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Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc.
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regular, planned schedule to increase muscle
strength and tone.
Assist patient to optimal body position for
passive/active joint movement to prevent
contractures and other musculoskeletal
complications (e.g., external rotation of hips).
Encourage patient to sit in bed, on side of bed
(dangle), or in chair to improve circulation
and oxygenation and facilitate exercises.
Positioning
Position in proper body alignment to prevent
strain on muscles and joints.
Use appropriate devices to support limbs (e.g.,
hand roll, trochanter roll) to prevent contracted
joints.
Turn the immobilized patient at least every 2
hours, according to a specific schedule, to
maintain skin integrity, mobilize respiratory
secretions, and prevent venous stasis.
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc.
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Mechanical Ventilation Management: Invasive
Instruct the patient and family about the rationale
and expected sensations associated with use of
mechanical ventilators to foster a realistic
understanding of therapy and reassure patient
that breathing will be maintained.
Provide patient with a means of communication
(e.g., paper and pencil, alphabet board) to reduce
anxiety associated with inability to speak and to
provide means for patient to communicate
anxieties.
Initiate relaxation techniques to help patient
manage anxiety.
Provide care to alleviate patient distress (e.g.,
positioning, tracheobronchial toileting,
bronchodilator therapy, sedation and/or
analgesia, frequent equipment checks).
Coping Enhancement
Evaluate the patients decision-making ability to
allow for patient participation in plan of care as
appropriate.
Arrange situations that encourage patients
autonomy to help patient regain and maintain a
sense of control.
Encourage family to verbalize feelings about ill
family member to lessen their anxiety and
increase their cooperation.
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc.
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ABG, Arterial blood gas; FEV1, Forced expiratory volume in 1 second; FIO2,fraction of
inspired oxygen concentration; I:E ratio, duration of inspiration to duration of expiration;
MVV, maximal voluntary ventilation volume; NG, nasogastric; PaCO2, partial pressure of
carbon dioxide in arterial blood; PaO2, partial pressure of oxygen in arterial blood;
PAWP, pulmonary artery wedge pressure; PEEP, positive end-expiratory pressure; PPV,
positive pressure ventilation; SaO2, oxygen saturation in arterial blood measured by
ABGs; ScvO2, central venous oxygen saturation; SV, stroke volume; SvO2, mixed venous
oxygen saturation..
Mosby items and derived items 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc.