Respiratory failure perioperative care of patients.doc

 PAGE \* MERGEFORMAT 11 Respiratory failure perioperative care of patients [Keywords:] respiratory failure; perioperative period; Care Respiratory failure caused by a variety of pulmonary ventilation and ventilation with severe dysfunction, resulting in the resting state can not maintain adequate gas exchange lead to hypoxia with (or without) carbon dioxide retention, which led to a series of physiological functions and metabolic disorders of the clinical syndrome [1]. with respiratory failure of surgery and anesthesia care patients have a higher requirement. 1 Clinical data 9 patients in this group, 7 males and 2 females; age of 58 to 80 years, mean age 69 years, including and cardia in 2 cases, 1 case of rectal cancer, benign prostatic hyperplasia in 3 cases, 2 cases of gallstones, intertrochanteric fracture in 1 case. 2 Preoperative Care 2.1 General management of nutritional care should be strengthened to give nutrient-rich diet, in order to enhance the body resistance, improve the nutritional status to promote recovery. For patients who can not eat by mouth, parenteral nutrition possible, to ensure that the body needs. UV unit should always be air disinfection. 2.2 The psychological care of patients accurate and comprehensive understanding of the psychological situation, the establishment of good relations between nurses and patients, help patients adapt to the hospital environment, to reduce preoperative anxiety and improve the ability to adapt operations so closely with patients to care. 2.3 Prevention and Treatment of respiratory complications associated with chronic bronchitis, emphysema or lung infection in patients to take prescribed anti-inflammatory symptomatic treatment for spasticity. Preoperative control lung infection, the infection control before undergoing elective surgery, particularly are elderly patients, systemic immune function decline, reduce resistance to infection who should take full control of infection before