Care of patient on ventilator

Care of patient on a ventilator

1. Nursing Care of Patient on Ventilator 1

2. Group No 03 Nursing C are of Patient on Ventilator Group Members M.Zahid Iftikhar Hussain Addul rehman Z ahida 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 a ssess 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 A septic technique with suctioning Elevate head of bed 30-45 degrees (unless contraindicated ) P roviding sedation vacations and assessing patient’s readiness to extubate P roviding 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 N eeded 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

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