Nursing of patients with chronic respiratory failure.doc

 PAGE \* MERGEFORMAT 8 Nursing of patients with chronic respiratory failure [Keywords:] chronic respiratory failure care Respiratory failure is due to various causes lung ventilation and (or) ventilatory serious obstacles to the body can not conduct effective gas exchange, leading to hypoxia (with or without) of carbon dioxide retention. To produce a series of pathological physiological changes and a corresponding clinical syndrome. definite diagnosis depends on arterial blood gas analysis. is now in clinical patients with chronic respiratory failure 120 cases of clinical nursing experience as follows. 1 Clinical data 1.1 General information on our hospital in January 2008 ~ December 2009 were treated in 120 patients with chronic respiratory failure, male 72, female 48 cases, aged 49 to 76 years (mean 59.9 + -7.2 years old. With hospitalization, illness better go home and rest after doing home care. 1.2 The diagnostic criteria for chronic respiratory failure were all patients with type Ⅱ respiratory failure, arterial oxygen pressure lt;8kPa and arterial carbon dioxide partial pressuregt; 6.66kPa. 1.3 The main clinical manifestations before admission were cough, sputum, gas tight, tired heart, cyanosis, lung dry sound, lower extremity edema, patient symptoms improved after treatment, cough, sputum reduce heart tired, tight gas mitigation , cyanosis, lung dry sound, lower extremity edema or disappear. 2 Care 2.1 The assessment of disease observed in patients with respiratory rate, rhythm and depth, the use of accessory muscle breathing conditions, the degree of difficulty in breathing. Monitoring of vital signs, especially blood pressure, heart rate and arrhythmia in the situation. Observe the lack of O2 and CO2 retention and symptoms signs, if no cyanosis, conjunctival edema, with or without abnormal breath sounds and lung sounds 哕, monitoring arterial blood gas analysis values. assess the awareness of status and neuro