Patient/client monitoring at UPV/SŠ (nurse)
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Clinical surveillance[edit | edit source]
- Chest movements:
- Symmetry of movements - do both sides of the chest rise the same during inhalation?
- Synchronization with the respiratory cycle of the ventilator - does the curve recorded on the monitor agree with the respiratory manifestations of P/K?
- Skin Color:
- Cyanosis – peripheral or central?
- Listening phenomena:
- Wheezing, wheezing, "bubbling" – bronchospasm, development of pulmonary edema .
- Administration of breathing mixture in case of balloon leakage - foamy sputum from the mouth.
- Engagement of accessory respiratory muscles indicates P/K difficulties with ventilation.
Monitoring gas exchange[edit | edit source]
- Pulse oximetry, oxygen saturation:
- Beware of CO or cyanide intoxications → increase oxygen saturation values.
- Methemoglobinemia - the saturation value is recorded lower than it actually is.
- Attention to the reduction of peripheral circulation caused by P/K cold, administration of catecholamines or e.g. during fever etc.
- Capnometry and capnography
- EtCO 2 values are given in different units – kPa, %, mmHg.
- The capnograph should display a waveform similar to that recorded by the ventilator.
- Investigation according to ASTRUP :
- Sampling of arterial, capillary, venous blood → the results can be compared, the oxygen consumption of the periphery can be evaluated.
Monitoring physiological functions[edit | edit source]
- EKG :
- Tachycardia occurs during difficulties.
- Rhythm disorders.
- Blood pressure , hemodynamic invasive monitoring:
- Increase in blood pressure during exercise, after rehabilitation, etc.
- Breathing frequency:
- Tachypnea , apnoeic pauses, pathological breathing.
- Hyperventilation during fevers, tremors, during exertion.
- Body temperature:
- TT increases during exertion, tachypnea, hyperventilation occurs during fevers.
- State of consciousness :
- The depth of relaxation, the quality and quantity of consciousness - evaluation of the condition according to the requirements for the ventilation mode.
echnology monitoring[edit | edit source]
- Recording the values shown by the fan, the monitor.
- Fan synchronization monitoring - P/K.
Links[edit | edit source]
Related Articles[edit | edit source]
- Cardiopulmonary monitoring
- Overview of airway management
- Intubation - in children
- Endotracheal intubation
- Difficult intubation
- Tracheostomy
- Coniotomy
- Laryngospasm
- Non-invasive pulmonary ventilation/SŠ (nurse)
- Artificial pulmonary ventilation/SŠ (nurse)
- Oxygen therapy
- PEEP
- Lung volumes
References[edit | edit source]
- DOSTÁL, Pavel, et al. Fundamentals of artificial lung ventilation. 2nd, expanded edition. Prague: Maxdorf Jessenius, 2005. ISBN 80-7345-059-3 Category :high school Nurse Nursing
