On chronic obstructive pulmonary disease with acute exacerbation of pharmaceutical use.docVIP

 PAGE \* MERGEFORMAT 8 On chronic obstructive pulmonary disease with acute exacerbation of pharmaceutical use [Abstract] chronic obstructive pulmonary disease (chronic obstructive pulmonary disease, COPD) is defined as: with airflow obstruction (airflow obstruction) the characteristics of chronic bronchitis and emphysema. Showed progressive development of airflow obstruction, but some are reversible. known cause or a specific pathology and have airflow obstruction in diseases such as cystic fibrosis, obliterative bronchiolitis and asthma is not a COPD. acute exacerbation of patients in the short term cough, wheeze increased, purulent sputum was or mucopurulent, or with significantly increased inflammation and fever. [Keywords:] chronic obstructive pulmonary disease with acute exacerbation of drug treatment 1. To improve the anoxia Many patients with acute exacerbation of COPD, there is a moderate degree of hypoxemia (PaO2 lt;55mmHg), which also contributed to the hospitalization of patients a very important factor. Including the lack of oxygen caused by the hemodynamic changes physical state changes, difficulty breathing, rapid heartbeat and pulse and other symptoms and signs by the lack of specificity, so there must be clear whether the degree of hypoxemia and the need the help of blood gas analysis. Significant hypoxemia must quickly be given oxygen therapy, the purpose is to maintain the PaO2 at least 55mmHg or more, about 87% of SaO2, cardiac output because under normal circumstances, this level of oxygen saturation in basic to guarantee the delivery of oxygen to the tissues. high levels of suction may be aggravated by ventilation / perfusion ratio imbalance, and cause significant ventilatory depression, it is generally not in favor of the flow of oxygen can be used 1-2L/min. by oxygen and makes hypoxemia improved just a temporary measure, necessary for a more lasting improvement in the etiology of acute exacerbation of illness caused