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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

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