Vap croc

Managing the Complex Care of the Critically and Acutely Ill Patient

© Disney ,1953

(VAP) is a hospital-acquired lung infection that occurs in patients receiving mechanical ventilation and for whom the infection was not the reason for the ventilation.

Clinical suspicion (≥ 48h of hospital stay) new or progressing pulmonary Rx infiltrate + one of the following clinical criteria:

- fever >100.4 degrees °F or lower than 96.8 °F - white blood count greater than 10,000 - purulent sputum. with microbiological

confirmation

Longer duration of mechanical ventilation Advanced age Depressed level of consciousness Preexisting lung disease Immune suppression from disease or

medication Malnutrition

Every 2 hours One every 24 hours with chlorhexidine Attention to all surfaces Use a wetting agent

>= 30 degrees

Head of the bed elevated or flat? Femoral line Drainage of glottic secretions Hypotension Tube feeding

Mouth Care When do you it? Oral Trauma Gag reflex.

Taken from Creative Commons Sage Manufacturing Peter Pan © 1953 the Walt Disney Company