Competency in a ventilated child

DESCRIBE EVENTS THAT MAY CAUSE SUDDEN CHANGES IN THE marge OF A VENTILATED CHILDS If the patients condition deteriorates suddenly,a drug ab engrossful mnemonic to use is: D work shift of endotracheal subway system 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 determine in the airway.This smoke be checked through rumination of bureau movement,a chest x-ray,auscultation of the lungs and assessing the childs general appearance.If there is inadequate immaterial respiration this can be due to an air leak 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 everyplace the stomach.Displacement into a mainstream bronchus will produce unilateral amplification in breath sounds and chest expansion-with a decreaseon the effected side. subway obstruction will result in resistance to bollix up airing,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 latent hostility pneumothorax the mediastinum shifts away from the side of the air leak create 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 alarms 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 acuate care -A nurses survival guide Lo ndon :Churchill Livingstone *Hazinski, M (1! 999) manual of arms of arms of pediatric critical care St Louis :MosbyIf you want to defecate a full essay, order it on our website: OrderCustomPaper.com

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