Preview

Mechanically Ventilated Patient Requiring Sedation Essay Example

Good Essays
Open Document
Open Document
613 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Mechanically Ventilated Patient Requiring Sedation Essay Example
Mechanically Ventilated Patient Requiring Sedation
Breckinridge School of Nursing 2013

A care plan for a mechanically ventilated patient requiring sedation has to be cautiously planned out with the help of a multidisciplinary team of medical professionals. It is very important for a nurse taking care of a patient on a ventilator to deliver high quality care using evidence-base nursing practices. The nurse need to make sure that he/she has a clear understanding of assessment skills and how to perform safety checks on vital life-saving equipment, having this knowledge base will assist the nurse in planning interventions that best fit the patient needs and desires (Alasad, 2005).

The most crucial intervention that I would focus on is the patient’s airway due to if the airway is blocked this would increase the patient’s risk of not breathing and possibly coding by going into respiratory distress, to help decrease the risk of the patient having these airway problems I would focus my attention on doing an assessment of the airway at least once every hour or sooner. The next intervention that I would focus on is the pain level because this is problematic due to the inability of a mechanically ventilated patient to verbalize due to the invasive endotracheal intubation. Therefore I would use tools to measure a patient’s pain that are appropriate for that individual such as a pain picture board or paper with the numeric pain scale on it for the patient to the point to (Ackley, 2011).

The following intervention that I would focus on is mouth care and comfort measures in the ventilated patient due to the patient cannot perform oral care on themselves so that puts the patient at an increased risk for an infection setting up in their mouth. Therefore mouth care with a soft brush should be performed every two hours. In addition to this comfort measure are important so the patient must be turned

You May Also Find These Documents Helpful

  • Good Essays

    Nursing is concerned with human responses as they relate to the person’s environment whether it is in the hospital or in the community. With the help of the nursing process, nurses assess the person’s environment through the collection of subjective and objective data, perform risk assessments, identify safety hazards, and implement safety practices that will improve the patient’s health status and prevent further injury or…

    • 560 Words
    • 3 Pages
    Good Essays
  • Better Essays

    T.W. initial assessment and to stabilize him will be the priority following ABCs. The neurologic assessment every hour will provide T.W. general condition and information that can determine any changes. Oxygen will be given at 4 L per nasal cannula. The next will be stabilization of spine by immobilize the cervical spine to protect the spine and from causing more trauma. The preparation to administer fluid to maintain hemodynamic stability therefore, initiate two large bore IVs. An ECG monitor will be connected to record and detect heart conduction, disturbances or hyperkalemia. Also, a Foley catheter will be inserted that will assist T.W. with voiding and lastly, apply warm blanked as needed to prevent hypothermia and to maintain his temperature.…

    • 1601 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    * Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as continuous and bi-level positive airway pressure, oxygen administration, etc).…

    • 458 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Hsp501 Unit 1 Lab Report

    • 1492 Words
    • 6 Pages

    Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. 2011. Endotracheal intubation. [ONLINE] Available at: http://www.nlm.nih.gov/medlineplus/ency/article/003449.htm. [Accessed 13 May 14].…

    • 1492 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Ati Questions

    • 527 Words
    • 3 Pages

    2. Which of the following nursing interventions should be implemented to maintain a patent airway in a client on bed rest?…

    • 527 Words
    • 3 Pages
    Good Essays
  • Better Essays

    The first priority is to perform a focused assessment to include the patient’s respiratory function, pain, mental status, and any medication the patient has taken. The patient’s airway and ability to breathe and maintain a patent airway becomes the first priority. By asking the patient the four questions of orientation the nurse can assess the patient’s mental status. The patient’s pain can also be assessed quickly by using a numerical value or the Wong-Baker Scale prior to the patient becoming unresponsive, as well as asking the patient for a brief history of her medical condition and any co-morbidities. For the patient’s airway and breathing, the patient should be placed on 15 liters of oxygen with a non-rebreather mask to allow for increased oxygenation and a pulse…

