Nursing Care of the Ventilated Infant
- Kimberly LaMar ND, NPD-BC
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As nurses spend 24 h per day with the newborn in an intensive care nursery, nursing care is essential to the eventual recovery and discharge of these fragile patients.
History taking assists in focusing on an area while keeping the mind open to other possibilities. It is also important to know environmental and community/epidemiological impacts (e.g., onset of Respiratory Syncytial Virus season).
Maternal, including past and existing medical conditions
Normal physiology, pathophysiology, and embryology are key to understanding the concepts of respiratory disease in the neonate.
Sleeping, awake, alert, crying or motions of crying, if ventilated
Must be an objective assessment as patient cannot give subjective feedback
A number of pain scales and stress scales are available for use with neonates including preterm and ventilated babies
Generalized color as well as central color deter ...
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- Chang, Y, Anderson, G, Lin, C (2002) Effects of prone and supine positions on sleep state and stress responses in mechanically ventilated preterm infants during the first postnatal week. J Adv Nurs 40: pp. 161-9 CrossRef
- Claure, N, Bancalari, E, D’Ugard, C, Nelin, L, Stein, M, Ramanathan, R, Hernandez, R, Donn, SM, Becker, M, Bachman, T (2011) Multicenter crossover trial of automated adjustment of inspired oxygen in mechanically ventilated preterm infants. Pediatrics 127: pp. e76-83 CrossRef
- Hodge, D (1991) Endotracheal suctioning and the infant: a nursing care protocol to decrease complications. Neonatal Netw 9: pp. 7-15
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- Solberg, M, Hansen, T, Bjork, R (2011) Nursing assessment during oxygen administration in ventilated preterm infants. Acta Paediatr 100: pp. 193-7 CrossRef
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- Wilson, G, Hughes, G, Rennie, J, Morley, C (1992) Evaluation of two endotracheal suction regimes in babies ventilated for respiratory distress syndrome. Neonatal Netw 11: pp. 43-5
- Woodgate P. Tracheal suctioning without disconnection in intubated ventilated neonates. Cochrane Database Rev. 2001. Taken from http://www.nichd.nih.gov/cochrane/Woodgate2/Woodgate.htm.
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- Yokum F. Nursing documentation. 2004. Taken from http://www.awarenessproductions.com.
- Nursing Care of the Ventilated Infant
- Book Title
- Manual of Neonatal Respiratory Care
- pp 693-703
- Print ISBN
- Online ISBN
- Springer US
- Copyright Holder
- Springer Science+Business Media, LLC
- Additional Links
- Industry Sectors
- eBook Packages
- Editor Affiliations
- ID1. C.S. Mott Children’s Hospital, Division of Neonatal-Perinatal Medicine, Professor of Pediatrics
- ID2. University of Durham, Consultant in Ped and Neonatal Medicine, Professor of Pediatrics
- Author Affiliations
- 1. Chamberlain College of Nursing, Phoenix Campus, 2149 W Dunlap Ave, Phoenix, AZ, 85021, USA
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