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Avoid BIPAP When Your Loved One's in ICU on High Flow Nasal Cannula! Quick Tip for Families in ICU!
Avoid BIPAP When Your Loved One's in ICU on High Flow Nasal Cannula! Quick Tip for Families in ICU!
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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.
So this week, I was talking to a client who said that their 78-year old father has gone into ICU with a pneumonia and is currently on high flow nasal prongs. And the ICU team is talking about that if he’s not improving, he needs to go on BiPAP (Bilevel Positive Airway Pressure) as a next step.
And the client is asking, “How do we avoid BiPAP in a situation like that?” So that’s a really great question and let’s break this down. So when someone is in ICU on high flow nasal prongs for a pneumonia, for example, the first thing that needs to happen is obviously find out the cause of the pneumonia, start them on antibiotics or antivirals or antifungals depending on the cause of the pneumonia.
Obviously, assess a chest x-ray, assess oxygen saturation, assess an arterial blood gas ideally, do a chest x-ray and also have a listen to the chest with the stethoscope. Doctors and nurses do that in ICU quite frequently. And then assess, whether how unwell the patient is, how unwell your dad is, and also look at signs such as the breathing rate per minute. Is it fast? Is it slow? Is it shallow? Can your dad take deep breaths? Can he cough?
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