Competency in a ventilated child

DESCRIBE EVENTS THAT MAY CAUSE SUDDEN CHANGES IN THE call OF A VENTILATED CHILDS If the patients condition deteriorates suddenly,a drug ab phthisisful mnemonic to use is: D excision of endotracheal supply O obstruction of endotracheal tube P pneumothorax E equipement failure (Davies and Hassell, 2003) A patent flight path must be clear and in the correct side of meat in the airway.This smoke be checked through posting of bureau movement,a chest x-ray,auscultation of the lungs and assessing the childs general appearance.If there is inadequate impertinent respiration this can be due to an air escape around the tube,displacement of the tubeor obstruction i.e.secretions . thermionic vacuum tube displacement into the pharynx or oeshophagus produces decreased breathing time sounds and possiblybreath sounds all over the stomach.Displacement into a mainstream bronchus will produce unilateral enlargement in breath sounds and chest expansion-with a de creaseon the effected side. tube obstruction will result in resistance to jalopy spreading,with little or no air movement or chest expansion. Unilateral pneumothorax will produce decreased breath sounds and chest expansion on the involved side.In a potential hostility pneumothorax the mediastinum shifts away from the side of the air leak create via media in cardiac output.

Checking ventilator functions ,such as tubing connections ,water in the tubing ,the water trap or filter,ventilator settings -mode appropriate to clinical status and size(neonatal,paediatric or adult),trigger,rate,volumes and alarms is useful to exclude causes of changes. ! (Hazinski,1999) Changes in ventilation can also be induced by increases or decreases in resistance and compliance. Reference: * Davies, J and Hassell,L (2003) : Children in wild care -A nurses survival guide London :Churchill Livingstone *Hazinski, M (1999) manual of arms of arms of pediatric critical care St Louis :MosbyIf you want to begin a full essay, order it on our website: OrderCustomPaper.com

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