AIRWAY MANAGEMENT AND CARE OF CLIENT WITH VENTILATOR

MECHANICAL VENTILATION It is a method to mechanically assist or replace spontaneous breathing .it is typically used after an invasive Intubation ,a procedure wherein an Endotracheal or tracheostomy tube is inserted into the airway .it is used in acute settings such as in the short period of time during serious illness. Purpose: Ventilators are used to provide mechanical ventilation for patients with respiratory failure who cannot breathe effectively on their own. they are also used to decrease myocardial gas consumption or intracranial pressure ,provide stability of the chest wall after trauma or surgery and when patients is sedated or pharmacologically paralyzed.

NURSING CARE OF VENTILATED PATIENTS 1. Monitor vital signs continously 2. Ensure that the endotracheal tube plaster was fully secured . Endo tracheal tube plaster should not be applied too tight over the jugular area . Avoid tight adherence of the tube of the lips . Endo tracheal tubings must be change with in 72 hours

3. Ensure ventilator settings are adjusted according to doctors order, 4. Suction secreation as needed. 5. Carries out the following hygienic necessities : 6. Oral care every four hour. Changes position 2-3 hourly. Changes dressing prn if ventilator is connected to tracheostomy . Changes et tube plaster prn. Evaluates patients progress daily. Auscultate chest periodically,noting presence /absence and equality of breath sounds

Elevate head of bed Elevation of patients head while still on ventilator is both physically beneficial. Check ventilator alarms for proper functioning Ventilators have a series of visual and audible alarm.example :o2 low/high pressure Turning off /failure to reset alarms places patients @ risk for un observe ventilator failure or resp. Arrest Inflate tracheal /e.t.cuff properly Cuff must be properly inflated to ensure adequate ventilation Check tubings for obstruction Kinks in tubings prevent adequate volume delivery and increase airway pressure. Water prevents proper gas distribution and predisposes to bacterial growth. Keep resuscitation bag @ bedside Provides /restore adequate ventilation when patient or equipment problems require patient removed from ventilator. Assist patient in taking control of breathing if weaning is attempted ventilatory support is interrupted during procedure /activity Coaching patient to take slower ,deeper breath practice abdomen /pursed lip breathing assume position comfort and use relaxation techniques can be helpful in maximizing respiratory function. To promote comfort.