Nursing Care of the Patient with Ventilator-Associated Pneumonia : Case Study 2 cases

Abstract

          Ventilator-associated pneumonia (VAP) is a common complication in patients receiving respiratory therapy. From the data of infection in Nakhon Pathom Hospital was that VAP had the second highest rate of infection and was likely to be higher in the year 2017. VAP infection has a severe impact on patients with disability and death. There is also a loss of medical expenses. So nurses need to have a plan and nursing care guidelines for patients with ventilation to prevent VAP.
          The purpose is to review the nursing process in each case with ventilator-associated pneumonia. The case study were two patients who treated in the general ward of the medical department with the crisis of upper gastrointestinal bleeding and diabetes mellitus with diabetic ketoacidosis. Patients were treated with a ventilator and infected with VAP. Patients were required to use a ventilator for 43 and 44 days. Patients had many factors that risk VAP. Patients got close nursing care, evaluate change symptoms and care of patients according to the treatment plan of the doctor in complete. In addition, care was provided for the use of the hospital’s VAP standards. The patient was better able to discharge from the hospital and refer back the community hospital.