FS
3
re
2
EA
nents
25. Evaluate the need tor sedation of muscle rel 4
accurate
26. ter ise ooh pecan ner)
worght if possible sel
arent
1 status, prove venteral 2
27 Monitor Autitional status
Rourishment
Monitor gastrointestinal funtion
4s for patients whe
29 _erorm passive ROM evefize ofa strani
caecan ce assess the pressure 2722
Provide mouth care for every 1-4 how
from ET tubes
occult blood
Test stools and gaste drainage for. occlt
Measure abdeminal ith dei
Use atemative method of communi
board ar bookie to commuricete with he
2 Provide psychological support
oa Oren the enitenmetan uet
+ Ensure adequate rest and sleep:
record ventilation pattem,
obin every 1 Hour
it every 24 hours and assess the
ation. Use communication
patient
nof mechanical ventilator
Maintain flow sheet 0 ANG, venouis
ntain flow sheet
detertinatons, and hemo
change the ventilator cru
sentiator function eveny4 hous
37, Check the postion of ET tube; measure the cuff pressure cally
seg manometer
38 Follow: measures to prevent ;
+= Ventilator-associated pneumonia, (VAP), Adhere “ventilator
bundle" protocol according to hospital policy
+ Peptic ulcer dsease prophylaxis
+ Deep vein thrombosis prophylaxis (unless contraindicated)
+ Gatheterrelated bloodstream infection (CBS!) protocol
+ Use catheter related urinary tract infection (CAUIT) prophylaxis
protocol
+ Elevate the head end of the betl to 30-45°
+ ‘Apply ctosed suctioning
Weaning process
33 Preveaning phose
Assess the patient for weaning criteria: vital cay
A vital capacity, 10-15 mL/kg;
{del volume, 7-9 ml/kg; minute ventilation, 6 he fone
armen pan wir 20 am HO aD, orate than
4 in ic
eee Tepid or shallow breathing
oun ae y ae ‘utrtionsl status, activity level,
1M. snd psychological readiness for
4 Weasing phase
. rn €quipment:
‘ ‘the
Patient in sitting or ser, Fowler's position
«Petey
early moming |
S
List of State Nursing Council Recognised Institutions Offering M. SC (N) Programme Inspected Under Section 13 and 14 of INC Act For The Academic Year 2020-2021