UAEElnhibitets high blrrud preeeure relerr hlurrd ueeeele dry Laugh, dialireree,
and heart tairure reduce heme reeddead drdrreineea. eeneitieity ta
EIAHB rtgerrte heart attack the sun
El Partlerrhj'thmiee irregular heart rtrgthrne eanb'al heart rhythm and
Ad 36% c'ecl COI
' alien (Coarse VF)
Fine Ventricular Fibrillation (Fine VF
Ventricular Tachycardia Pulsaless
Not Slrockahlc I
Pulseless Electrical Activity (PEA)
. AduHPLadVP-aiaAIHPIiFhJ, 9
2015 AHA BLS and
40 l Nursing2016 l Volume 46, Number 2
Copyright 2016 Wolters Kluwer Health, Inc. All rights reserved.
ANCC CONTACT HOURS
By Karen Jean Craig-Brangan, BS, RN, EMT-P,
and Mary Patricia Day, MS
Barlow Respiratory Hospital Therapist-Implemented Patient-Specific
TIPS Weaning Protocol
For patient admitted on SIMV /PSV
If SIMV > 10 or PSV 20 continue current settings.
If SIMV 10 and PSV 20, no change, but begin TIPS if
patients PSV supported breaths
Initial Ventilator Settings
The following guide is an example of the steps involved in operating a mechanical ventilator.
The nurse, in collaboration with the respiratory therapist, always reviews the manufacturers
instructions, which vary according to th
Care of the Patient with an Endotracheal Tube
Immediately After Intubation
1. Check symmetry of chest expansion.
2. Auscultate breath sounds of anterior and lateral chest bilaterally.
3. Obtain order for chest x-ray to verify proper tube placement.
Terminology and Definitions
FVC - Forced Vital Capacity - after the patient has taken in the deepest possible breath,
this is the volume of air which can be forcibly and maximally exhaled out of the lungs until
no more can be expired. FVC is usually expre
Monitoring the Ventilator Equipment
The ventilator needs to be monitored to make sure that it is functioning properly and that the
settings are appropriate. Although the nurse may not be primarily responsible for adjusting the
settings on the ventilator o
Troubleshooting Problems With Mechanical Ventilation
Increase in peak airway
Coughing or plugged airway
Suction airway for secretions;
empty condensation fluid from
Patient fighting ventilat