Mechanical ventilation in the treatment of respiratory failure with pulmonary heart disease care.doc

 PAGE \* MERGEFORMAT 4 Mechanical ventilation in the treatment of respiratory failure with pulmonary heart disease care [Keywords:] mechanical ventilation in respiratory failure Pulmonary Heart Disease Care Pulmonary heart disease patients with respiratory failure caused by acid-base imbalance and easy to hypoxemia, severe cases of disturbance of consciousness and even coma. A timely manner tracheal intubation, mechanical ventilation with breathing, can effectively improve the patient’s oxygen status, to facilitate endotracheal sputum aspiration will be to ensure airway patency and improve the success rate of resuscitation. A clinical data 2005 ~ 2008 admitted to our hospital with respiratory failure, pulmonary heart disease 9 patients, including 7 males and 2 females, aged 64 to 76 years old, endotracheal intubation time was 2 ~ 5 days. 5 cases recovered, 2 died. 2 Nursing 2.1 The goods do preparatory work before intubation Including the ventilator, suction devices, oxygen saturation monitors, oxygen, endotracheal intubation with the material, first-aid medicines. Families and prepare the patient for a clear interpretation so as to actively cooperate with the rescue. Intubation procedure was closely observed the patient’s blood oxygen saturation, blood pressure, heart rate, an exception occurs immediately. 2.2 Preparation of a good ventilator equipment Observation of the breathing machine operating parameters, waves of gas, respiratory ratio, respiratory rate, airway pressure, oxygen concentration, to check whether the pipe connection close, unusual and timely adjustment, maintaining the base number of items in the normal range. 2.3 to maintain airway patency (1) suction. Patients with endotracheal suctioning secretions are more timely and maintain airway patency. Inhalation of high concentrations of oxygen before suctioning 2 ~ 3min, check the suction device pressure are normal. Suction pipe use pipe end 3 ~ 4 opening of the silicone tube, each suc