Respiratory failure precautions

When it comes to a disease like respiratory failure, people who have never seen it or experienced it personally may not be able to understand it, so let alone the precautions for respiratory failure, even fewer people know about it. In fact, in today's society, even many patients with respiratory failure do not understand the precautions of respiratory failure, because patients with respiratory failure are generally taken care of by others, so they themselves are actually unaware of one aspect.

Respiratory failure is a common human disease, and the incidence of respiratory failure is relatively high. Patients with general respiratory failure usually receive conventional treatment. In fact, in addition to the usual medical treatment, there are many aspects that patients with respiratory failure need to pay attention to. Based on this, let’s introduce in detail the precautions for respiratory failure.

Respiratory failure refers to a clinical syndrome in which the lungs cannot perform normal gas exchange due to various reasons, resulting in hypoxia and carbon dioxide retention, and a series of pathophysiological changes.

Note:

1. Diet: During rescue, routine nasogastric feeding of high-protein, high-fat, low-carbohydrate diets as well as multiple vitamins and trace elements is used, and intravenous high-nutrition therapy is given when necessary. After the condition stabilizes, the patient is encouraged to eat orally, starting with liquid food, gradually moving to semi-liquid food, soft food, and then to normal food, in small and frequent meals.

2. Rest and activity: Patients with respiratory failure must rest in bed, preferably in a semi-recumbent position. After the condition stabilizes, first move around in bed and then move around indoors. After full recovery, you should engage in appropriate activities and avoid feeling chest tightness or palpitations.

3. Follow-up time and indications: Regular follow-up, once every 3 months. If you experience symptoms such as difficulty breathing or palpitations, seek medical attention immediately.

Special attention:

1. Observe changes in the condition.

① For conscious patients, ask about changes in symptoms such as dyspnea and palpitations, whether there is any new discomfort, diet, defecation, urination, sleep, etc., as well as any issues that the patient is worried about.

② Monitor vital signs, including consciousness status. The frequency of monitoring depends on the condition. Severe patients need to be monitored continuously for 24 hours. Check for conjunctival edema, the integrity of the skin and mucous membranes, the activity of the accessory respiratory muscles, the amplitude and symmetry of respiratory movements on both sides, changes in lung breath sounds and rales, the presence of arrhythmia and abdominal distension, and the presence of bowel sounds. The pupils, muscle tone, tendon reflexes and pathological reflexes of comatose patients should be examined.

③ Understand the changes in blood gas analysis, urine routine, and blood electrolyte test results.

2. Take the medicine strictly according to the doctor's instructions and observe the effects and reactions of the medicine.

① During antibiotic treatment, in order to ensure the efficacy, a certain concentration of liquid medicine should be dripped within the required time (such as 1 hour), and the efficacy and side effects of the drug should be closely observed after medication.

② When using respiratory stimulants, keep the airway open and the drip rate should not be too fast. Pay attention to changes in respiratory rate, amplitude and consciousness after taking the medicine. If symptoms such as vomiting, nausea, irritability, facial muscle twitching occur, notify the doctor in time. If severe convulsions occur, stop the drug in time.

③ When using alkaline drugs THAM, prevent extravasation of the drug solution, the drip speed should not be too fast, strengthen patrols, and be alert to side effects such as hypotension, hypoglycemia, and respiratory depression.

④ When using cortical hormones, be alert to dual infection of bacteria and fungi, regularly check the oral mucosa for thrush and give appropriate treatment. ⑤ When correcting hypokalemia, strictly follow the medical prescription, verify the drug concentration and the speed of intravenous drip, and promptly understand the results of blood potassium and electrocardiogram examinations.

The several precautions regarding respiratory failure introduced above are relatively comprehensive, so mastering these precautions regarding respiratory failure will be of certain benefit to our patients themselves and to those who usually take care of patients with respiratory failure. The most important point is that our patients with respiratory failure must pay attention to these aspects. Only in this way can the disease be cured as soon as possible.