https://padlet.com/ashleyeggert1/kbp0v3q558ohscee en-us 2021-09-23 03:06:27 UTC 2021-10-04 00:48:45 UTC hello@padlet.com ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788149233 Hi all, the purpose of this Padlet is to include educational resources that can be used when learning about ventilator associated pneumonia ]]> 2021-10-04 00:16:40 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788149233 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788149876 Ventilator-associated pneumonia stems from bacterial.  When a patient is intubated the normal ciliary motions and clearing of mucus secretions is altered (Kohbodi, 2021). Due to the artificial airway supporting the patient gag reflex is inhibited causing a build up of organisms or better known as biofilm. Biofilm has the potential of dislodging finding its way into the lower respiratory tract leading to pneumonia (Kohbodi, 2021). ]]> 2021-10-04 00:17:16 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788149876 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788153527 2021-10-04 00:20:30 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788153527 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788154344 2021-10-04 00:21:15 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788154344 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788156603 2021-10-04 00:23:09 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788156603 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788158273 2021-10-04 00:24:29 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788158273 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788161992 2021-10-04 00:27:40 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788161992 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788165844 2021-10-04 00:30:27 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788165844 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788169096 2021-10-04 00:32:49 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788169096 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788169826 2021-10-04 00:33:19 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788169826 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788171272 2021-10-04 00:34:20 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788171272 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788175454 Easily considered one of the most important evidence based practice for minimizing the patients exposure to ventilator
associated pneumonia (Boltey et al., 2017). They method could be completed in two ways. Advocating for the patient for
the use of BIPAP.Although BIPAP could be uncomfortable for the patient, it is highly recommended that we advocate for
the patients to provide the best quality of life (Boltey et al., 2017). In the case where mechanical ventilation cannot be
avoided it is important to utilize the hospital ABCDE Bundle which stands for Awakening, Breathing Coordination, Delirium,
and Early mobility (ABCDE) (Boltey et al., 2017). By weaning the patient as tolerated this second method helps prepare the
patient for early extubation. Nurses can contribute to this intervention by coordinating with respiratory therapist daily
interruption if sedation medication that the patient may be on (Boltey et al., 2017). If tolerate the patient is ready for a
spontaneous breathing trial, which the next step will be extubation. Patients who are mechanically ventilated are unable to clear their own secretion. Patients are also prone to dry mouth which causes a build of of bacteria. This bacteria build up can migrate down the endotracheal tube and into the lungs creating a colonization of bacteria in the lungs (Boltey et al., 2017). In a study conducted to test the effectiveness of oral care in the reduction of bacterial growth using routine chlorhexidine found that chlorhexidine in fact help reduce the risk of VAPS, in this study it is important to note that oral was found to be down one to four times a day. Unfortunately in many hospital there are no specific guidelines on how often oral care should be completed (Boltey et al., 2017) ]]> 2021-10-04 00:37:23 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788175454 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788180708 Easily considered one of the most important evidence based practice for minimizing the patients exposure to ventilator associated pneumonia (Boltey et al., 2017). They method could be completed in two ways. Advocating for the patient for the use of BIPAP.Although BIPAP could be uncomfortable for the patient, it is highly recommended that we advocate for the patients to provide the best quality of life (Boltey et al., 2017). In the case where mechanical ventilation cannot be avoided it is important to utilize the hospital ABCDE Bundle which stands for Awakening, Breathing Coordination, Delirium, and Early mobility (ABCDE) (Boltey et al., 2017). By weaning the patient as tolerated this second method helps prepare the patient for early extubation. Nurses can contribute to this intervention by coordinating with respiratory therapist daily interruption if sedation medication that the patient may be on (Boltey et al., 2017). If tolerate the patient is ready for a spontaneous breathing trial, which the next step will be extubation. ]]> 2021-10-04 00:41:18 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788180708 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788184372 A method used in aiding the prevention of VAP is ensuring the head is rested at 30 to 45 degrees and encouraging mobility (Boltey et al., 2017). Gastric reflux has also been proven to be a cause of VAP as mentioned before a method of aiding in the prevention would be to keep the head elevated at a 30 to 45 degrees(Boltey et al., 2017). Although challenging it has been observed that early mobility aids in increasing ventilator free days(Boltey et al., 2017). Through results obtained from research it has been seen that mobility is even crucial with critically ill patients even after intubation.]]> 2021-10-04 00:44:00 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788184372 ashleyeggert1 https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788187988 Ensuring that the appropriate staffing is present in the icu and even more importantly for patients who are mechanically ventilated can aid in minimizing VAP (Boltey et al., 2017). having ample staffing allows nurses to appropriately delegate time as well as access resources through their coworkers that would aid in otherwise arduous task that wouldn’t prevent the nurse to provide and interact with their patient for longer stints (Boltey et al., 2017).
Studies have shown that having a healthy work environment has also aided in the reduction of VAP risks (Boltey et al., 2017). . The studies have shown that an environment that caters to nurses as well as physicians have positive outcomes for VAP reduction (Boltey et al., 2017). With these studies conducted it allows for the further exploration of methods that can reinforce
establishing string work environments(Boltey et al., 2017). These methods can include having the staff engage in activities that promote group effort and communication, governing models and ideas, as well as having physicians included to form better bonds along with other staff that
are pertinent to ensuring patient health(Boltey et al., 2017). ]]> 2021-10-04 00:46:42 UTC https://padlet.com/ashleyeggert1/kbp0v3q558ohscee/wish/1788187988