How To Take Care Patient With Ventilator ?

A. Humidifasi and Temperature

Mechanical ventilation through artificial airway negate the body's defense mechanism against sticking and heating.

Two processes must be added moisturizers (humidifier) with temperature control and water filled to the extent specified level (water boiling system) Condensation of water occurs with decreasing temperature to a temperature of 370 C at the end of the mechanical ventilation circuit. In most cases the air temperature of ± equal to body temperature.

In the case hypotermi temperature can be increased more than 370 C - 380 C.

Vigilance is recommended because of the old and the high temperature inhalation burns in the trachea, it is easier secretion of coagulation and consequently airway obstruction can occur. Conversely, if the patient's temperature is less than 360 C makes the opportunity for the growth of germs.

B. Airway Maintenance

Airway maintenance occurs from sticking adequate, changes in position and sucking sucking secretion in doing only when necessary, because this makes the patient uncomfortable and the risk of infection, sterility note!

Furthermore, in addition to sounding the ronkhi (auscultasi) can also be seen from the increasing pressure inspiration (resp. rate) that indicate the presence of adhesions / narrowing of the airway by secretions are an indication to do suction.

Chest physiotherapy is very supportive to reduce atelectasis and to facilitate decision-secretion, can be a way to clapping, fibrasing change position every 2 hours needed to be done to reduce pelengketan secretion.

C. Endotracheal tube care

Endotracheal hose should be installed securely to prevent migration, kinking and terekstubasi, therefore, that adequate fixation should not be ignored. Replacement plesterfiksasi at least 1 day must be done because this is an opportunity for us to see if there are signs of blister / skin irritation on the edge of the lip or endotracheal tube installation location.

In patients who do not cooperate should be installed mayo / Gudel to size, is good for endotracheal tube was not bitten, and could also make it easier for suctioning of secretions.

D. Endotracheal cuff pressure

Cuff pressure should be monitored at least every shift to prevent over inflation and excess pressure on the tracheal wall.

In patients with mechanical ventilation, the best is the lowest pressure without any leakage / decrease in tidal volume.

Cuff kempeskan if possible on a periodic basis to prevent the occurrence of necrosis in the trachea.

E. Nutrition Support

In patients with mechanical ventilation installation of nutritional support must be considered early. If this is overlooked by dozens of side effects that aggravate the condition of the patient, and even can cause pulmonary complications and death.

If there is no disturbance of gastrointestinal tract, Enteral nutrition can be given via Nasogastric tube (NGT), which began with the first feeding test, especially in patients with post laparatomy with bowel resection.

F. Eye Care

In patients with mechanical ventilation installation of eye care is very important in nursing care. Assessments are frequently and giving eye drops / zalf can decrease dry eye cornea. When the blink reflex is lost, the eyelids should be in plaster to prevent corneal abrasion, dry and trauma. edema of the sclera may occur in patients with mechanical ventilation when venous pressure increases.