Competency in a ventilated child

DESCRIBE EVENTS THAT MAY CAUSE SUDDEN CHANGES IN THE experimental condition OF A VENTILATED CHILDS If the patients condition deteriorates suddenly,a drug ab practiseful mnemonic to use is: D fault of endotracheal thermionic valve O obstruction of endotracheal tube P pneumothorax E equipement failure (Davies and Hassell, 2003) A patent air duct must be clear and in the correct localisation in the airway.This smoke be checked through musing of bureau movement,a chest x-ray,auscultation of the lungs and assessing the childs general appearance.If there is inadequate outside respiration this can be due to an air natural spring around the tube,displacement of the tubeor obstruction i.e.secretions . thermionic vacuum tube displacement into the pharynx or oeshophagus produces decreased breathing spell sounds and possiblybreath sounds all over the stomach.Displacement into a mainstream bronchus will produce unilateral profit in breath sounds and ches t expansion-with a decreaseon the effected side. metro obstruction will result in resistance to push-down store 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 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),trigg er,rate,volumes and alarms is useful to excl! ude 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 extreme care -A nurses survival guide London :Churchill Livingstone *Hazinski, M (1999) manual of arms of arms of pediatric critical care St Louis :MosbyIf you want to rifle a full essay, order it on our website: OrderCustomPaper.com

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