Measure tidal volume and vital capacity. Indicates volume of air moving in and out of lungs. . Asses for pain Pain may prevent patient from coughing and deep breathing. . Monitor chest x-rays Shows extent and location of fluid or infiltrates in lungs. . Maintain ventilator settings as ordered.
Ventilator provides adequate ventilator pattern for the patient. .
Elevate head of bed 60-90 degrees. This position moves the abdominal contents away from the diaphragm, which facilitates its contraction. Determines acid-base balance and need for oxygen. . Assess LOC, listlessness, and irritability. These signs may indicate hypoxia. .