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All sections in order:
Therapeutic Effects, Indications, Contraindications, Side Effects, Order of Preference for Artificial Ventilation, The student will demonstrate the use of the equipment/procedure
Therapeutic Effects
A manually operated ventilation device.
Indications
Any patient that requires ventilation assistance to improve RATE and/or DEPTH.
Patients with pulmonary edema (rales/crackles)
Contraindications
None
Side Effects
Poor technique can result in gastric distention.
Poor face seal can result in inadequate reparations.
Order of preference for artificial ventilation.
Mouth to mask w/O2, 2 person BVM, Flow Restricted, Oxygen, Powered, Ventilation, Device (FROPVD), then 1 person BVM.
The student will demonstrate the use of the equipment/procedure.
Take and verbalize standard precautions.
If the patient is unresponsive open the airway using the appropriate technique (head tilt or jaw thrust).
Open the patient’s mouth using cross-finger technique, look for foreign bodies and fluids, clear and properly suction if needed.
Select appropriate size Bag Valve Mask.
Apply the mask with the apex on the bridge of the patient’s nose and align the base between the lower lip and chin.
Achieve a proper mask seal by placing the thumb over the top portion of the mask and bringing the lower jaw up to the mask with the last three fingers.
Properly ventilate twice (consecutively) to ensure a patent airway with proper chest rise.
Using the appropriate technique, measure and insert an airway adjunct (OPA, NPA)
Connect the BVM to an oxygen source and test proper flow rate (15lpm to 25lpm)
Compress the bag smoothly, delivery adequate volume over a 1 second period at a rate of:
Adults: 1 every 6 secs: 10 breaths/min
Pediatrics: 1 every 2-3 secs: 20-30 breaths/min
If patient’s breathing is shallow, assist with DEPTH and match their RATE.
Signs of adequate ventilations:
Improvement in chest rise and bag compliance.
Improvements in pulse ox.
Improvements in skin color/temp/condition.
Improvements in heart rate
Student will now successfully ventilate 5 times at the appropriate adult rate.
Properly disassemble regulator from O2 bottle and secure bottle in airway bag with straps.