Nursing Care for Ventilator Patient Singapore
Mechanical ventilators provide ventilation to patients by blowing air that is oxygen-riched into the lungs as well as carries out the carbon dioxide out of the lungs. It is commonly used in hospitals specifically in intensive care unit, emergency room and operating room. It can also be used at home but nurses should monitor it at home. A patient who is unresponsive specifically without breathing or positive respiratory pattern is intubated immediately by a trained physician and attached to a mechanical ventilator.
Ventilator Settings and ModesProfessionals should make sure that the main site and depth of intubation during airway access is accurate. They should also have complete knowledge about the clinical settings such as FiO2, Tidal volume, Peak inspiratory pressure, and respiratory rate to name a few. The capnographer should also be attached and monitored. This measures the exhaled PCO2 or partial pressure level of carbon dioxide. The normal value should be between 35-45 mmHg.
The use of ventilators by the medical health team should support the management and rehabilitation of the patient depending on the clinical illness or disease of the patient. For specific tidal volume, A/C (assist control) mode and SIMV(synchronized intermittent mandatory ventilation) mode should be used. If patients are allowed to set their own intake of tidal volume, then PSV (pressure support ventilation) mode can be used.
Nursing Care Plan for Ventilated PatientsThe nurse must meet the needs of the patient who is connected to a ventilator whether it is acute or chronic. Usually in hospital settings, the ventilator is a responsibility by the respiratory therapist which includes suctioning and nebulization. Long term ventilation poses the risk of the patient for infection. Make sure the temperature inside the room is cool so as to prevent the formation of a moist environment (which bacteria thrive). Blood pressure monitoring is essential since frequent change of settings may result into hypotension. In the end, Nutrition should also be considered. Usually an NGT is placed to provide a means of nutrition for the patient. Finally, check for sign for readiness of the patient to wean off or to be disconnected from the respirator or ventilator.
ConclusionNews, press release, program, services and new resources are available to share for family members who want to get information. They can sea rch these sources for more information. The care for a ventilated patient is a challenge among health care workers. Thus, they must plan the care of the patient systematically and holistically.
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