Nursing intervention for chronic obstructive pulmonary disease with acute exacerbation of the implementation of intermittent application of noninvasive ventilation in patients.doc

 PAGE \* MERGEFORMAT 10 Nursing intervention for chronic obstructive pulmonary disease with acute exacerbation of the implementation of intermittent application of noninvasive ventilation in patients [Keywords:] Chronic obstructive pulmonary disease; non-invasive ventilation; nursing intervention Chronic obstructive pulmonary disease exacerbation (AECOPD) is often associated with respiratory failure, conventional drug treatment for a long time, poor efficacy. Clinical studies have shown that, AECOPD is often associated with respiratory failure early and mid-term application of noninvasive positive pressure ventilation (NIPPV) therapy, can effectively improve symptoms and avoid further deterioration and a considerable part of the intubation treatment and reduce complications. noninvasive positive pressure ventilation (NIPPV) therapy, can cause patients with different degrees of stress, anxiety, fear and other negative emotions, psychological reactions, while the non-invasive positive pressure have different effects on ventilation. AECOPD patients to alleviate the adverse psychological and noninvasive positive pressure ventilation treatment of complications, better treatment of .2008 I started with the Division of the AECOPD patients with non-invasive ventilation in the implementation of nursing interventions to achieve better results, are reported as follows . 1 Clinical data January 2008 -2009 admitted to our department in July of chronic obstructive pulmonary disease 68 patients with acute exacerbation, 45 males and 23 females, aged 38 to 84 years, mean 61 years old. Routinely given supplemental oxygen, antibiotics, antispasmodic antiasthmatic, expectorant, cough, respiratory stimulants, based on the early and mid-plus or BiPAP nasal mask ventilation intermittent positive pressure ventilation, and blood gas analysis according to the condition set the ventilator parameters, 2 or 3 times a day day, arrangements for morning, afternoon and at bedtime,