DOPE ALGORITHM- MANAGING A DETERIORATING VENTILATED INFANT

An illustration of a healthcare professional assessing a ventilated infant, with medical equipment in the background, emphasizing urgency and care.

Assessing Ventilation in Infants: The DOPE Algorithm

Welcome to the DOPE Algorithm quiz, designed for healthcare professionals to enhance their understanding of managing deteriorating ventilated infants.

Test your knowledge and skills with questions covering key concepts such as:

The meaning of the DOPE acronym
Initial assessments for ventilated infants
Signs of tube dislodgment and pneumothorax
Appropriate actions in case of equipment failure

10 Questions2 MinutesCreated by CaringNurse251

What does the acronym DOPE stand for?

Displacement, Observations, Pneumothorax, Extubation

Displacement, Obstruction, Pneumothorax, Equipment

Disengagement, Obstruction, Pneumonia, Equipment

Disintegration, Obstruction, Pneumothorax, Extubation

You are looking after a baby on conventional ventilation, what initial assessments would you do at the beginning of your shift? Tick ALL that applies.

Check the ETT size and lip level and make sure it is the same as the documented level.

No need to do check at the beginning of the shift to minimise handling-ETT assessment to be done with the next set of cares.

Assess for equal and symmetrical chest rise.

Auscultate for bilateral air entry

Verify the ventilator settings

Check for ETCO2 tracing

Ascertain if your ETT is properly secured.

Which of the following are indicative that the tube is dislodged?

Sudden clinical deterioration with decrease in heart rate and oxygen saturation

Loss of chest wall movement with Increase in leak noted by ventilator

Loss of end tidal CO2 detection

Equal, bilateral air entry on both lung fields

Audible cry

Loss of air entry sounds on auscultation

ETT suctioning is a routine process that needs to be performed on a ventilated baby on a regular basis to prevent tube obstruction.

True

False

Which of the following symptoms would make you suspect pneumothorax in a ventilated infant?

Sudden deterioration in the infant's clinical state

Equal, bilateral air entry.

Sudden deterioration in the infant's clinical state Marked respiratory distress

Decreased air entry on the affected side

Tracheal deviation to the contralateral site of the pneumothorax

Pidgeon chest appearance

Choose TWO statements that are accurate with regards to diagnosing pneumothorax:

Transillumination of the chest is a traditional but innacurate technique of diagnosing pneumothorax.

Transillumination of the chest with an intense beam of light is a useful method of making the diagnosis in an emergency

Confirmation by x-ray only if the infant is stable. If the infant is unstable, immediate draining of air is imperative.

It is imperative to perform chest xray to confirm the diagnosis of pneumothorax regardless if the baby is unstable for the procedure. Correct diagnosis outweighs this risk.

In case of an equipment failure, which of the following steps are appropriate? Tick ALL that applies.

Disconnect from ventilator and bag/neopuff manually

Call for help

Check other equipment, lines, tubing, etc.

Do not disconnect from the ventilator as it increases the risk of dislodging the tube,

Check for ventilator malfunction, interruption to gas supply

You approached your baby as the monitor alarmed, HR 49 Saturation 25%. Baby appears dusky with no respiratory effort, no air entry, no chest rise and no EtCO2 tracing. The ETT was secured at LL6 but is now at LL 4. What will you do?

Do not remove the tube and perform positive pressure ventilation with a mask, on top of the ETT.

Remove the tube and perform positive pressure ventilation with a mask.

Do not remove the tube until a member of the medical team arrives.

Try to replace the tube and push it back to LL 6.

DOPE ALGORITHM- MANAGING A DETERIORATING VENTILATED INFANT

Assessing Ventilation in Infants: The DOPE Algorithm

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