Respiratory failure aged care.doc

 PAGE \* MERGEFORMAT 8 Respiratory failure aged care [Keywords:] elderly patients with chronic respiratory failure Respiratory failure caused by a variety of serious respiratory disorder, the body appears hypoxia and (or) carbon dioxide retention caused by physiological functions and metabolic disorders in the clinical syndrome. Clinical use at sea level, atmospheric pressure at rest, measured arterial partial pressure of oxygen (PaO2) less than 8.0kPa (60mmHg) or accompanied by carbon dioxide partial pressure (PaCO2) than 6.7kPa (50mmHg), can be diagnosed as respiratory failure. The former I-respiratory failure, the latter type Ⅱ respiratory failure. 1 Materials and Methods 1.1 Clinical data selected in 2008 and 2009 our department treated 21 patients with chronic respiratory failure patients, 18 males and 3 females, aged 58 to 89 years, mean 76 years. PaO2 lt;60mmHg, PaCO2gt; 70mmHg, oxygen saturation by the investigation degree SaO2 58% ~ 79%. had chronic bronchitis, emphysema, pulmonary heart history of more than 10 years, due to infection, fatigue, heart failure and other chronic respiratory failure induced by the original acute exacerbation, the performance of severe hypoxia, the tip of finger cyanosis, breathing difficulties, some of which are trance, coma, give artificial airway for mechanical respiration. 1.2 Treatment with anti infections, expectorant, asthma and support the comprehensive treatment of symptomatic oxygen. 2 Care 2.1 Environmental and rest to maintain good indoor ventilation, temperature, humidity suitable to keep warm. Decompensated chronic respiratory failure, encourage patients to the appropriate ambulation, breathing difficulties increase, the Zhu Huanzhe absolute bed rest, take a half supine. Coma patients Timing turning shot back, change body position to prevent mucus stasis, atelectasis, infection and pressure sores. 2.2 more than encourage patients to enter high-protein diet, high calorie, hi