Help! I don't "get" vents!!! - page 3

by DeLanaHarvickWannabe

7,521 Views | 25 Comments

Hey everyone! Very recently I left MedSurg after 7 years for critical care. Thank goodness I have years of experience and knowledge of what "normal" assessments are. So far things are going very well. Titrating pressors,... Read More


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    Do you work in a teaching ICU with residents? At the beginning of every month the pulmonologist/intensivist will go over every aspect of the vent during rounds with the new interns. The experienced ICU nurses and residents gloss over during this time but the new nurses and interns love it and learn a ton. Once you get the basics down there is a lot you can do on the vent for your patients. Also, if you have RTs they can be a great resource for you.
    mcmgal likes this.
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    Quote from wooh
    I keep seeing this on the side under "Liked Nursing Topics" and can't understand why someone doesn't understand vents. It's just ranting for goodness sake! What is there to understand??
    You are wrong. Dead wrong!

    I don't understand that there are slits in the wall and floor that blow cold air out in the summer, then warm air in the winter! HOW DOES THAT WORK? How can they change their minds?
    wooh likes this.
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    You all have given me so many great resources and information. I am going to dig into this stuff very soon - for now I have to study for a final (I'm in grad school as well - my brain's fixin' to explode!).

    I did shadow respiratory for four hours and got a good explanation of everything but a few emergencies popped up and we kind of ended up running around! Thankfully respiratory and the residents are always on hand and willing to explain stuff.

    Thanks again everyone. Keep the resources coming!
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    Quote from DeLanaHarvickWannabe
    You are wrong. Dead wrong!

    I don't understand that there are slits in the wall and floor that blow cold air out in the summer, then warm air in the winter! HOW DOES THAT WORK? How can they change their minds?
    You must work in a magnet hospital. My hospital's slits seems to always have cold air blowing out in the winter and warm air in the summer....
    DeLanaHarvickWannabe likes this.
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    DeLanaHarvickWannabe
    I like your quote at the bottom of your post!
    DeLanaHarvickWannabe likes this.
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    Very basically, this is how I explain the 3 main settings we use in our ICU. With other modes, I have to ask our RRT to explain to me every time I come across it.

    AC--The vent gives set tidal volume on ALL the breaths, even the ones the pt initiates.
    SIMV--The vent gives set tidal volume on only the set breath rate.
    Spontaneous is, well, spontaneous--the pt does most of the work (I only say most, because generally they're on pressure support/PEEP as well.

    Correct me if I'm wrong. And obviously, this is just the most basic way to remember.


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