artificial airway
What is cuff pressure of an endotracheal tube?
It is 20-25 mmHg
What are the nursing responsibilities related Endotracheal tube?
Securing the ET
Correct tube placement
Proper cuff inflation
Maintaining tube patency
What is synchronized intermittent mandatory ventilation? (SIMV)
It is a mode ventilation.
The ventilator will deliver a pre-set frequency of breaths but allows spontaneous breaths to be taken in between and the client own Tidal Volume. Ventilator breaths are synchronized with these spontaneous breaths.
What is the prefer method to intubated with endotracheal tube (ET tube)?
Orally
What is non-invasive ventilation?
Ventilation provided without ET tube
Complications of suctioning?
Hypoxemia, increased ICP, dysrhythmias, hypertension, mucosal damage, and bleeding
What happen if the cuff pressure of the ET tube is too high?
It may cause pressure injury to trachea
what is a positive pressure ventilator?
pushes air into lungs on inspiration
What is a high pressure alarm?
Usually indicates ET tube obstruction secretion build up, displacement of the tube, patient coughing . Also may indicate pneumothorax
What happen if the cuff pressure pressure is too low?
secretions may leak around the cuffed and cause aspiration
What is PEEP? (positive end expiratory pressure)
positive pressure applied to airway during exhalation
should be 5 to 10 H2O
What is a low airway pressure alarm or low Tidal Volume alarm?
Usually due to disconnections or leaks from the ventilator.
What are methods to check for ET tube placement?
CXR
End tidal CO2
Auscultation of lungs
Equal chest expansion
What is assist control Ventilation?
It is a mode of ventilation in which most of the work is done by the ventilator
What is ARDS? (acute respiratory distress syndrome)
Acute respiratory distress syndrome (ARDS) is a life-threatening lung condition that causes severe difficulty breathing. It occurs when fluid builds up in the tiny air sacs (alveoli) of the lungs, preventing them from exchanging oxygen and carbon dioxide effectively.