BiPAP ventilator treatment of 93 patients with COPD with typerespiratory failure nursing.docVIP

 PAGE \* MERGEFORMAT 9 BiPAP ventilator treatment of 93 patients with COPD with typerespiratory failure nursing [Keywords:] BiPAP ventilator; COPD with type respiratory failure; Care The high mortality of severe respiratory failure in recent years, many advocates non-invasive mechanical ventilation [1]. Mechanical ventilation in patients with respiratory failure to improve ventilation and ventilatory function to correct hypoxia, reduce work of breathing has a positive effect of consumption [2]. BiPAP is a two-level positive airway pressure in the short, double-positive non-invasive nasal mask BiPAP ventilator is an electronic system controlled by the pressure of the ventilator, the patient can provide a very suitable pressure and flow, to improve ventilation, reduce work of breathing, has the advantage of non-invasive. It not only remove the patients due to intubation or tracheotomy to face the pain and danger, and greatly reducing the patient length of stay. now report their use of care is as follows. A strict control of the clinical use of ventilator indications and contraindications 1.1 Clinical indications [3] respiratory failure, shallow breathing, slow, irregular with disturbance of consciousness or respiratory rategt; 35 times / min. 1.2 Contraindications (1) without drainage pneumothorax, mediastinal emphysema; (2) hemoptysis; (3) acute myocardial infarction; (4) does not make up for hemorrhagic shock before blood volume; (5) with severe pulmonary bulla . 2 Care 2.1 The pre-treatment care 2.1.1 The psychological care when patients first received BiPAP treatment [4], should be introduced ventilation in the treatment of patients the significance of the questions patiently explain the patients, tell the patient during treatment to relax by breathing on his own rhythm, to make use of nasal breathing, do not mouth breathing, eliminating the fear of patients [5], to obtain the active cooperation of patients. 2.1.2 face mask for the