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Title:

Oxygen Delivery and Artificial Airways

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May aspirate. Do. Good mouth care. Suctioning. 7. Nasopharyngeal. Airways. Advantages. Easy to insert ... Procedure to remove patient from ventilator. Done by ... – PowerPoint PPT presentation

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Title: Oxygen Delivery and Artificial Airways


1
Oxygen Delivery and Artificial Airways
  • Cheryl McConnell RN MSN

2
Oxygen Equipment
  • Nasal canula
  • 1 LPM 24
  • 2 LPM 28
  • 3 LPM 32
  • 4 LPM 36
  • 5 LPM 40
  • 6 LPM 44

3
O2 Delivery
  • Partial rebreather
  • Over 6 LPM
  • 60 or greater delivery
  • Nonrebreather
  • 90 - 100 delivery

4
More O2 Delivery
  • Venturi mask
  • Predetermined
  • 24 - 50

5
Airways
  • Oropharyngeal
  • Advantage
  • Easy to insert
  • Holds tongue away
  • from hypopharnyx
  • Disadvantage
  • Easily dislodged
  • Trouble tolerating
  • Gagging

6
Oropharyngeal Airway
  • Do not
  • Tape in place
  • May aspirate
  • Do
  • Good mouth care
  • Suctioning

7
Nasopharyngeal Airways
  • Advantages
  • Easy to insert
  • Better tolerated by conscious patient
  • Easier to suction

8
Airway No-Nos
  • Contraindications
  • Nasal obstruction
  • Predisposition to epitaxis
  • PROLONGED PT or PTT

9
Endotracheal Intubation
  • Advantages
  • Maintains protects airway
  • Suctioning easy
  • Mechanical ventilation
  • Contraindicated
  • Foreign body in larynx

10
Tracheostomy
  • Indications
  • Long term ventilation
  • Severe upper airway trauma, laryngeal edema or
    hematoma
  • Foreign body
  • Tumor in larynx

11
Trach Advantages
  • Suction easy
  • Patient care swallow and eat
  • Tube is cuffed
  • Decrease risk of aspiration

12
Ventilators
  • Types
  • MA 1
  • MA 22
  • 7200a
  • Bear

13
Ventilators
  • Modes
  • Assist control
  • CMV
  • IMV
  • SIMV
  • CPAP
  • Pressure support

14
MD orders
  • Tidal volume (VT)
  • Air breathed in out of airway during the
    breathing process
  • Rate
  • FIO2

15
Peep
  • Goals
  • Decrease the work of breathing
  • Improve oxygenation and ventilation

16
Peak Airway Pressure
  • Tells of problems in ventilating the patient
  • High alarms
  • Blockage
  • Coughing
  • Low alarms
  • Something disconnected
  • Deflated tracheal cuff

17
Ventilator management
  • Nursing responsibilities
  • Check settings of ventilator
  • NEVER turn off alarms
  • Monitor heart and lungs
  • EKG
  • Auscultation
  • Suctioning
  • Communication

18
Weaning
  • Procedure to remove patient from ventilator
  • Done by looking at weaning parameters

19
Nursing Diagnosis
  • Ineffective airway clearance
  • High risk for infection
  • Anxiety
  • Impaired communication
  • Sleep pattern disturbance

20
Nursing Diagnosis
  • Powerlessness
  • Body image disturbance
  • Sensory-perception alteration
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