In: Nursing
What type/s of alterations are most common for Assessing the Effectiveness of Treatment Ventilator patient, High Flow Oxygen?
Why or how would this alteration occur?
Possible remedies?
Ventilation is utilized in intensive care and long term care setting to assist patients who require additional respiratory support. this handy referance guide provides critical patient care essentials , tips for trouble -shooting ventilator alarms, and potential complications.
maintain a patient airway, note endotracheal tube position and confirm that it is secure *assess oxygen saturation *check vital signs per policy, particularly blood pressure after a ventilator setting is changes. *assess patien's pain, anxiety and sedation needs and medicate as orderded. *complete bedside check, ensure suction equipment, bag value mask and artificial airway are functional and present at bedside. *suction patient only is needed. *to minmize the risk for ventilator- associated pneumonia , implement best practices such as strict handwashing, asepting technique with suctioning, elevating head of bed 30-45 degrees , providing sedation vacations and assessing patient's readinessbto extubate, providing deep vein thrombosis prophylaxis, and performing oral care with chlorhexidine, per yor facility policy
With a stable surgical airway, a ventilator-dependent patient can be alive for months, even years. some patients may gradually wean from the ventilator support over weeks or months, while others may never be liberated, depending on the nature of the condition.
people tend to stop breathing and die soon after a ventilator shuts off, though some do start breathing again on their own. if he is not taking in any fluids, he will usually die with several days of feeding tube removal, though he may survive forbas long as a week or two.
Normal ventilation is an automatic, seemingly effortless inspiratory expansion and expiratory contraction of the chest cage. this act of normal breathing has a relatively constant rate and inspiratory volume that together constitute normal respiratory rhythm. the accessory mucles of inspiration and expiration are not normally used in the resting state. abnormalities may occur in rate, rhythm, and in the effort of breathing.
the establishment of the tidal volume and pattern of respiration in normal individuals is a complicated process. recognizing alterations in these factors is an important early clue of disease recognition. while frequently it is nonspecific, in many instances it can lead directly to a diagnose. carefull observation of the respiratory rate and pattern is a crucial part of the physical examination.
simple inspection of the respiratory cycle, observing rate, rhythm, inspiratory volume, and effort of breathing, is all that is necessary. the rate is noted by obseving the frequency of the inspratory phase, since this phase is active and easy to count. record the number of breath per minute, this is the respiratory rate. while observing the rate, note the inspiratory expansion of the chest cage. this expansion should be the same during each cycle
normally, the accessory mucles of inspiration and expiration are not used. their use should be observed and , if found, recorded as use of accessory muscles on inspiration and expiration is active with abnormal musclecontraction.