Compact Clinical Guide to Mechanical Ventilation: Foundations of Practice for Critical Care Nurses

177 Pages·2013·4.57 MB·English

by  Sandra Goldsworthy

Compact Clinical Guide to
Compact Clinical Guide to
Mechanical Ventilation CompaCt
CliniCal
Guide to
Foundations of Practice for Critical Care Nurses
M
Mechanical
e
Sandra Goldsworthy, RN, MSc, PhD(c), CNCC(C), CMSN(C) c
h
a
Leslie Graham, RN, MN, CNCC(C), CHSE n
i
c
a
The only book written about mechanical ventilation by nurses for nurses, this text fills a void l Ventilation
V
in addressing high-level patient care and management specific to critical care nurses. e
n
Designed for use by practicing nurses, nursing students, nursing educators, and those prepar- t
i
l
ing for national certification in critical care, it provides a detailed, step-by-step approach to a
t
i
developing expertise in this challenging area of practice. The guide is grounded in evidence- o
n
based research and explains complex concepts in a user-friendly format along with useful tips
for daily practice. It is based on the authors’ many years of teaching students at all levels of
critical care as well as their experience in mentoring both novice and experienced nurses in the Gr Go Sandra GoLdSworthy • LeSLie Graham
a L
critical care arena. ham dSw
o
Emphasizing the nurse’s role in mechanical ventilation, the book offers many features that fa- rt
h
cilitate in-depth learning. These include bulleted points to simplify complex ideas, key points y FoundationS oF Practice
summarized for speedy reference, plentiful case studies with questions for reflection, clinical
For criticaL care nurSeS
“pearls,” illustrations and tables, references for additional study, and a glossary. Specific
topics include oxygen therapy, modes of ventilation, mechanical ventilation, weaning from the
ventilator, implications for long-term mechanical ventilation, and relevant pharmacology. A
chapter on international perspectives examines the similarities and differences in critical care
throughout the globe. The book addresses the needs of both adult and geriatric critical care
patients.
Key Features:
• Written by nurses for nurses
• Provides theoretical and practical, step-by-step information about mechanical ventilation
for practicing nurses, students, and educators
• Comprises a valuable resource for the orientation of nurses new to critical care
• Contains chapters on international perspectives in critical care and pharmacology protocols for
the mechanically ventilated patient
ISBN 978-0-8261-9806-8
11 W. 42nd Street
New York, NY 10036-8002
9 780826 198068
www.springerpub.com
Compact Clinical Guide to
MECHANICAL
VENTILATION
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd ii 2277//1111//1133 1100::0099 AAMM
Sandra Goldsworthy, RN, MSc, PhD(c), CNCC(C), CMSN(C), is a
recognized leader in critical care nursing and has worked in this fi eld
for more than 25 years. She is currently a nursing professor in the
Georgian College/York University BScN program and critical care
program, and is also an accomplished practitioner, consultant, researcher,
and author. She received her bachelor of science in nursing at Lakehead
University and her master of science in nursing from Queen’s University.
She is currently pursuing her PhD in nursing at the University of British
Columbia. She holds a national CNA credential in critical care as well
as in medical surgical nursing. Her research focus is retention of critical
care nurses. Dr. Goldsworthy has conducted and published research
involving the use of simulation and personal digital assistants (PDAs)
in nursing education. She is currently involved in the delivery of critical
care simulation and the mentoring of other educators in this technology.
Her recent publications and national and international presentations
have concentrated on critical care, simulation, and technology in
nursing. She also sits on a number of national and international nursing
committees, including the national exam committee for the Canadian
Nurse’s Association Medical/Surgical Nursing Certifi cation exam. She
has edited or authored fi ve textbooks including all three editions of the
Medical Surgical Nursing in Canada textbook, Simulation Simplifi ed:
A Practical Guide for Nurse Educators, and S imulation Simplifi ed: Student
Lab Manual for Critical Care Nursing.
Leslie Graham, RN, MN, CNCC(C), CHSE, is a faculty member in
the Collaborative Nursing Program at Durham College–University of
Ontario, Institute of Technology. With over 25 years of critical care
experience, the majority spent in direct care, she is well acquainted with
the challenges and rewards of critical care nursing. As a critical care
educator she seeks to translate evidence-informed practices at the
bedside. As an award-winning author, Ms. Graham has published
resources that assist both the educator and the critical care student. She
has presented nationally and internationally on critical care topics
ranging from education of critical care nurses to practical application at
the bedside.
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd iiii 2277//1111//1133 1100::0099 AAMM
THE COMPACT CLINICAL GUIDE S ERIES
Compact Clinical Guide to
