Preview

Ventilator Associated Pneumonia

Better Essays
Open Document
Open Document
1057 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Ventilator Associated Pneumonia
APInterventions and Practices Considered 1. General prophylaxis 2. Measures to achieve safe mechanical ventilation 3. Measures to prevent aspiration 4. Selective use of antibiotics to control outbreaks 
Note: Routine use of oral and systemic antibiotics was considered but not recommended. 5. Oral care with antiseptic agents 6. Daily interruptions or lightening of sedation and avoidance of paralytic agents 7. Gastrointestinal bleeding prophylaxis with either H2 antagonists or sucralfate 8. Transfusion of red blood cell and other allogeneic blood products in selected patients 9. Insulin therapy if indicated
Major Outcomes Considered * Length of stay in intensive care unit (ICU) * Morbidity and mortality
Incidence of healthcare-associated infections

Interventions and Practices Considered 1. Elevation of the head of the bed 2. Maintaining cuff pressure in the endotracheal tube between 20-25 mmHg 3. Circuit changes 4. Use of heated humidifiers and heat and moisture exchangers 5. Providing oral care with chlorhexidine and water-soluble mouth moisturizer 6. Secretion removal with specially designed endotracheal tubes 7. Closed, in-line suctioning (no recommendation made) 8. Evaluation for kinetic bed therapy 9. Sedation reduction 10. Assessment of weaning readiness with brief weaning trials 11. Stress ulcer disease prophylaxis 12. Deep vein thrombosis prophylaxis http://guideline.gov/content.aspx?id=36063&search=Ventilator+associated+pneumonia Ventilator-associated Pneumonia (VAP)
Ventilator-associated pneumonia is a lung infection that develops in a person who is on a ventilator. A ventilator is a machine that is used to help a patient breathe by giving oxygen through a tube placed in a patient’s mouth or nose, or through a hole in the front of the neck. An infection may occur if germs enter through the tube and get into

You May Also Find These Documents Helpful

  • Good Essays

    Nvq Level 2

    • 1570 Words
    • 7 Pages

    The Public health (control of diseases) Act 1984 and the health and social care act, The NICE guidelines , Policies and procedures…

    • 1570 Words
    • 7 Pages
    Good Essays
  • Satisfactory Essays

    I would prescribe Sue sulfa drugs. The bacteria is a Gram negative so penicillin would be difficult to infiltrate the cell wall. The others are within the cells. So Sulfa drugs would be best.…

    • 316 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Pneumonia is an infection in one’s lungs and can be caused by bacteria, viruses, and, in rare cases, fungi. In this case, this pneumonia is caused by the rhinovirus, which is also known as Enterovirus Human rhinovirus C. Human rhinoviruses (HRVs) are known to commonly cause upper respiratory infections (URIs). The reasons why I am led to believe that this is the result is because in some cases a URI, if not treated, can lead to pneumonia. Sore throat and nasal dryness are some of the first common initial symptoms of a rhinovirus (RV) infection. The patient’s symptoms began with a sore throat and a dry cough. With the most recent symptoms, the doctor decides to perform a physical examination, which reveals a mild fever, slight…

    • 801 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Ventilator-associated pneumonia (VAP) is defined as pneumonia that develops 48 hours or longer after patients has intubated and received mechanical ventilation. An infection may develop if microscopic organisms or germs invade the intubation of the patient’s lower respiratory tract and lung parenchyma (Koenig, S. M., 2006). According to the 2009 National Healthcare Safety Network (NHSN) report, the accountability for ventilator-associated pneumonia (VAP) preventions includes hospital’s CEO and senior management. They must assure that the hospital supports an infection prevention and control program to adequately prevent ventilator-associated pneumonia (VAP). They must also ensure that proper training and educational programs are in place to…

    • 766 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Because C. difficile is highly contagious, the patient should be placed in a private room and…

    • 7072 Words
    • 36 Pages
    Satisfactory Essays
  • Good Essays

    Literature Search

    • 1663 Words
    • 7 Pages

    • Methods : It is a nonexperimental, longitudinal, descriptive design was used. The Clinical Pulmonary Infection Score was used to determine ventilator-associated pneumonia. Backrest elevation was measured continuously with a transducer system. Data were obtained from laboratory results and medical records from the start of mechanical ventilation up to 7 days.…

