Nursing Goal in Caring Patient on IPPV
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| 1. | Maintaining of patient airway |
| 2. | Maintaining optimal oxygenation and ventilation |
| 3. | Ensure adequate cardiac output and tissue perfusion |
| 4. | Support of nutritional state and ADL |
| 5. | Relief of patient's and relative's discomfort and anxiet |
Nursing Management of Patient on IPPV
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Maintaining of Patient Airway
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Proper ETT/TT positioning |
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Proper inflation of ETT/TT cuff |
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Humidity and temperature |
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Suction PRN |
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Prevention self extubation |
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Proper positioning of ventilator tubibg |
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Confirm ventilation function and ventilatory parameters |
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Monitor ventilator parameter and patent's response |
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Chest physiotherapy |
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Monitor patient for possible injury |
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Monitor fluid and electrolytes |
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Enteral feeding |
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Oral feeding |
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Avoid over-hydration or dehydration |
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Parenteral feeding |
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Mouth toilet¡@ |
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Skin care |
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Encourage limb movement |
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Explanation and reassurance |
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Both patient and relative |
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Handwashing |
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Proper positioning of ventilator tubing |
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Change circuit if soiled |
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Routing culture of tracheal aspirate |
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Restrict number of care giver and visitors |