Mechanical Ventilation

Low Pressure Alarm

Disconnected or cuff leak

High Pressure Alarm

kinked tubing, secretions, or bronchospasm

Apnea Alamr

No spontan

Nurse Responsibilities

• the nurse should asses the ventilated patient respiratory status every 1-2 hours

• maintain patent air way

• keep amboo bag with face mask near bed side

• suction oral and tracheal secretions to maintain tube patiency

• prevent mucosa errosion or accidental misplacement

• NEVER TURN OFF ALARMS

• document ventilator setting and pt response q hr

• elevate HOB 30 degrees to prevent aspiration

• soft wrist restraints to prevent self exabation

• following extubation, mointors of distress or air way obstruction

Meds to Admid

• Analgesics

• sedatives

• neurmosucalr blocking agents

• ulcer agents

• anitibitoics

Anagesics

Morphine and fentnyl

Sedative

propofol, diazepam, lorazepam, midazolam, and haloperidol

Neuromuscular blocking agents

pancuronium,atracurium, and vecuronium

Ulcer-preventing agents

famotidine or lansoprazole​

Ventialtion complications

• Trauma​

• Barotrauma​

• Fluid retention ​

• Hemodynamic compromise ​

• Aspiration