MECHANICAL VENTILATION
Foundations of Practice for Critical Care Nurses
Sandra Goldsworthy, RN, MSc, PhD(c), CNCC(C), CMSN(C)
Leslie Graham, RN, MN, CNCC(C), CHSE
Upcoming Titles
Compact Clinical Guide to
ARRHYTHMIA AND 12-LEAD EKG INTERPRETATION
Foundations of Practice for Critical Care Nurses
Sandra Goldsworthy, RN, MSc, PhD(c), CNCC(C), CMSN(C)
Leslie Graham, RN, MN, CNCC(C), CHSE
Compact Clinical Guide to
HEMODYNAMIC MONITORING
Foundations of Practice for Critical Care Nurses
Sandra Goldsworthy, RN, MSc, PhD(c), CNCC(C), CMSN(C)
Leslie Graham, RN, MN, CNCC(C), CHSE
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd iiiiii 2277//1111//1133 1100::0099 AAMM
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd iivv 2277//1111//1133 1100::0099 AAMM
Compact Clinical Guide to
MECHANICAL
VENTILATION
Foundations of Practice for
Critical Care Nurses
Sandra Goldsworthy, RN, MSc, PhD(c),
CNCC(C), CMSN(C)
Leslie Graham, RN, MN,
CNCC(C), CHSE
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd vv 2277//1111//1133 1100::0099 AAMM
Copyright © 2014 Springer Publishing Company, LLC
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in
any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the
prior permission of Springer Publishing Company, LLC, or authorization through payment of the
appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923,
978-750-8400, fax [phone], [email protected] or on the Web at www.copyright.com .
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036
www.springerpub.com
Acquisitions Editor : Elizabeth Nieginski
Composition : S4Carlisle
ISBN: 978-0-8261-9806-8
e-book ISBN: 978-0-8261-9807-5
13 14 15 16 17 / 5 4 3 2 1
Th e author and the publisher of this Work have made every eff ort to use sources believed to be reliable to
provide information that is accurate and compatible with the standards generally accepted at the time of
publication. Because medical science is continually advancing, our knowledge base continues to expand.
Th erefore, as new information becomes available, changes in procedures become necessary. We
recommend that the reader always consult current research and specifi c institutional policies before
performing any clinical procedure. Th e author and publisher shall not be liable for any special,
consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance
on, the information contained in this book. Th e publisher has no responsibility for the persistence or
accuracy of URLs for external or third-party Internet websites referred to in this publication and does not
guarantee that any content on such websites is, or will remain, accurate or appropriate.
Library of Congress Cataloging-in-Publication Data
Goldsworthy, Sandra, 1961- author.
Compact clinical guide to mechanical ventilation : foundations of practice for critical care nurses /
Sandra Goldsworthy, Leslie Graham.
p. ; cm. — (Compact clinical guide)
Includes bibliographical references and index.
ISBN 978-0-8261-9806-8 (alk. paper) — ISBN 0-8261-9806-6 (alk. paper) —
ISBN 978-0-8261-9807-5 (eBook)
I. Graham, Leslie, 1956- author. II. Title. III. Series: Compact clinical guide series.
[DNLM: 1. Respiration, Artifi cial—methods. 2. Respiration, Artifi cial—nursing.
3. Critical Care—methods. 4. Critical Illness—nursing. WY 163]
RC735.I5
615.8’362--dc23
2013036255
Special discounts on bulk quantities of our books are available to corporations, professional
associations, pharmaceutical companies, health care organizations, and other qualifying
groups. If you are interested in a custom book, including chapters from more than one of our
titles, we can provide that service as well.
For details, please contact:
Special Sales Department, Springer Publishing Company, LLC
11 West 42nd Street, 15thFloor, New York, NY 10036-8002
Phone: [phone] or 212-431-4370; Fax: [phone]
E-mail: [email protected]
Printed in the United States of America by Gasch Printing.
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd vvii 2277//1111//1133 1100::0099 AAMM
Th is book is dedicated to all of the critical care nurses I have had
the privilege to teach and mentor and to the wonderful nurses that
have mentored me and provided friendship and encouragement along
the way.
—Sandra
Th is book is dedicated to those who have taught me about mechanical
ventilation educators, critical care registered nurses, and patients.
I couldn’t have completed this without the support of my family—thanks
to each of you.
—Leslie
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd vviiii 2277//1111//1133 1100::0099 AAMM
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd vviiiiii 2277//1111//1133 1100::0099 AAMM
Contents
Foreword by Suzanne M. Burns, RN, MSN, ACNP, CCRN, RRT,
FAAN, FCCM, FAANP xi
Preface xii
Acknowledgments xv
1. Oxygen Delivery 1
2. Mechanical Ventilation: Overview 23
3. Modes of Mechanical Ventilation 37
4. Management at the Bedside 53
5. Weaning 85
6. Prolonged Mechanical Ventilation 99
7. Pharmacology 109
8. International Perspectives and Future Considerations 127
Answers to “Questions to Consider” 133
Glossary 141
Index 145
ix
GGoollddsswwoorrtthhyy__9988006688__PPTTRR__0000__ii--xxiivv__FFMM__1111--1188--1133..iinndddd iixx 2277//1111//1133 1100::0099 AAMM