SBAR patient with pedatric ARDS

Please write a paper about your SBAR patient with pedatric ARDS.
Your writing assignment paper should be a minimum of 3 pages long and the reference page is not included in the page count. Please use evidence-based literature and APA format to complete this assignment.
Prompt: You are providing oxygen therapy and non-invasive ventilation for your SBAR patient.
*List the indications for both oxygen therapy and non-invasive ventilation for your SBAR patient
*Please select an oxygen device to help your patient through the inital phase of their disease process
*Be specific about why you selected the O2 device (example, fixed O2 device, meets patient’s minute ventilation demand….)
*Please select a Non-invasive device to help your patient through an escalation of their disease process
*Be specific about why you selected the Non-invasive device (CPAP, BiPAP or non-invasive ventilation)
*What interface(s) are you using and why?
*How do you plan to protect the patient’s skin?
*Please list your patient’s blood gas and the parameters for each device (liter flow, IPAP, EPAP, CPAP level, ventilator settings)
*Be sure to make the transition from the O2 device to the non-invasive device by explaining why you escalated care (apnea, oxygenation/ventilation issue-both?) List vitals and or blood gas. *Your patient requires intubation for one of the following reasons (airway protection, impending respiratory failure, respiratory failure and or severe oxygenation issue). Please write about the intubation process and how the endotracheal tube is secured. (Was a Glidescope used, was a Neofit, NeoBar or cloth tape used to secure the endotracheal tube?).
*Be sure to make the transition from the non-invasive device to mechanical ventilation by explaining why you escalated care (apnea, oxygenation/ventilation issue-both?) List vital signs and or blood gas. *Your patient requires a bronchoscopy for one or a combination of reasons (therapeutic or diagnostic). Be sure to relate the bronchoscopy to their disease process (example, Cystic Fibrosis – bronchial-alveolar lavage (BAL)).
*Please list how the bronchoscopy was performed and what the results were. *Your patient requires a tracheostomy tube for long term mechanical ventilation. List size and type of tracheostomy tube. Is the tube cuffed, uncuffed, have an inner cannula? Please explain how you would manage their airway (please also include trach care and suctioning).
*At some point in this scenario your patient develops a skin injury. Please stage the skin injury and how you would address it. *Hi I attached my SBAR patient in the powerpoint. Its based off a little girl named Emily with pedatric ARDS. This assignmemt is based off her.
HOW TO ANSWER
Patient: Emily, 7 years old, female
Situation:
Emily is a 7-year-old girl who presented to the emergency department with shortness of breath, fever, and cough.
She was diagnosed with pediatric acute respiratory distress syndrome (PARDS).
She is currently receiving oxygen therapy and non-invasive ventilation (NIV).
Background:
Emily has a history of asthma.
She is up-to-date on her vaccinations.
She has no known allergies.
Assessment:
Vital signs:
Temperature: 100.4°F
Heart rate: 150 beats per minute
Respiratory rate: 45 breaths per minute
Blood pressure: 100/60 mmHg
Oxygen saturation: 90% on high-flow nasal cannula (HFNC)
Physical examination:
Tachypneic, with grunting and retractions
Bilateral crackles in the lungs
Laboratory findings:
Arterial blood gas (ABG): pH 7.25, PaCO2 60 mmHg, PaO2 50 mmHg
Chest X-ray: Bilateral infiltrates
Recommendation:
Continue oxygen therapy and NIV.
Monitor closely for respiratory distress.
If respiratory distress worsens, escalate to intubation and mechanical ventilation.
Consider bronchoscopy if there is a concern for airway obstruction or infection.
Place a tracheostomy tube if long-term mechanical ventilation is required.
Monitor for skin injuries and provide appropriate care.
Oxygen Therapy:
Oxygen therapy is indicated for patients with PARDS who have hypoxemia. The goal of oxygen therapy is to maintain an oxygen saturation of greater than 90%. Different oxygen delivery devices can be used, depending on the patient’s needs.
HFNC: HFNC is a high-flow nasal cannula that delivers humidified, heated oxygen at a high flow rate. It is a non-invasive method of providing oxygen therapy that can be effective in patients with mild to moderate hypoxemia.
Nasal cannula: A nasal cannula is a low-flow oxygen delivery device that delivers oxygen through two small prongs that rest in the nostrils. It is a simple and comfortable method of providing oxygen therapy for patients with mild hypoxemia.
Face mask: A face mask covers the nose and mouth and delivers oxygen at a higher flow rate than a nasal cannula. It is used for patients with moderate to severe hypoxemia.
I have selected HFNC as the oxygen delivery device for Emily in the initial phase of her disease process. HFNC has several advantages over other oxygen delivery devices for patients with PARDS:
It provides a high flow rate of oxygen, which can improve oxygenation.
It is humidified, which helps to prevent airway drying.
It is heated, which helps to improve patient comfort.
It is non-invasive, which means that it does not require the use of an endotracheal tube.
Non-Invasive Ventilation:
NIV is a non-invasive method of providing positive airway pressure (PAP). It can be used to support ventilation and improve oxygenation in patients with hypoxemic respiratory failure. Different NIV devices can be used, depending on the patient’s needs.
Continuous positive airway pressure (CPAP): CPAP provides a constant level of PAP throughout the respiratory cycle. It is often used as a first-line NIV device in patients with PARDS.
Bilevel positive airway pressure (BiPAP): BiPAP provides two levels of PAP: a higher pressure during inspiration (IPAP) and a lower pressure during expiration (EPAP). It is often used for patients with PARDS who require higher levels of PAP.
I have selected CPAP as the NIV device for Emily if her respiratory distress worsens. CPAP is a simple and effective way to provide PAP ventilation in patients with PARDS. It is also relatively well-tolerated by patients.
Interfaces:
The interface is the part of the NIV device that seals against the patient’s face. Different interfaces can be used, depending on the patient’s needs.
Nasal mask: A nasal mask covers the nose and provides PAP through the nostrils. It is a comfortable and effective interface for most patients.
Full face mask: A full face mask covers the nose and mouth. It is often used for patients who have difficulty keeping a nasal mask in place or who have oral leaks.
Helmet: A helmet is a large hood that covers the entire head and neck. It is often used for patients who have severe facial deformities or who are unable to tolerate a mask.
I have selected a nasal mask as the interface for Emily. Nasal masks