mechanical ventilator

As a respiratory therapist I would make an excellent Jedi to go up against Darth Vader because I would know which buttons to flip with the force on his portable mechanical ventilator.

Dear people, dear fellow witches,religious people,

This is my new cousin, he’s a month old. Some weeks ago he caught a cold, it got worse and now it’s pneumonia.

For those that don’t know, pneumonia can be fatal for a kid. But this is worse, he’s a new born.

Last night his mother told us he now needs a mechanical ventilator aid. He’s literally plugged in.

I ask you for your blessings, any little ritual or prayer you believe on for this little guy to get better. He could really die.

If you can’t do this or don’t want to do it, please reblog, signal boost.

Thank you.

Pneumothorax

Imagine your lungs. Now, imagine one of your lungs collapsing. Serious, right? So what happens when you’re on the floor and a patient’s lung collapses?

First of all:  how will you know it occurred? Assessment

  • absent breath sounds on affected side
  • decreased chest expansion unilaterally
  • sharp chest pain
  • tachypnea
  • tracheal deviation to the unaffected side (tension pneumothorax) [occurring when there’s a buildup of air from INSIDE; i.e. defect in mechanical ventilation]

Second:  how will you intervene? Intervention

  1. Priority:  apply a nonporous dressing over an open chest wound
  2. Administer oxygen as prescribed
  3. Place patient in Fowler’s position (as with any patient with a respiratory problem to allow for increased lung expansion)
  4. Prepare patient for chest tube

Um, what’s a “chest tube” and what do you look for once it’s in place?

A chest tube drainage system facilitates the return of negative pressure to the intrapleural space in order to expand the lungs.

A chest tube drainage system (aka Pleur-Evac) will consist of a (1) water seal chamber and (2) suction control chamber

Water seal chamber

  • With the chest tube submerged in water, this chamber allows fluid and air OUT, but NOT in.
  • This chamber should move up and down as the patient inhales and exhales, respectively
  • Excessive bubbling indicates an air leak

Suction control chamber

  • This chamber, with the appropriate amount of water, provides the suction to facilitate negative pressure to the chest and prevents lung tissue from being sucked in (which is obviously not desirable)
  • Gentle bubbling is expected and indicative of proper suctioning

Assessing the Pleur-Evac and Interventions

  • Report bright red drainage to HCP
  • Report continuous bubbling in water seal chamber to HCP
  • Maintain an occlusive sterile dressing over chest tube insertion site
  • Assess respiratory status frequently
  • Keep the Pleur-Evac below the patient’s chest and free of kinks
  • Encourage deep breathing and coughing
  • IF the Pleur-Evac cracks or breaks, place the chest tube in water to prevent air from entering lung
  • IF the chest tube is pulled out of the chest, immediately apply a sterile, occlusive dressing over the area and notify the HCP
On the 12th day of Christmas my true love gave to me...

12++++ breathing treatments

11 EKG’s

10  People with cough who shouldn’t have come to the damn ER and are wasting our time.

9 Acute Chest Pains

8 Arterial Blood Gasses

7 Fall Victims

6 COPD exacerbations

5 Congestive Heart Failures

4 Alcohol Poisonings

3 Narcotic Overdoses

2 Pneumothoraxes

And a guy found unresponsive who went in cardiac arrest and respiratory failure and needed to have CPR, be intubated, and placed on mechanical ventilation… in a tree!!!!

Mechanical Ventilators used so far in Peashooter’s career as a respiratory therapist.

Newport HT-50 Transport Ventilator

Respironics Esprit V200

Puritan Bennett 840

Drager V500

AVEA

Sidious Medical Systems Imperial Puffs 990