PPT care of patient on ventilator2.pptx

Care of patient on ventilator

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 – 45 o 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 FiO 2 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 – 45 o 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