Competency in a ventilated child

DESCRIBE EVENTS THAT MAY CAUSE SUDDEN CHANGES IN THE termination OF A VENTILATED CHILDS If the patients condition deteriorates suddenly,a drug ab routineful mnemonic to use is: D fracture of endotracheal subway system O obstruction of endotracheal tube P pneumothorax E equipement failure (Davies and Hassell, 2003) A patent respiratory tract must be clear and in the correct mooring in the airway.This smoke be checked through reflection of bureau movement,a chest x-ray,auscultation of the lungs and assessing the childs general appearance.If there is inadequate outer respiration this can be due to an air outpouring around the tube,displacement of the tubeor obstruction i.e.secretions . thermionic vacuum tube displacement into the pharynx or oeshophagus produces decreased inkling sounds and possiblybreath sounds all over the stomach.Displacement into a mainstream bronchus will produce unilateral addition in breath sounds and chest expansion-with a decreaseon the effected side. tube obstruction will result in resistance to messiness 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 possible hostility pneumothorax the mediastinum shifts away from the side of the air leak causation 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 a larms 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 keen care -A nurses survival guide London :Churchill Livingstone *Hazinski, M (1999) manual of arms of pediatric critical care St Louis :MosbyIf you want to lower a full essay, order it on our website: OrderCustomPaper.com

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