Ventilator-Associated Pneumonia Essay Essay Example

Ventilator Ventilator-Associated Pneumonia Essay Essay Ventilator-Associated Pneumonia Essay Essay A patient with a mechanical ventilator attached to an endotracheal tubing demands sufficient unwritten attention. This is because unwritten pit is a primary beginning of taint of the lungs in the intubated and compromised patient ( Smeltzer and Bare. 2004 ) . The frequence of unwritten attention for an intubated patient can change from every two to four hours. or every 12 hours brushing plus unwritten dampening every two hours ( Abidia. 2007 ) . The registered nurse is responsible for supplying unwritten attention and over-all hygiene for the intubated patient. Discussion Ventilator-associated pneumonia or VAP is defined as pneumonia that occurs in a patient attached to a mechanical ventilator for more than 48 hours ( Torpy. 2007 ) . There are risk factors on how a patient becomes susceptible to undertaking this disease and these are as follows. if the patient is attached to a mechanical ventilator and has endotracheal cannulation. if the patient is attached on a mechanical ventilator for a long continuance of clip already. advanced age. diminished degree of consciousness. lung disease. immune system is suppressed and malnutrition ( Torpy. 2007 ) . If any of these hazard factors are present the patient may go septic with ventilator-associated pneumonia. When a patient is demoing marks of increased temperature. increased white blood cell count. and new or altering lung infiltrate on thorax X ray he or she is most likely agony from VAP already ( Torpy. 2007 ) . Physicians would inquire for a civilization of the tracheal aspirate and this can help in placing which bacteriums or fungus is responsible and a bronchoscopy is besides required ( Torpy. 2007 ) . The nurse can implement intercessions to assist the patient in forestalling acquisition of the disease. Pruitt and Jacobs suggest promoting the caput of the bed 30 to 45 grades. giving the patient a day-to-day sedation holiday. administrating peptic ulcer disease prophylaxis. most particularly sucralfate. inciting deep vena thrombosis prophylaxis and a consistent unwritten attention ( Pruitt and Jacobs. 2006 ) . Get downing the patient on broad-spectrum antibiotics is besides advised and the usage of non-invasive positive force per unit area airing alternatively of cannulation and mechanical airing can besides assist in forestalling VAP. Harmonizing to Zoidis. the usage of non-invasive positive force per unit area airing is said to offer flexibleness of usage. turning away of complications such as pneumonia. saving of the ability to talk and get down. and improved patient comfort ( Zoidis. 1998 ) . Patients who are attached to a mechanical ventilator receive their nutrition via enteric eatings since most of them are either unconscious or because of the presence of an endotracheal cannulation. Enteric eatings make patients that are attached to a ventilator susceptible to ventilator-associated pneumonia because the nasogastric tubing bypasses the little sum of stomachic contents through to the oropharynx and the nutrient material can be easy aspirated into lower air passages most particularly in patients who have no more control of their sup or joke physiological reaction ( Teramoto et al. . 2006 ) . The nurse’s function is critical to forestalling the happening of VAP because every bit aforementioned. the nurse is the 1 to keep unwritten attention for the patient. Besides. the processs mentioned above. i. e. positioning. disposal of anti-ulcer Master of Educations. is to be carried out by the nurse. Conclusion VAP is a preventable disease because given the aforesaid. easy accomplishable intercessions that a nurse can implement for bar. the disease can be avoided. However. VAP’s happening can be attributed to the deficiency punctilious attention and lament observation that nurses bury to give to the patients because of the work load and limited clip. Surveies have been done and it showed that if purely enforced. all the preventative intercessions can guarantee that the patient does non endure from VAP.