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Invasive Ventilation POST MODULE - Coggle Diagram
Invasive Ventilation
POST MODULE
Ventilator settings
PEEP (Positive End Expiratory Pressure)
FiO2 (Fracture of Inspired Oxygen)
Flow rate (L of O2/min)
BiPAP/ CPAP
PIP (Peak Inspiratory Pressure)
Breath setting i.e. Spontaneous vs Mandatory
Volume control (Tidal Volume)
Modes of Ventilation i.e. Pressure Control & Pressure Support, CMV, SIMV + advantages & disadvantages of each
Can reduce pt's work of breathing
Allow pt to initiate some of their own breaths
Patient observations
SpO2 (Oxygen Saturation)
Heart Rate
Blood Pressure
GCS (Glasgow Coma Scale)
Lines/ drains/ tubes/ attachments
Wounds
Fractures or Orthopaedic restrictions
MAP (Mean Arterial Pressure)
ICP (Intracranial Pressure)
ETT (Endotracheal tube)
Size, position at teeth
Inline suction vs Open circuit
Cuff
Risks/ Complications
Tracheal trauma
Secretion management
Extubation
Patient GCS/ Alertness
Ability for pt to protect their own airway
Patient agitation
PT Treatment options whilst Ventilated
Percussions & vibrations
Mobility
Evidence++ for early mobilisation in ICU
Passive range of motion
Sit on edge of bed/ Sit out of bed
Saline lavage
Stimulated cough
Hyperinflation
Manual vs Ventilator
Consider precautions/ contraindications/ current medical orders
Proning/ Positioning
Bed Exercises
Sputum suction
Medications/ sedatives
Other patient support whilst ventilated/ sedated
TPN (Total Parental Nutrition)
Nasogastric tube
PEJ feeds
Indwelling Catheter (IDC)
Faecal management system
Tracheostomy
Speaking valve
Suction/ Secretions/ Secretion Management
Decannulation
Trache cares/ cleaning
Humidification
Contraindications to PT treatment
Fenestrated/ Non-venestrated
Cuff
Ventilator complications
Ventilator Associated Pneumonia
Delerium
ICU related trauma/ PTSD
Ventilator Acquired Weakness
Pressure areas
Paralytic Ileus
Oxygen toxicity
Barotrauma/ Pneumothorax
Long term sequelae
PPE (Personal Protective Equipment) + hand hygiene
Indications for I&V
ABG's, deterioration of Obs, Respiratory Failure, major surgery, unstable haemodynamics, sepsis, impaired cognition/ severe agitation