By Ruth Wilson VAP means a ventilator associated pneumonia and it normally affects lungs of a patient mostly if he has been paced on a ven...
VAP means a ventilator associated pneumonia and it normally affects lungs of a patient mostly if he has been paced on a ventilator. Ventilator basically refers to a machine that is used to helps patients breathe through the use of a tube which is mostly placed on their noses, mouth or even on a hole in their neck. This disease occurs mostly if germs get to enter a patient through the ventilator tube when he is placed under the ventilator which then gets to the lungs. Basically there have been numerous guidelines which have been developed to aid in the VAP prevention.
Although this infection possesses several risk factors, basically the intervention of nursing care measures can significantly help in the reduction of the disease incidences. Basically nurses become the first line people to inhibit the bacteria colonization especially in the oropharynx as well as the gastrointestinal tract. Additionally there is usually the need of wearing gloves when nurses are in the positions of coming into contact with either the endotracheal or the oral sections.
Nurses are usually advised to keenly follow the guidelines laid in order to prevent numerous cases of the infection. Mostly you find that although they have been clear laid guidelines on the deterrence measures of this diseases but mostly the nurses have been on blame since they are reluctant to keenly follow up the laid strategies.
It has been viewed that for nurses to be in a better position to assist their patient not to acquire this type of infection they actually need to understand the way this infection occurs, the prevention guidelines as well as the reasons why it is necessary to follow such guidelines. One of the deterrent strategies is the management of the air way.
This basically means that laying down strategies in order to limit the time a given patient requires while under mechanical ventilation. The guidelines laid typically requires the putting in place the use of noninvasive positive pressure ventilation supplied continuously through the face or even the nose mask rather than incubating. Nurses are also advised to try actually remove the ET tube in the patient soonest possible and basically to try all possible means in order to avoid endotracheal intubation repeat.
Routine turning of patients basically at a minimum of about after two hours can actually lead to increased pulmonary drainage as well as decreasing the VAP risk significantly. It is recommendable to use beds which have potential of lateral rotation since they are viewed to significantly decrease incidences pneumonia infection. But it has been viewed that these beds do not actually minimize any chances of mortality or even the duration of possible mechanical ventilation.
Oral care is another important strategy which needs to be carefully taken into consideration. The guidelines meant to control the infection basically suggest that implementation of an oropharyngeal cleaning as well as the decontamination program to be done to the patients whom are at a higher risk of getting the infection.
It is also recommendable to actually position patients in a semi-recumbent position. This is a position in which the head of the bed is mostly elevated to about thirty degrees in order to actually prevent reflux as well as the aspiration of bacteria specifically from their stomach into airways.
Although this infection possesses several risk factors, basically the intervention of nursing care measures can significantly help in the reduction of the disease incidences. Basically nurses become the first line people to inhibit the bacteria colonization especially in the oropharynx as well as the gastrointestinal tract. Additionally there is usually the need of wearing gloves when nurses are in the positions of coming into contact with either the endotracheal or the oral sections.
Nurses are usually advised to keenly follow the guidelines laid in order to prevent numerous cases of the infection. Mostly you find that although they have been clear laid guidelines on the deterrence measures of this diseases but mostly the nurses have been on blame since they are reluctant to keenly follow up the laid strategies.
It has been viewed that for nurses to be in a better position to assist their patient not to acquire this type of infection they actually need to understand the way this infection occurs, the prevention guidelines as well as the reasons why it is necessary to follow such guidelines. One of the deterrent strategies is the management of the air way.
This basically means that laying down strategies in order to limit the time a given patient requires while under mechanical ventilation. The guidelines laid typically requires the putting in place the use of noninvasive positive pressure ventilation supplied continuously through the face or even the nose mask rather than incubating. Nurses are also advised to try actually remove the ET tube in the patient soonest possible and basically to try all possible means in order to avoid endotracheal intubation repeat.
Routine turning of patients basically at a minimum of about after two hours can actually lead to increased pulmonary drainage as well as decreasing the VAP risk significantly. It is recommendable to use beds which have potential of lateral rotation since they are viewed to significantly decrease incidences pneumonia infection. But it has been viewed that these beds do not actually minimize any chances of mortality or even the duration of possible mechanical ventilation.
Oral care is another important strategy which needs to be carefully taken into consideration. The guidelines meant to control the infection basically suggest that implementation of an oropharyngeal cleaning as well as the decontamination program to be done to the patients whom are at a higher risk of getting the infection.
It is also recommendable to actually position patients in a semi-recumbent position. This is a position in which the head of the bed is mostly elevated to about thirty degrees in order to actually prevent reflux as well as the aspiration of bacteria specifically from their stomach into airways.
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