Respiratory failure treatment principles


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Respiratory failure is a serious disease that requires prompt and effective treatment. The following principles for the treatment of respiratory failure include the following: 1. Keep the respiratory tract open: Remove respiratory secretions in time, relieve airway obstruction, and ensure that oxygen can enter the lungs smoothly. 2. Oxygen therapy: give the patient appropriate oxygen therapy to correct hypoxemia. 3. Etiological treatment: treat the causes of respiratory failure, such as infection, pneumonia, pneumothorax, etc. 4. Mechanical ventilation: In patients with severe respiratory failure, mechanical ventilation is an important means of treatment, which can help patients maintain respiratory function.5.Supportive treatment: including nutritional support, water electrolyte balance regulation, anti-infection, etc.6.Prevention of complications: Active prevention and treatment of respiratory failure may lead to complications, such as atelectasis, lung infection, etc. Keeping respiratory tract unobstructed is the key to treating respiratory failure. Retention of respiratory secretions can lead to increased dyspnea and even life-threatening. Therefore, sputum should be removed in time. For patients who are unconscious or unable to expectorate, sputum suction or tracheotomy can be performed. Oxygen therapy is an important measure to correct hypoxemia. Depending on the patient's condition and blood gas analysis results, choose the appropriate mode and concentration of oxygen. Mild hypoxemia patients can receive oxygen through nasal tubes or masks, while severe hypoxemia patients may require mechanical ventilation. Etiological treatment is fundamental. Treatment for the causes of respiratory failure, such as infection control, pneumonia treatment, exhaust decompression, etc. Respiratory function can be improved fundamentally only by eliminating the causes. Mechanical ventilation is an important means of support for patients with severe respiratory failure. Mechanical ventilation can provide assisted breathing, increase ventilation volume, improve oxygenation and reduce respiratory power consumption. The timing and parameters of mechanical ventilation should be adjusted according to the specific conditions of patients. Supportive treatment includes nutritional support, water and electrolyte balance regulation and anti-infection. Respiratory failure patients are often in a high metabolic state and need adequate nutritional support. At the same time, attention should be paid to maintaining water and electrolyte balance to prevent infection. Prevention of complications is also an important part of treatment. Regular turning, patting back, promoting sputum discharge, preventing atelectasis; Strict aseptic operation, prevention of infection, etc. In short, the treatment of respiratory failure requires comprehensive consideration of multiple aspects, taking targeted treatment measures. Timely medical treatment, follow the doctor's advice for treatment, is the key to improve the treatment effect. At the same time, for high-risk groups suffering from respiratory diseases, such as the elderly and patients with chronic obstructive pulmonary disease, prevention and health care should be strengthened, regular physical examination should be carried out, and diseases should be detected and treated in time to reduce the risk of respiratory failure.