Respiratory failure in patients who do go out
The patients experienced respiratory failure, often using artificial means to carry out the rescue. Aims to use artificial methods of ventilation to supply enough oxygen and emit carbon dioxide. It can make passive expansion of the lung, pulmonary stretch receptors to stimulate expansion, and indirectly stimulate the respiratory center, rehabilitation activities; inhaling the gas contains adequate oxygen to body tissue and the patient respiratory center metabolism; mouth-to go out, respirable Gas was contained in the amount of carbon dioxide, the respiratory center can be exciting, it can often be breathing through mouth-to patients Turning the Tide.
(1) do mouth-to go out, the patient should be supine, the rescue of patients who single-handedly Tuoqi mandibular and head as far as possible, Yang, clear oral secretions to relieve respiratory obstruction; mandibular entrusted with the patient's hand turned lips, To facilitate the inflatable Rufei, I cover a layer of gauze, and the other hand Niejin patients nostrils, so as to avoid blowing the nose when the gas escaped. Shenxi breath to the rescue, at the Ministry of the population forced Chuiru, (If patients can not be closed oral suction, I can do on the nose blowing, that is the primary Tuozhu patients mandible, and pinch Long lips, not from the gas I leakage, forced inflatable at the nostrils.) Until the expansion of the thorax. Children can not be of excessive force, so as to avoid alveolar rupture. Inflatable stopped, who heads the rescue slightly Cezhuan, pinch your nose and immediately relax the hands. As the thorax and lung Danxinghuisu role for gas from the lungs of patients discharged, at this time should monitor the patient's chest to recover the situation, listen to the breathing sound, observe whether respiratory obstruction. On such a rhythm, interrupted to repeatedly blowing. Per minute for 14 to 16 times.
(2) do go out, they should pay attention to ensure smooth respiratory tract. Purposes, should release the patient's neckline, Kudai and thoracoabdominal clothes, the timely removal of patients on the oral and respiratory vomit, secretions and other foreign bodies; patients maintain the correct location of the head, after falling to prevent the tongue and airway obstruction. Implementation of artificial, inflatable to a short time, the period can not be short of breath at the suction period, but can not be too long, so as not to affect ventilation effect. Inflatable should not be too large, swelling from the thorax appropriate suitable. When a patient breathe effectively independent oxygen supply has been restored and has basically met, should be stopped breathing assisted suitable. Regardless of what causes respiratory failure, are in severe danger of the best clock and for emergency treatment, or sent to a nearby hospital for treatment in time.
5/02/2008
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