdrawing the patient from dependence on the ventilator, removing the tube, and finally removing oxygen support. Several criteria are used to assess patient readiness for weaning, including vital capacity, tidal volume, and rapid shallow breathing index. Different methods of weaning are outlined, including modes like assist-control, IMV, SIMV and modes involving pressure support. Nursing roles involve close monitoring, adjusting support levels, and watching for signs of fatigue or deterioration. Nutrition, pulmonary care and assessing readiness to remove the tube and oxygen are also discussed.
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CARE OF PATIENT ON VENTILATOR.pptx
- 1. DEFINITION It is the care rendered to patient on mechanical ventilator. A medical ventilator is an artificial mechanical ventilator or breathing device, a machine designed to move breathable air into and out of the lungs, to provide breathing for a patient who is physically unable to breathe, or breathing insufficiently.
- 2. PURPOSES To maintain arterial oxygenation for adequate oxygen delivery to the tissues. To maintain alveolar ventilation for adequate elimination of carbon dioxide. To promote safety and prevent complications among mechanically ventilated patients.
- 3. ARTICLES Mechanical ventilator Manual resuscitation device Cardiac monitor Pulse oximeter Suction equipment and supplies
- 4. Contd.. Disposable cup Oral care kit Stethoscope Oxygen humidifier Intubation kit (standby)
- 5. STEPS ON CARE OF PATIENT ON MECHANICAL VENTILATOR Monitor vital signs every 2 hourly Verify endotracheal tube (ETT) placement at prescribed level Ensure that ETT is properly secured at all times.
- 6. Contd.. Change ET plaster aseptically on daily basis and as necessary Ensure cuff inflation using minimal occlusive volume (MOV). Cuff pressure should be recorded on the nurse’s progress notes and flow sheets
- 7. Contd.. Evaluate respiratory status (ventilation and oxygenation) by inspection, palpation and auscultation as well as laboratory data and oxygen saturation Maintain head of bed elevation at 30 – 45o angle
- 8. Contd.. Ensure the following alarms are activated (the respiratory therapist will set these alarms High pressure Low pressure Temperature Oxygen Apnea Low – exhaled volume High respiratory rate
- 9. Contd.. Ensure ventilator settings are adjusted according to doctors order Suction secretion as needed Carries out hygienic necessities Oral care every 4 hourly
- 10. Contd.. Check prescribed ventilatory set up as to: Mode FiO2 Tidal volume (if applicable) Respiration rate Adjunction therapy (e.g., PEEP/CPAP)
- 11. Contd.. Assess pain and sedation needs Prevent infection Prevent hemodynamic instability Maintain head of bed elevation at 30 – 45o angle ensure patent airway through proper suctioning technique
- 12. Contd.. Meet the patient’s nutritional needs Wean the patient from the ventilator appropriately Educate the patient and family
- 13. Contd.. Monitor for complications (e.g., Pneumothorax, decreased cardiac output, dysrhythmias, ventilator associated pneumonia, fear, anxiety and acid base imbalances) Coordinate with the Respiratory Therapist on issues related to mechanical ventilation
- 14. Contd.. Document the following: Assessment findings Patient’s physical and psychological response Type and size of ETT, position at lips, amount of air in cuff Type of ventilator and its settings
- 15. COMPLICATIONS: 1. Pneumothorax 2. Decreased cardiac output 3. Ventilator associated pneumonia 4. Airway injury 5. Oxygen toxicity