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 commitful mnemonic to use is: D displacement of endotracheal tube-shaped structure O obstruction of endotracheal tube P pneumothorax E equipement failure (Davies and Hassell, 2003) A patent air lane must be clear and in the correct baffle in the airway.This smoke be checked through observation of bureau movement,a chest x-ray,auscultation of the lungs and assessing the childs general appearance.If there is inadequate foreign respiration this can be due to an air disclose around the tube,displacement of the tubeor obstruction i.e.secretions . thermionic vacuum tube displacement into the pharynx or oeshophagus produces decreased steer sounds and possiblybreath sounds all all over the stomach.Displacement into a mainstream bronchus will produce unilateral refinement in breath sounds and chest expansion-with a decreaseon the effected side. underpass obstruction will result in resistance to cud internal respiration,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 possible hostility pneumothorax the mediastinum shifts away from the side of the air leak do 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 an d alarms is useful to exclude causes of chan! ges. (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 acuate care -A nurses survival guide London :Churchill Livingstone *Hazinski, M (1999) manual of arms of pediatric critical care St Louis :MosbyIf you want to function a full essay, order it on our website: OrderCustomPaper.com

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