For people with cystic fibrosis, airway clearance procedures are essential and should come first. Mucus dehydrates as a result of the Cystic Fibrosis Transmembrane Conductance Regulator deficiency. In cystic fibrosis, the secretions are typically thick, gooey, and more challenging to remove. Both the treatment of acute exacerbations and the maintenance of health in cystic fibrosis depend heavily on frequent airway clearance.
A non-rebreather mask can provide almost all of the oxygen needed. Refractory hypoxemia is observed when the patient's oxygenation status does not significantly improve in response to the supply of oxygen at this high dosage. The patient is typically exerting a lot of effort to breathe at this point and risking respiratory arrest unless medical professionals step in and administer intubation and mechanical ventilation to lessen the patient's labor of breathing.
The mucous membranes may dry out when the oxygen flow rate exceeds 4 L/min. The best course of action is to upgrade the oxygen delivery system with humidification. For patients who need high-flow oxygen systems for longer than 24 hours or who complain of upper airway irritation owing to dryness, it is permissible to utilize humidified oxygen. It can also be beneficial to apply a water-soluble jelly to the nares to lessen mucosal irritation. None of the alternative solutions will address the issue.
The risk of infection for a patient undergoing mechanical breathing never goes away. Bypassing the body's natural air-filtering systems, the endotracheal tube gives bacteria and viruses a direct path to the lower respiratory system.
The nursing assistant can remind patients to perform tasks that are specified in their care plan and have already been taught to them by the nurse. The appropriate person must be given the appropriate tasks and responsibilities under the appropriate conditions. Following that, the nurse who assigned the tasks and jobs must interact with and supervise the person performing them. The nurse oversees the individual and judges whether or not the task was completed in a proper, suitable, safe, and competent manner.
The educational background and scope of practice of a nursing assistant include helping patients with positioning and activities of daily life. Under the direct supervision of the nurse, nonprofessional, unlicensed assistive nursing personnel may legally be assigned certain tasks and aspects of care, provided they are competent in those areas, such as assistance with transfers, range of motion, feeding, ambulation, and other tasks like making beds and assisting with bowel and bladder functions.
You can give the patient 100% FiO2 by manually ventilating them while you try to figure out what's causing the high-pressure alarm. Safe ventilation parameters for each patient and their conditions should be taken into account while using proper ventilation strategies with the BVM.
