within a 24 hour period (Genzler el al., 2013). Nursing interventions that were consider were: assessment, administration of medication, suctioning, repositioning, hygine, oral care, bath, shampoo, shave, incontinence care, wound cate, ROM, linen change, weight, application of splints or binders and others. To collect the ETCO2 data a noninvasive Infinity Microstream pod with Oridion’s Microstream technology was used (Genzler el al., 2013). The ETCO2 values were collected 5 minutes before the interventions and continued until 15 minutes after intervention. The data gather from the study concluded that the mean number of interventions per nursing interactions was 6.1 and the interaction lasted for 20 to 80 minutes. The ETCO2 changed with cluster
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It is safe to conclude, that fewer interventions will reduce the chance of the ETCO2 to be affected (Genzler el al., 2013). This research article has its limitation due to small sample size and the use of convenient sample which means that the research could not be generalized. This article relates to the patient that was chosen for this article because the patient was on the mechanical ventilator. Therefore making it convenient to measure how the patient responded to stress (Genzler el al., 2013). Plus, it is important to keep the level of the CO2 low for patients with increase ICP, therefore monitoring of ETCO2 could be of this benefit as well. Lastly, as the study suggest this could guide the nurse to decide what number of intervention is too much for this patient and designing a care plan that is suited for this patient (Genzler el al., …show more content…
The nurse should make sure that the patient has a potent airway ensures that the patient is adequately ventilated. Also, the nurse should make sure that if the patient is being suction that the patient is hyper oxygenated before suctioning. This prevents increase in CO2 which causes vasodilation and increase ICP. Also as proposed by the research aricle by Genzler et al.2013 stress related to cluster care could lead an increase in CO2. Therefore, any raises in CO2 could indicate that the nurse is performing too many interventions during one patient encounter; hence, less interventions should be consider. Furthermore, the doctor could order ventilator setting to promote CO2 evacuation which would be done by setting the respiratory rate higher. Also, the ventilator pressure and PEEP should be maintained at a lower level, because any increase in intrathoracic pressure may cause increase ICP (Urden el at., 2014). The respiratory therapist could maintain the airway potent which ensures adequate oxygen delivery, which is vital to prevent further brain damage (Urden el at., 2014). Furthermore, it is important for the nurse to assess the patient and noting any change in the patient’s neurological
It is safe to conclude, that fewer interventions will reduce the chance of the ETCO2 to be affected (Genzler el al., 2013). This research article has its limitation due to small sample size and the use of convenient sample which means that the research could not be generalized. This article relates to the patient that was chosen for this article because the patient was on the mechanical ventilator. Therefore making it convenient to measure how the patient responded to stress (Genzler el al., 2013). Plus, it is important to keep the level of the CO2 low for patients with increase ICP, therefore monitoring of ETCO2 could be of this benefit as well. Lastly, as the study suggest this could guide the nurse to decide what number of intervention is too much for this patient and designing a care plan that is suited for this patient (Genzler el al., …show more content…
The nurse should make sure that the patient has a potent airway ensures that the patient is adequately ventilated. Also, the nurse should make sure that if the patient is being suction that the patient is hyper oxygenated before suctioning. This prevents increase in CO2 which causes vasodilation and increase ICP. Also as proposed by the research aricle by Genzler et al.2013 stress related to cluster care could lead an increase in CO2. Therefore, any raises in CO2 could indicate that the nurse is performing too many interventions during one patient encounter; hence, less interventions should be consider. Furthermore, the doctor could order ventilator setting to promote CO2 evacuation which would be done by setting the respiratory rate higher. Also, the ventilator pressure and PEEP should be maintained at a lower level, because any increase in intrathoracic pressure may cause increase ICP (Urden el at., 2014). The respiratory therapist could maintain the airway potent which ensures adequate oxygen delivery, which is vital to prevent further brain damage (Urden el at., 2014). Furthermore, it is important for the nurse to assess the patient and noting any change in the patient’s neurological