logging in or signing up Ventilatory Support bwcwj01 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 264 Category: Others/ Misc License: All Rights Reserved Like it (0) Dislike it (0) Added: October 30, 2009 This Presentation is Public Favorites: 0 Presentation Description Basics on Mechanical Ventilation Comments Posting comment... By: bwcwj01 (27 month(s) ago) Why not? By all means please. Saving..... Post Reply Close Saving..... Edit Comment Close By: PEEP (27 month(s) ago) Hi, Could you let me download Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript BasicsMechanical Ventilation : BasicsMechanical Ventilation Control : Control Volume Control volume limited, volume targeted and Pressure Variable Pressure Control pressure limited, pressure targeted and Volume Variable Dual Control volume targeted (guaranteed) pressure limited Mode : Mode Mandatory CMV Continuous Mandatory Ventilation Assist Intermittent Mandatory Ventilation SIMV Synchronized Intermittent Mandatory Ventilation Pressure Support CPAP / PEEP Continuous Positive Airway Pressure Positive End Expiratory Pressure Spontaneous Flow Pattern : Flow Pattern Indications for mechanical ventilationExtra-pulmonary NS:- OD sedatives, Coma, failure of resp centers Neuromuscular: - injury, MG, GB, diaphragmatic dysfunction, ALS, electroly imbalances Musculoskeletal:- injury, flail chest Pulmonary airway obstruction, non-compliant lung tissue : Indications for mechanical ventilationExtra-pulmonary NS:- OD sedatives, Coma, failure of resp centers Neuromuscular: - injury, MG, GB, diaphragmatic dysfunction, ALS, electroly imbalances Musculoskeletal:- injury, flail chest Pulmonary airway obstruction, non-compliant lung tissue Slide 24: Goals - maintain alveolar ventilation - deliver oxygen - administer gases under pressure main positive end expiratory pressure (PEEP) reduce the work of breathing Slide 25: Potential Complications from Mechanical Ventilation A Effects on the cardiovascular system - decreased cardiac output due to decreased venous return, increased right ventricular afterload and decreased left ventricular compliance B. Barotrauma (esp. with PEEP) - consequence of high pressure in airways - overdistention of the alveoli causing rupture; gas escapes into interstitial spaces leading to subcutaneous emphysema, pneumothorax C. Oxygen toxicity D. Acid-Base Disturbances E. Water Imbalances (fluid volume excess) F. GI Bleeding Slide 26: Potential Complications from Mechanical Ventilation CNS Disturbances Potential Infection I. Fighting the Ventilator - breathing out of synchrony with ventilator Reasons - hypoxia, airway obstruction, ventilator malfunction, anxiety, etc. Intervention - ALWAYS ASSESS FIRST, then troubleshoot, consider sedation J. Sleep deprivation & Psychological consequences K. Mechanical Failure Slide 27: Nursing Care of the Ventilated Patient Use of Paralyzing Agents Possible Nursing Diagnostic stems for the Patient receiving mechanical ventilation Impaired communication Alteration in nutrition Ineffective airway clearance Impaired Gas Exchange (actual/ Potential) Ineffective breathing pattern (actual/ potential) Anxiety Slide 28: Q&A End Prepared by SNM, Med 20 Aug 07 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Ventilatory Support bwcwj01 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 264 Category: Others/ Misc License: All Rights Reserved Like it (0) Dislike it (0) Added: October 30, 2009 This Presentation is Public Favorites: 0 Presentation Description Basics on Mechanical Ventilation Comments Posting comment... By: bwcwj01 (27 month(s) ago) Why not? By all means please. Saving..... Post Reply Close Saving..... Edit Comment Close By: PEEP (27 month(s) ago) Hi, Could you let me download Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript BasicsMechanical Ventilation : BasicsMechanical Ventilation Control : Control Volume Control volume limited, volume targeted and Pressure Variable Pressure Control pressure limited, pressure targeted and Volume Variable Dual Control volume targeted (guaranteed) pressure limited Mode : Mode Mandatory CMV Continuous Mandatory Ventilation Assist Intermittent Mandatory Ventilation SIMV Synchronized Intermittent Mandatory Ventilation Pressure Support CPAP / PEEP Continuous Positive Airway Pressure Positive End Expiratory Pressure Spontaneous Flow Pattern : Flow Pattern Indications for mechanical ventilationExtra-pulmonary NS:- OD sedatives, Coma, failure of resp centers Neuromuscular: - injury, MG, GB, diaphragmatic dysfunction, ALS, electroly imbalances Musculoskeletal:- injury, flail chest Pulmonary airway obstruction, non-compliant lung tissue : Indications for mechanical ventilationExtra-pulmonary NS:- OD sedatives, Coma, failure of resp centers Neuromuscular: - injury, MG, GB, diaphragmatic dysfunction, ALS, electroly imbalances Musculoskeletal:- injury, flail chest Pulmonary airway obstruction, non-compliant lung tissue Slide 24: Goals - maintain alveolar ventilation - deliver oxygen - administer gases under pressure main positive end expiratory pressure (PEEP) reduce the work of breathing Slide 25: Potential Complications from Mechanical Ventilation A Effects on the cardiovascular system - decreased cardiac output due to decreased venous return, increased right ventricular afterload and decreased left ventricular compliance B. Barotrauma (esp. with PEEP) - consequence of high pressure in airways - overdistention of the alveoli causing rupture; gas escapes into interstitial spaces leading to subcutaneous emphysema, pneumothorax C. Oxygen toxicity D. Acid-Base Disturbances E. Water Imbalances (fluid volume excess) F. GI Bleeding Slide 26: Potential Complications from Mechanical Ventilation CNS Disturbances Potential Infection I. Fighting the Ventilator - breathing out of synchrony with ventilator Reasons - hypoxia, airway obstruction, ventilator malfunction, anxiety, etc. Intervention - ALWAYS ASSESS FIRST, then troubleshoot, consider sedation J. Sleep deprivation & Psychological consequences K. Mechanical Failure Slide 27: Nursing Care of the Ventilated Patient Use of Paralyzing Agents Possible Nursing Diagnostic stems for the Patient receiving mechanical ventilation Impaired communication Alteration in nutrition Ineffective airway clearance Impaired Gas Exchange (actual/ Potential) Ineffective breathing pattern (actual/ potential) Anxiety Slide 28: Q&A End Prepared by SNM, Med 20 Aug 07