پاورپوینت مراقبت از بیماران تحت تهویه مکانیکی (pptx) 56 اسلاید

دسته بندی : پاورپوینت

نوع فایل : PowerPoint (.pptx) ( قابل ویرایش و آماده پرینت )

تعداد اسلاید: 56 اسلاید

قسمتی از متن PowerPoint (.pptx) :

1 مراقبت از بیماران تحت تهویه مکانیکی 2 The oral and tracheal care from intubation patient 3 4 Type of infection Nosocomial pneumonia: also known as aspiration pneumonia Ventilator association pneumonia – defend as pneumonia acquired more than 48 hours after admission. Oral yeast infections – resulting from reduced salivary flow and long term antibiotic therapy. 5 Responsible pathogen Dental plaque provide an environment for ventilator associated pneumonia. In the ICU Dental plaque become quickly colonized by methicillin -resistance S aures, pseudomonas aeruginosa, and streptococcus pneumonia. Reduce salivary flow put patents at risk for over growth of various other organism in the oropharynx. 6 Impact of ventilator PNEMONIA ON PATIENT Patient how develop ventilator association pneumonia(VAP) are likely to spend up to 16 days longer in hospital. Increased length of stay can add up $30000 to $40000 per patient in extra costs. 300,000 cases of VAP occurs in the U.S . Each year and is the leading cause of mortality among nosocomial infections. 7 diagnosis Systemic sign of infection – fever , tachycardia and leukocytosis . Chest X-ray showing worsening infiltrates. Bacteriologic evidence – to determine pulmonary parenchymal infection 8 Prevention strategy Endotracheal cuff management to prevent the passage of secretions to the lungs. Maintenance of tracheal cuff pressure between 20 – 30 cm H20 Using minimal occluding pressure, and minimal leak techniques . When intubation is necessary , use the oral route in preference to the nasal route. Minimize duration of mechanical ventilation. 9