Nursing care of patients with chronic respiratory failure experience.doc

Nursing care of patients with chronic respiratory failure experience Of: Zhengmei Fang Li-Chuan Wu Yan Limin Peng Xi Respiratory failure is due to various causes dysfunction of pulmonary ventilation and ventilation, so that the body produces oxygen or carbon dioxide retention caused by a series of physiological functions and metabolic disorders in the clinical syndrome. The main clinical manifestations. Dyspnea, cyanosis, mental neurological symptoms, cardiovascular system, acid-base balance. Arterial blood gas analysis: PaO 2 decreased below 60mmHg, PaCO 2 higher than 50mmHg and so on. The main principle of treatment in order to maintain airway patency, oxygen inhalation, control of respiratory tract infection, improve blood circulation and lung alveolar ventilation, maintenance of nutrition, maintaining water, electrolyte and acid-base balance. Our department in January 2008 ~ January 2009 were treated 60 patients with chronic respiratory diseases, including respiratory failure in 28 cases, now we work in clinical care of patients with respiratory failure Experience summarized as follows: A general nursing 1.1 Ask client absolute bed rest, and to maintain a comfortable position, such as sitting or semi-sitting or lying position, to facilitate breathing. To encourage and help the patient cough effectively, timely and clear respiratory secretions, keep the airway open. Psychological care should be strengthened to eliminate the tension that is conducive to treatment and rehabilitation of patients in the best state of mind. 1.2 Ward and elegant environment, the air flow, temperature and humidity appropriate, focus on warmth and prevent cold, flu prevention, to ensure good sleep and rest, low salt, high in vitamins, protein digestible nutrient-rich light diet. Patients adhere to shrink 1.3 guide lips abdominal breathing, at any time to provide support and assistance to patients to minimize the number of patients to speak, to reduce