Policy and Procedure Manual
Policy and Procedure Manual
Policy and Procedure Manual
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INADEQUATE OXYGENATION/VENTILATION ALGORITHM:<br />
INADEQUATE VENTILATION<br />
(by observation/auscultation) or hypoxemia (by pulse oximetry) is identified<br />
Is spontaneous<br />
Breathing<br />
present?<br />
Instruct patient to take a “Deep Breath.”<br />
If no response, apply physical stimulus.<br />
Repeat instructions to take a “Deep Breath.”<br />
YES<br />
BREATHING?<br />
NO<br />
MICN ONLY!!!<br />
CONSIDER<br />
REVERSAL<br />
AGENTS<br />
APPLY supplemental oxygen.<br />
CHECK airway reflexes.<br />
ASSESS breath sounds.<br />
ESTABLISH an airway:<br />
Jaw thrust<br />
Nasal/Oral airway<br />
Problem<br />
Resolved?<br />
NO<br />
REASSES<br />
SClinical<br />
status, is<br />
patient<br />
breathing?<br />
YES<br />
CONTINUE supplemental oxygen.<br />
MONITOR vital signs <strong>and</strong> ventilation.<br />
YES<br />
NO<br />
ASSESS ventilatory adequacy, level of<br />
consciousness, vital signs, skin color,<br />
lung sounds, airway reflexes, pulse<br />
oximetry.<br />
APPLY positive pressure<br />
ventilation with BVM.<br />
CONSIDER intubation.<br />
CODE<br />
BLUE?!<br />
<strong>Policy</strong> & <strong>Procedure</strong> <strong>Manual</strong> – Educational Programs Module<br />
Originated: January 1, 2002<br />
Last Revision: March 1, 2004<br />
Versed Training - #501, Page 4 of 4
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