Скачать с ютуб CRITICAL CARE NURSING ICU:ventilator patient, urinary cather DR UJJWAL ASSC PROF NURSING AIIMS ND в хорошем качестве

CRITICAL CARE NURSING ICU:ventilator patient, urinary cather DR UJJWAL ASSC PROF NURSING AIIMS ND

Nursing Management of Ventilated Patients Dr Ujjwal explains the indications for mechanical ventilation, the different types of ventilators and modes, and the settings that need to be adjusted. She also discusses the key aspects of nursing care for ventilated patients, including assessment, meeting physiological needs, providing psychological support, preventing infections, and monitoring for complications. Assessing Patient Condition in ICU Ujjwal discussed the importance of assessing patient condition, managing airway suctioning, and monitoring vital signs in the ICU. He emphasized the need to assess the patient's level of pain, anxiety, and sedation needs, as well as monitor their cardiovascular and neurological status. He also highlighted the importance of monitoring for area obstructions, ineffective breathing patterns, and ventilator alarms. Ujjwal stressed the need for proper cuff inflation, ensuring the patient receives appropriate ventilator parameters, and not adding air to the cuff without proper techniques. He also discussed the importance of providing chest physiotherapy and breathing exercises for secretion mobilization, and the need for vigilant suctioning to prevent trauma to the patient. Lastly, he emphasized the importance of following aseptic techniques during suctioning and being familiar with different types of ventilator alarms and their corresponding actions. Meeting Physiological Needs in ICU emphasizing the need for nurses to provide basic care such as eye care, oral care, and hygiene. He highlighted the significance of proper feeding, including nasogastric and parental nutrition, Ujjwal also stressed the importance of providing a quiet and calm environment for patients to promote rest and sleep, and the need for psychological support for both patients and their families. He encouraged open communication and collaboration between healthcare providers, patients, and families to improve patient outcomes. Infection Control in Healthcare Settings Ujjwal discussed the importance of infection control and prevention in healthcare settings, particularly in Intensive Care Units (ICUs). He highlighted the risks of various infections, such as urinary tract infections (UTIs) and ventilator-associated pneumonia (VAP), and the need for standard safety measures like hand washing, wearing personal protective equipment (PPE), and decontamination. He also emphasized the importance of proper waste disposal and the use of color-coded bins for biomedical waste. Ujjwal further explained the care bundles for preventing UTIs and VAP, which include hand hygiene, aseptic techniques, and maintaining closed drainage systems. He stressed the importance of daily catheter care, reviewing the need for catheters, and removing them promptly when no longer necessary. Managing Ventilator Patients and Alarms emphasizing the need for regular assessments of vital signs, sedation levels, and communication abilities. He highlighted the importance of preventing hemodynamic instability, complications from the ventilator, and deep vein thrombosis. Ujjwal also stressed the need for proper patient positioning, oral care, and skin monitoring to prevent pressure ulcers. He explained the different types of alarms given by ventilators and their potential causes. Lastly, he discussed the criteria for weaning patients off mechanical ventilation, including resolution of the acute phase of the disease, absence of excessive secretions, and stable hemodynamic and cardiovascular parameters. . He emphasized the importance of monitoring patients for inadequate gas exchange, decreased cardiac output, impaired skin integrity, altered bowel patterns, and risk for infection. Ujjwal also highlighted the need for regular assessment of vital signs, respiratory rate, depth, and lung sounds. ensuring proper positioning to prevent pressure sores. Ujjwal also discussed the importance of hand hygiene, aseptic techniques during suctioning, and changing of dressings and ventilator settings as per hospital protocols. He concluded by emphasizing the need for early identification of any problems and the importance of following strict aseptic techniques. Mechanical Ventilation Patient Care and Monitoring SHe highlighted the necessity of maintaining aseptic technique, providing mouth care, elevating the head of the bed, and considering subglottic secretion drainage. Ujjwal also stressed the importance of monitoring ventilator settings and patient responses, and performing surgery as needed. Dr. Tapesh added that nurses should be careful with tube security, prevent self-extubation, manage web bundling, and follow septic precautions. He also emphasized the importance of not ignoring ventilator alarms. The next session was planned for February 23rd, with the topic of infusion of fluids, antibiotics, and blood products.