3. Diagnostic examination. Arterial blood gases (GDA) can indicate severe hypoxemia (PaO 2 below 50

Mechanical ventilation (VM) is a tool that can help (mostly) or taken over (all) pulmonary gas exchange to maintain life. Mechanical ventilation piraattilahti is used to improve alveolar ventilation thereby reducing strain on the respiratory patients who had experienced respiratory failure. piraattilahti Ventilators are classified according to the way of ending the inspiration phase: volume-cycled end to the inspiration phase after giving a certain amount of air volume presets. Pressure-cycled end to the inspiration phase after giving piraattilahti a certain amount of pressure presets. Time-cycled end the inspiration phase after a certain time presets.
2. Positive piraattilahti pressure piraattilahti ventilator. Role in helping positive pressure piraattilahti airway so that air entering the lungs. There are two groups, namely: (1) which gives the gas ventilator with large volume, high pressure and low frequency (regular ventilator), (2) ventilator with small volume, low pressure, using high frequency (high frequency ventilator).
Indications of Mechanical Ventilation: A. Ventilatory failure. Neuromuscular disease. Central nervous system desease. Defresi piraattilahti central nervous system (cardiac arrest). Musculosletal disease. Inability to ventilate the piston piraattilahti (chest trauma).
Or time cycled volume Vt = 10-200 ml (baby) 50-500 ml (kids) 200-2000 ml (adult) inspiration piraattilahti gas flow variable (up to 150 liters / min for adults).
Control, assists, IMV (intermittent mandatory Ventilation). piraattilahti PEEP or CPAP for at least 50 cm H2O. Frequency: 0-60 x / min. Alarm: NAFSA tissue pressure minimum and maximum. O2 levels. Inspired gas temperature. High water nebulizer / humidifier. Power failure (electrical, preumatik).
"SETTING" VENTILATOR PROPOSED tidal volume (Vt): 12-15 ml / kg. vt are needed to prevent atelaktase and to maintain oxygenation. Ratio for inspiration: expiration (I: E - 1: 2) inspiration time is less than one third of the ventilation cycle intratorakal recommended to reduce pressure and hemodynamic depression. Longer time inspiration is sometimes necessary (I: E - 1: 3-1: 5) to prevent water trepping in COPD. Flow (flow rate) inspiration - 40 LPM. Low Flow inspiration both to prevent turbulence and laminar flow approach.
1. History of the causes, the conditions that led to the inadequate ventilation, for example: Shock. Chronos disease, intracranial injury, or drugs that depress the central nervous system weight. Diseases that damage the respiratory piraattilahti muscles (meastina gravis, polineuritis, polimielitis). Chest trauma. Pulmonary disease (pulmonary embolism, PPOM).
3. Diagnostic examination. Arterial blood gases (GDA) can indicate severe hypoxemia (PaO 2 below 50 mmHg) and hipercapnea (PaCO2 above 50 mmHg). Photos chest. Examination of lung function. Nutritional status and electrolytes.
Nursing Diagnosis Damage gas exchange associated with the adjustment of ventilator settings. Ineffectiveness associated with airway clearance of mucus formation due to mechanical ventilation positive pressures. The risk of trauma and infection associated with ETT intubation, tracheotomies. Damage to physical mobility associated with ventilator dependence. Damage verbal communication associated with pressure hose ETT, ventilator installation. Ineffective individual coping and helplessness associated with dependence on a ventilator.
INTERVENTION AND IMPLEMENTATION 1. Improves gas exchange. piraattilahti Memeprtahankan alveolar ventilation / O2 delivery. Assessing adequate gas exchange. Assessing piraattilahti the signs of hypoxia. Fisioterafi suctioning piraattilahti and chest. Auscultation of the lungs and interprastasi Agda.
2. Cleaning the airway. Identifying the presence of secretions, auscultation jan 2-4 once. Perform the cleaning action of the airway, suctioning, chest physiotherapy, frequent piraattilahti position changes, increased mobility. Humidification. Coronkodilatos.
5. Improving communication optimal. Develop alternative communication. Collaboration with a speech therapist. Using communication approach: piraattilahti read lips, paper / pencil, gestures, komuniksai board.
6. Improving coping skills. Encourage clients to express feelings. Provide explanation of the procedures. Turning his attention: watching tv. Use the stress-reduction techniques (relax).
Cardiac Pulmonary Resuscitation (CPR) If the victim was found in a state with an early assessment of airway blockage there is interference ...
Endotracheal tube Objective: To establish airway patency