    • 1663 Words
    • 7 Pages
    Good Essays
  • Good Essays

    In the post anesthesia care unit (PACU), patients at risk for unplanned extubation usually have insufficient sedation (Chevron et al, 1998). When the patient 's sedation is discontinued during the ventilation weaning process, the wrist restraint is routinely applied . Unplanned extubation usually occur at this time secondary to improper tying of the wrist restraints. Even though reintubation may not be required for many of these patients, they should still be closely monitored. Reintubation can be quite difficult, necessitating highly skilled airway management (Christie et al, 1996).…

    • 697 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Essay On Diarrhoea

    • 789 Words
    • 4 Pages

    Transmission could also be reduced by providing separate room and toilet facilities or placing infected patients together. Staff, patients and visitors should wash their hands with soap water regularly and thoroughly; alcohol hand gel should not be used as this has been proven ineffective against the bacteria. Infected surfaces should also be cleaned thoroughly with water and a cleaning product containing bleach. Doctors are advised to prescribe antibiotics cautiously to reduce the broad- spectrum antibiotics given so that the number of people at risk is…

    • 789 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Annotated Bibliography

    • 478 Words
    • 2 Pages

    The article discusses a research study on initiating interventions called a bundle practices concept to decrease ventilator-acquired pneumonia (VAP). The bundle concept includes interventions of increased mouth care to every two hours may decrease VAP and adding alarms to bed to alert nurses if the head of bed is below 30 degrees. The objective of the study was to develop a ventilator bundle and care practices for prevention and reduce the rates of VAP. It was developed by the Institute for Healthcare Improvement and the results found that critical-care nurses adherence to the bundle practices improved patient outcomes and reduced…

    • 478 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Assess Audrey’s level of hygiene to assess her knowledge with regard to her cleanliness. Educate her need to maintain hygiene. Provide bed bath or assist her daily to maintain her skin hygiene .Assist her for grooming, that would enhance her dignity and confidence, maintains her personality. Oral hygiene for the patient : evidence suggest that ,upper airway infection can be prevented by maintaining oral hygiene (Darby and Walsh,2015,chap 2 ) and change her clothes and bed linen daily, this would prevents infection. Provide catheter care and check the intravenous catheter daily, as these are the main sources of infection. Maintain sterile environment, and use personal protective equipment’s as required, to prevent cross infection. Maintain…

    • 267 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Copd Exacerbation

    • 2973 Words
    • 12 Pages

    Ignatavicius, D. & Workman, M. L. (2010), Care of Patients with Noninfectious Lower Respiratory Problems. Medical-Surgical Nursing, 6th Edition, (pp. 621-637). St. Louis, Missouri:Saunders Elsevier.…

    • 2973 Words
    • 12 Pages
    Best Essays
  • Good Essays

    bloodborne pathogens

    • 555 Words
    • 3 Pages

    Avoid contact with blood and other body fluids. Use CPR breathing barriers, such as resuscitation masks, when giving ventilations (rescue breaths)…

    • 555 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Ventilator associated pneumonia (VAP) is a hospital acquired infection occurs in the intensive care unit (ICU) for the patients who are on mechanical ventilator. It further complicates the hospital course by extending the length of stay, increase the cost of treatment, and increases the mortality rate. It is estimated that about 1% to 3% patients on mechanical ventilator develops VAP per day. Compared to the previous years, the Chlorhexidine mouth care and other ventilator bundle strategies decreased the VAP rate. Evidence based research studies proved that almost 89.7% reduction in VAP occurs after the implementation of ventilator bundle and other care related to it (Hutchins et al, 2009). Ventilator care bundle was introduced in 2005 by the Institute of Healthcare Improvement with the aim to increase nursing compliance with evidenced-based actions to decrease the VAP rate (Sedwick et al, 2012).…

    • 9986 Words
    • 40 Pages
    Powerful Essays
  • Better Essays

    Pneumonia occurs when the upper airway fails to prevent infectious particles, irritants, or aspirated irritants from entering the sterile lower respiratory tract, whether from the patient’s own body such as gastric contents or from outside of the body such as aspirated food or some other fluid that enter the sterile lower respiratory tract (Smeltzer, et al). Because of the thick exudate produced, ventilation of carbon dioxide and diffusion of oxygen are impaired (Smeltzer, et…

    • 1984 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Heheh

    • 635 Words
    • 3 Pages

    Pneumonia may originate in the lung or may be a focal complication of a contiguous or systemic inflammatory process. Abnormalities of airway patency as well as alveolar ventilation and perfusion occur frequently due to various mechanisms. These derangements often significantly alter gas exchange and dependent cellular metabolism in the many tissues and organs that determine survival and contribute to quality of life. Recognition, prevention, and treatment of these problems are major factors in the care of children with pneumonia.…

    • 635 Words
    • 3 Pages
    Good Essays