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Care of Child in Ventilator

The document provides guidelines for caring for a child on a ventilator. It lists the primary indications for mechanical ventilation as depressed or absent respiratory drive, inadequate neuromuscular function, airway obstruction, airway protection, and acute management of increased intracranial pressure. It describes nursing care tasks like using aseptic technique, maintaining airway patency, adequate ventilation and oxygenation, suctioning, preventing hypothermia, monitoring the child hourly and recording observations. Equipment like the ventilator, endotracheal tube, monitors, and suction supplies should be assembled and the child's position changed every few hours.

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Srijana Mahato
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1K views16 pages

Care of Child in Ventilator

The document provides guidelines for caring for a child on a ventilator. It lists the primary indications for mechanical ventilation as depressed or absent respiratory drive, inadequate neuromuscular function, airway obstruction, airway protection, and acute management of increased intracranial pressure. It describes nursing care tasks like using aseptic technique, maintaining airway patency, adequate ventilation and oxygenation, suctioning, preventing hypothermia, monitoring the child hourly and recording observations. Equipment like the ventilator, endotracheal tube, monitors, and suction supplies should be assembled and the child's position changed every few hours.

Uploaded by

Srijana Mahato
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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CARE OF CHILD IN

VENTILATOR
Indications For Mechanical Ventilation

Primary indications include:


 Depressed or absent respiratory drive secondary to

medications or central nervous system injury.

 Inadequate peripheral neuromuscular function.

 Upper or Lower airway obstruction.


 Airway protection.

 Acute management of increased intracranial pressure


NURSING CARE IN VENTILATOR
 Use strict asepsis during procedure.
 Maintain a patient airway.
 Adequate ventilation with required oxygen concentration.
 Adequate suctioning to prevent obstruction.
 Prevent hypothermia.
 Maintain comfort of the baby either by sedation or by giving
muscle relaxant as ordered by the physician to make the
ventilation effective.
 Observation & recording hourly and whenever necessary.
 Confirm whether the ventilator tubing is attached currently to the
machine.
 Collect the following equipment on the bedside.
 Ventilator with ventilator circuit and humidifier.
 Endotracheal tube with appropriate size ,
Laryngoscope with blade.
 Ambu Bag with face mask.
 Sterile Gloves.
 Emergency Drugs.
 Cardiac Monitor.
 Central suction with appropriate suction catheter.
Normal saline 100 ml (2) for suctioning, cotton swab.
 Disinfectant for Hand Hygiene.
 Kidney Tray.
 Confirm that the endotracheal tube is in position by checking
the air entry and chest expansion.
 Secure the endotracheal tube adequately and avoid traction on
the tube.
 Ask for Chest X-ray.
 Confirm the ventilator setting with the doctor and observe for
any small leak.
 Observe the ventilator setting and oxygen saturation on hourly
basis and record in the flow chart.
Remove water collected in the circuit and water trap frequently.

Post surfactant therapy,endotracheal suction to be done after 6 hours.


Perform blood analysis whenever ordered by the physician.

Change baby’s position after every 2-3 hours and whenever necessary.

Endotracheal, Nasal and Oral suction to be done every 2-3 hours and

whenever necessary.

Post Surfactant Therapy endotracheal suction to be done after 6 hours.



 Chest X-ray should be taken whenever ordered by the
physician.

 Comfort of the child to be maintained by proper positioning,


if needed, sedation is given after consulting the physician.

 The need and frequency for physiotherapy should be


reviewed each day.

 Change the E.T. tube after 7 days and whenever necessary.


MONITORING

 Vital sign – 1 hourly and depends on the condition of


the baby.
 Any changes in the settings on the ventilator should
be monitored.
 Condition of the child after ventilation.
 Check the Oxygen saturation every 1 hour and
whenever necessary.
 The amount of secretion, colour and odour during
suctioning should be monitored carefully.

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