Ventilator Care Flashcards
(24 cards)
Positive pressure applied at the end of expiration used w/ CV, A/C & SIMV to improve oxygenation by opening collapsed alveoli & keeping them from snapping shut during expiration allowing for more gas exchange (5-15 cm H2O)
PEEP (Positive End Expiratory Pressure)
How do you verify ET tube placement?
5 Point Auscultation = over the lung apices, the axillaes, and the stomach
What is normal End Tidal CO2 Level?
5-6% CO2 or 35-45 mmHg
How do you verify proper position of an ET tube?
X-Ray (2 cm above the carina)
What is the proper ET tube pressure?
25 cm H2O or less (preferably 20-25)
How often do you move the ET tube from one side of the mouth to the other?
Q 24 hours
Damage to the lungs caused by excess volume delivered to one lung or the other
Volutrauma
Damage to the lungs caused by positive pressure
Barotrauma
How often do you assess respiratory status in vent patient?
Q 4 hours for the first 24 hours then PRN
How often do you take V/S in ventilator patient?
Q 4 hours
How often do you assess placement of the ET tube?
Q 2 hours
The HOB should be at what degree for ventilated patient?
Above 30 degrees
How often should you check ventilator settings?
Q 8 hours
How often should you check the need for suctioning in the ventilated patient?
Q 2 hours
How often should you perform oral care in ventilated patient?
Q 2 hours
How often should you apply chlorohexadine on the lips of the ventilated patient?
Q 2 hours
How often should you perform tracheostomy care for the ventilated patient?
Q 8 hours
How often should you turn the ventilated patient?
Q 2 hours
What are the cardiac complications that can occure with the ventilated patient?
Fluid Retention & Hypotension
What are the GI problems associated with the ventilated patient?
Stress Ulcers, Paralytic Ileus & Malnutrition
What is the treatment for stress ulcers in the ventilated patient?
Antacids, Carafate, Protonix IV, Ranitidine
What is the treatment for malnutrition in the ventilated patient?
NG tube, TPN & lipids via a central line, and D5 fluid via a triple lumen cath
How do you decrease the risk of ventilator-associated pneumonia?
Perform oral care q 2 hours, chest physiotherapy, postural drainage, turn & position
inability to wean off the ventilator
mechanical ventilator dependence
