interventions for NIV

[domabrtary]

HI, wondering if anyone could give me a hand, ive been sitting here for hrs trying to work it out.

question is.. identify what would be the 5 core nursing interventions required whilst the patient is receiving non invasive ventilation (NIV)

interventions i have thought of so far, and im not sure if they are correct, or if they are the most important 5

- perform mouth care

-position semi fowlers

-monitor cough and secretions frequently

-assess resp rate, sats, level of consciousness, mask, skin integrity

-maintain o2 therapy as ordered

maybe monitor NPPV complications

thanks in advance for any input

donna

[hekau]

Wow... this question looks familiar. I have thus far come up with the same answers Donna.

Shane

[bhanson]

NIC lists 38 possible interventions for Mechanical Ventilation Management: Noninvasive [3302]. Too many for me to type, but here are a few.

• Monitor patient’s progress on current ventilator settings and make appropriate changes as ordered.
  
• Promote routine assessments for weaning criteria (e.g., resolution of condition prompting ventilation, ability to maintain adequate respiratory effort)
  
• Perform chest physiotherapy, as appropriate
  
• Promote adequate fluid and nutritional intake
  
• Ensure that ventilator alarms are on
  
• Check all ventilator connections regularly
  
• Monitor for decrease in exhaled volume and increase in inspiratory pressure
  
• Provide patient with a means for communication (e.g., paper and pencil, alphabet board)
  
• Place patient in semi-Fowler position