【COPD英文精品课件】慢阻肺急性发作Acute Exacerbation of Chronic Obstructive Pulmonary Disease教学资料讲义.pptVIP

Acute Exacerbation of Chronic Obstructive Pulmonary Disease.;Definition of Acute exacerbation:;;;Classification of Severity of Acute Exacerbation of COPD;The Operational Classification of Severity of COPD exacerbation;Indications for hospitalisation of patients with a COPD exacerbation Presence of high-risk co-morbid conditions, including pneumonia, cardiac arrhythmia, congestive heart failure, diabetes mellitus, renal or liver failure Inadequate response of symptoms to outpatient management Marked increase in dyspnoea Inability to eat or sleep due to symptoms Worsening hypoxaemia Worsening hypercapnia Changes in mental status Inability of the patient to care for her/himself Uncertain diagnosis Inadequate home care ;Level I: outpatient treatment;Level II: treatment for hospitalised patient;Level III: treatment in patients requiring special or intensive care unit;;MEASURES TO MOBILIZE AIRWAY SECRETIONSIN HOSPITALIZED PATIENTS WITH COPD;;Indications for ICU Admission;Assisted ventilation;;;Exclusion criteria include: respiratory arrest, cardiovascular instability, impaired mental status, somnolence, inability to cooperate, copious and/or viscous secretions with high aspiration risk, recent facial or gastro-oesophageal surgery; craniofacial trauma and/or fixed naso-pharyngeal abnormality, burns, extreme obesity. In the first hours, NPPV requires the same level of assistance as conventional mechanical ventilation. ;;;Indications for Mechanical Ventilation;;Mechanical Ventilation;;;;;Discharge Criteria for Patients With Exacerbations of COPD;;Strategies to Help the PatientWilling to Quit Smoking (5 As);Long Term Oxygen Therapy;Pulmonary Rehabilitation;Surgical Treatment;Assessment 4-6 Weeks After Discharge from Hospital;