scholarly journals The Nursing Measures of Chronic Obstructive Pulmonary Disease with Respiratory Failure Treated by Noninvasive Ventilator

2012 ◽  
Vol 1 ◽  
pp. 9
Author(s):  
Rong Chen

<p><strong>Objective: </strong>To analyze the nursing measures and curative effects of chronic obstructive pulmonary disease with respiratory failure treated by noninvasive ventilator;<strong> Methods:</strong> Retrospectively analyze the clinical data in 35 cases of chronic obstructive pulmonary disease with respiratory failure treated by noninvasive ventilator between June 2011 and June 2012 in the hospital; <strong>Results:</strong> All the patients’ conditions were improved after the treatment and nursing, and the differences of pH value, PaO<sub>2</sub>, PaCO<sub>2 </sub>were significant (<em>p </em>&lt; 0.05); <strong>Conclusion:</strong> Effective nursing measures can enhance the curative effects when the noninvasive ventilator is applied to the treatment of chronic obstructive pulmonary disease with respiratory failure.<strong></strong></p>

CHEST Journal ◽  
1986 ◽  
Vol 90 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Daniel Rigaud ◽  
Jean Chastre ◽  
Jean Pierre Accary ◽  
Serge Bonfils ◽  
Claude Gibert ◽  
...  

2008 ◽  
Vol 65 (7) ◽  
pp. 521-524
Author(s):  
Zorica Lazic ◽  
Ivan Cekerevac ◽  
Ljiljana Novkovic ◽  
Vojislav Cupurdija

Background/Aim. Oxygen therapy is a necessary therapeutic method in treatment of severe chronic respiratory failure (CRF), especially in phases of acute worsening. Risks which are to be taken into consideration during this therapy are: unpredictable increase of carbon dioxide in blood, carbonarcosis, respiratory acidosis and coma. The aim of this study was to show the influence of oxygen therapy on changes of arterial blood carbon dioxide partial pressure. Methods. The study included 93 patients in 104 admittances to the hospital due to acute exacerbation of CFR. The majority of the patients (89.4%) had chronic obstructive pulmonary disease (COPD), while other causes of respiratory failure were less common. The effect of oxygenation was controlled through measurement of PaO2 and PaCO2 in arterial blood samples. To analyze the influence of oxygen therapy on levels of carbon dioxide, greatest values of change of PaO2 and PaCO2 values from these measurements, including corresponding PaO2 values from the same blood analysis were taken. Results. The obtained results show that oxygen therapy led to the increase of PaO2 but also to the increase of PaCO2. The average increase of PaO2 for the whole group of patients was 2.42 kPa, and the average increase of PaCO2 was 1.69 kPa. There was no correlation between the initial values of PaO2 and PaCO2 and changes of PaCO2 during the oxygen therapy. Also, no correlation between the produced increase in PaO2 and change in PaCO2 during this therapy was found. Conclusion. Controlled oxygen therapy in patients with severe respiratory failure greatly reduces the risk of unwanted increase of PaCO2, but does not exclude it completely. The initial values of PaO2 and PaCO2 are not reliable parameters which could predict the response to oxygen therapy.


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