    • 1422 Words
    • 6 Pages
    Better Essays
  • Best Essays

    Henneman, E. A. (2010). Patient safety and technology. Advanced Critical Care, 20(2), 128-132. Retrieved from http://www.ajhp.org/content/66/13/1202/long…

    • 2549 Words
    • 11 Pages
    Best 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
  • Better Essays

    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…

    • 1057 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Nurse anesthetists were one of the earliest advanced practice roles in the United States (Blais & Hayes, 2011, pg. 449). Individuals in this career field have an extensive amount of classroom and laboratory instruction in the delivery of anesthesia to patients in a variety of different healthcare settings. Some of a CRNA’s tasks and duties include “performing physical assessment, participating in preoperative teaching, preparing for anesthetic management, administering anesthesia to keep the patient free of pain, maintaining anesthesia intraoperative, overseeing recovery from anesthesia, and following the patient’s postoperative course from recovery room to patient care unit” (Blais & Hayes, 2011, pg. 451). The crucial priority of the CRNA is to provide the most optimal care to ensure the health and safety of all patients undergoing…

    • 1296 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Head Shift Maneuver Essay

    • 516 Words
    • 3 Pages

    The oropharyngeal airways are used in unresponsive patients with a gag reflex or apneic patients being ventilated with a bag-mask device. However an oropharyngeal should never be used on a conscious patient or a patient who has an intact gag reflex”. A second device to open a patient’s airway is the nasopharyngeal airway, which is slid down the patients nose to open their airway, “this is used in patients who are unresponsive or has an altered LOC, has an intact gag reflect, or is unable to maintain his or her own airway. Do not use a nasopharyngeal on a patient who has had a severe head injury with blood in the nose or a history of fractured nasal bones”. In summary, when arriving on scene it is crucial to keep yourself and your partner safe and immediately began checking the patients ABCs; the most crucial is opening their away and maintaining their airway until a king airway is available or an ALS unit is available to intubate the patient, remember to treat life threats that you see as you go, don’t go through a whole patient assessment then go back to open their…

    • 516 Words
    • 3 Pages
    Good Essays
  • Better Essays

    This essay will discuss the plan of care I developed for Mr X while he was under my care in a post anaesthetic unit. It will discuss my nursing assessments, and what diagnoses I developed from this. It will then discuss the rationale behind my nursing interventions using relevant literature. My plan of care will be analysed throughout while identifying how my nursing care meets best practice guidelines.…

    • 1973 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Both over-sedation and under-sedation can lead to poor outcomes in patient care. Effective management of sedation is essential for improving poor sedation practices in the PICU. Because of the poor patient outcomes that can result from the ineffective management of sedation, the need for evidence-based guidelines is critical, not only to facilitate the best results for patients but also to provide nurses with a support tool they can use when making clinical decisions in the care of patients receiving sedation. The evidence suggests that the use of a nurse-driven guideline results in a significant reduction in time on mechanical ventilation, a significant decrease in the incidence of withdrawal symptoms, and a reduction in the length of stay…

    • 251 Words
    • 2 Pages
    Good Essays
  • Best Essays

    All nurses should possess critical care skills to enable them to impact positively on their patients care (DH 2000). The Higginson and Jones (2009) state, in BJN, that the initial assessment of the critically ill patient vary but should follow a pattern based on assessing A, B, C, D and E, in other words airway, breathing, circulation, disability and environment. This essay is concerned with the altered physiology of Jim’s (for confidentiality a pseudonym has be used, NMC 2008) respiration, due to a spontaneous, non-traumatic subarachnoid hemorrhage and the nursing care he received while in the Intensive Therapy Unit (ITU) will be discussed. The pathophysiology of the haemorrhage Jim suffered will be explored and why it caused Jim’s airway to be altered. His airway and its management will be the priority for nursing staff. In order to maintain a patent airway, suctioning of the airway will be the priority followed by oral care to prevent infection, although other nursing needs such as nutrition and pressure areas will be discussed briefly.…

    • 5173 Words
    • 21 Pages
    Best Essays