What are the nursing interventions for managing the mechanically ventilated patient?

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Nursing care of the mechanically ventilated patient: what does the evidence say? Part two

Fiona M Coyer et al. Intensive Crit Care Nurs. 2007 Apr.

Abstract

The care of the mechanically ventilated patient is a fundamental component of a nurse's clinical practice in the intensive care unit (ICU). Published work relating to the numerous nursing issues of the care of the mechanically ventilated patient in the ICU is growing significantly, yet is fragmentary by nature. The purpose of this paper is to provide a single comprehensive examination of the evidence related to the care of the mechanically ventilated patient. In part one of this two-part paper, the evidence on nursing care of the mechanically ventilated patient was explored with specific focus on patient safety: particularly patient and equipment assessment. This article, part two, examines the evidence related to the mechanically ventilated patient's comfort: patient position, hygiene, management of stressors (such as communication, sleep disturbance and isolation), pain management and sedation.

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What are the nursing interventions for mechanical ventilation?

Nursing Interventions Turn the client every 2 hours. Turning mobilizes secretions and helps prevent ventilator-associated pneumonia. Institute airway suctioning as indicated based on the presence of adventitious breath sounds and/or increased ventilatory pressure.

How do you care for a patient with a mechanical ventilator?

Care Essentials for Ventilator Patients.
Review Communications. ... .
Check the Ventilator Settings. ... .
Administer Appropriate Suction. ... .
Prevent Infection. ... .
Prevent Hemodynamic Instability. ... .
Manage the Airway. ... .
Meet Nutritional Needs..

Which actions are essential for the nurse caring for a mechanically ventilated to prevent ventilator acquired pneumonia?

To reduce risk for VAP, the following nurse-led evidence-based practices are recommended: reduce exposure to mechanical ventilation, provide excellent oral care and subglottic suctioning, promote early mobility, and advocate for adequate nurse staffing and a healthy work environment.

What are some of the nursing considerations to watch for with a ventilated client?

Nursing monitoring should include:.
Review communications from the professional healthcare team..
Check ventilator settings..
Suction the patient as needed..
Evaluate sedation and pain needs..
Use techniques to avoid infection..
Check and recheck the patency of the airway..
Monitor vital signs for hemodynamic instability..

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