Ventilators: Weaning

SHARE:

Weaning
Weaning is a process by which the patient is gradually allowed to assume responsibility for regulating and performing his own ventilation.
When to wean?
The initial pulmonary pathology should be resolving
Stable Cardiovascular function
Fluid balance is maintained
Nutritional state maintained without any nitrogen imbalance.
Methods of weaning  
T piece and CPAP   
Pressure support
SIMV
Weaning criteria
Respiratory rate should be less than 25 breaths/minute
ABG ;PaO2 should be at least 50mmHg on less than 50% oxygen and with no more than 5cm  H2O PEEP.
NPO for 4-6 hours
Vital capacity should be at least 10-15 cc/ kg
Negative inspiratory force should be at least -20cm H2O
Tidal volume should be 5ml/kg during spontaneous respiration
Minute ventilation(VTxRR) should be less than 10 liters/ minute
Vital capacity : Is the maximum amount of air a person can expel from the lungs after a maximum inhalation.
Minute ventilation: is the volume of gas inhaled (inhaled minute volume) or exhaled (exhaled minute volume) from a person’s lungs per minute.
Extubation
Obtain the ABG report prior to the weaning criteria
Assemble the oxygen delivery system including mask and humidification
Explain the procedure to the patient and prepare for suction both through ETT and orally
The patient should be positioned 45 degrees head end elevation
Drape should be set for the soiled ETT and to contain secretion
Swab the patient's mouth with an oral Swab dipped in chlorhexidine and then with ice chip depends on patient tolerance.  
All fasteners holding the ETT should be loosened.
The ETT should be removed in a steady, quick motion as the patient will likely cough and gag.
Post extubation care:
Humidified oxygen
Respiratory exercise
Assessment and monitoring
Preparation for intubation


COMMENTS

Name

anaphysio,3,ASEPSIS AND INFECTION CONTROL,9,audio,1,biochemistry,2,blog,1,BSN Notes: Assessment in Psychiatry,6,BSN Notes: Burns,11,BSN Notes: Care of Terminally Ill Patients,6,BSN Notes: Childhood and Developmental Disorders,6,BSN Notes: Common Behavioural and Social Problems,4,BSN Notes: Common Childhood Diseases,7,BSN Notes: Common Signs And Symptoms,32,BSN Notes: Community Mental Health Nursing,12,BSN Notes: Critical Care,12,BSN Notes: Disaster and Emergency,15,BSN Notes: ENT,8,BSN Notes: Eye,25,BSN Notes: History and Assessment,24,BSN Notes: Introduction of Psychiatry,27,BSN Notes: Legal Issues In Psychiatry,4,BSN Notes: Medication Administration,24,BSN Notes: Neuritic_Stress related and Somatization Disorders,10,BSN Notes: Neurology,6,BSN Notes: Oncological Nursing,8,BSN Notes: Organic Brain Disorders,1,BSN Notes: Oxygenation,3,BSN Notes: Personality_Sexual and Eating Disorders,5,BSN Notes: Principles and Concepts of Psychiatry Nursing,2,BSN Notes: Psych-pharmacology and Other Treatment Modalities,30,BSN Notes: Psychiatry Emergencies and Crisis Intervention,4,BSN Notes: Psychosocial Needs,5,BSN Notes: Schizophrenia and othe Psychotic Disorders,4,BSN Notes: The healthy child,5,BSN Notes: TNPR,9,BSN Notes: Urinary Elimination,14,chn,41,clinicalkannada,4,clinicals1,35,clinicals2,10,clinicals3,26,clinicals4,11,Code of Ethics,3,community,7,Critical thinking,7,drugs,3,Equipment & Linen,9,Equipments & Linen,1,Etics and Legal,1,exa,1,exam,11,featured,19,fon,141,fon3,141,fun,1,geriatric,1,graphic,1,Growth and Development,5,he,93,hotspot,6,kannada,54,language,1,Machinery,10,Medications,1,Memory Tools,9,mhn,126,microbiology,3,misc,2,mnemonics,48,msn,137,NCLEX,13,ncp,27,news,4,obg,28,OBG Medications,1,Peri- operative Nursing,2,pharma,29,Physical Examination and Assessment,9,Psychology,2,Pulse,7,resources,1,Respiration,4,Transitional care,1,Ventilators,5,voice,2,
ltr
item
notes.nursium.com: Ventilators: Weaning
Ventilators: Weaning
notes.nursium.com
https://notes.nursium.com/2017/06/ventilators-weaning.html
https://notes.nursium.com/
https://notes.nursium.com/
https://notes.nursium.com/2017/06/ventilators-weaning.html
true
3454605208880343795
UTF-8
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy