5/03/2008

Emphysema care

Emphysema care

"Emphysema" is fine as long-term inflammation of bronchial lumen narrow and obstruct breathing, hence resulting in excessive expansion of the alveolar, damage and lung function decline. Bronchitis, chronic bronchitis, bronchial asthma, silicosis and tuberculosis can cause the disease.

Emphysema can cause breathing difficulties breath of air into the difficult-to, prejudice the gas exchange, increased pulmonary vascular resistance, thus development of pulmonary heart disease, the final cause heart failure, respiratory failure and lung brain syndrome.

Early emphysema often no obvious symptoms or only feel shortness of breath, chest tightness, Cheong breath. With the progress will be a condition of breathing difficulties, public housing, clinched flustered shortness of breath, chest stabbed with Chengyuan. As long-term hypoxia, lips and fingernails are cyanosis, a hammer-like means. Patients prone to respiratory tract infection secondary, repeatedly coughing, Huang Nong Tan, 10, a vicious cycle.

Nursing points

◆ catering to the attention of nutrients, multi-protein food supplement. Have heart failure, they should pay attention to bogey salt. If the volume of long-term eating less and use of diuretics should pay attention to add potassium. Food to orange, banana, fresh mushrooms, and other high potassium content.
◆ for patients daily food intake, water intake and urine output records
◆ ban on smoking, to avoid harmful gases and smoke inhalation.
◆ rehabilitation of patients with chronic respiratory failure, for abdominal breathing. Because patients using chest muscle respiratory gas exchange capacity has reached the very root, we must fully support the mobilization of abdominal diaphragm respiratory function, improve the Xiyang Liang and effective ventilation, to make up for inadequate ventilation, to reduce symptoms.

Specific methods:

(1) to make breath, the breath at the hands touch the abdomen, abdominal gradual subsidence, the gas gradually, as I exhaled. At the same time, sources and whistles-like lips so that the gas slowly exhaled. To prevent the premature closure of small airway to ensure adequate gas from the lungs (2) after the suction. Breathing at the hands still buy the abdomen, but should gradually protruding abdominal wall, at the same time, I closed Long, since the air inhaled nasal gradually, so that the air inhaled through heating, wetlands and filters to reduce tracheal mucosa are stimulating; ( 3), a deep and slow breathing, and breath longer than the suction time to ensure that the lungs fully exhaled gas, and reduce physical exertion. According to manual, for abdominal breathing or at stations or from sitting or lying position.

◆ with a tai chi, qi gong, long-distance walking, and other body treatment.
◆ If a patient suddenly appeared severe acute respiratory, gastrointestinal bleeding and heart failure symptoms should be immediately sent to hospital for treatment.

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