The purpose of ventilatory management in acute exacerbations of chronic obstructive pulmonary disease is to avert tissue hypoxia. Managing respiratory failure also provides control of acidosis and hypercapnia. Non-invasive ventilation reduces the need for intubation among patients with COPD…
So Mr. Bryants condition did not deteriorate. Oxygen therapy, bronchodilator and antibiotic therapy worked effectively. As to the further entilatory management it is possible to use non-invasive ventilation to reduce a need of hospitalization and future complications or respiratory failure. To avoid so called late failure it is necessary to continue monitoring the patient, have an intubation available and receive NIV in a place with trained staff of nurses. Taking into account the age, lifestyle and diagnosis of Mr. Bryant all the precautions must be followed. As initial level of ph was 7, 25 it is possible to say that Mr. Bryant’s condition was unsatisfactory. Taking into consideration that patient had an acute exacerbation of COPD and a respiratory failure it was necessary to manage support ventilation by means of oxygen therapy. An effect of the therapy was positive, ph factor increased, so it is possible to say that treatment corresponded to the situation. It is also possible to use long term oxygen therapy during the time of hospitalization. Ventilatory management in cases of COPD and pneumonia is of a great importance. The survival of the patient and his further recovery depend upon appropriate managing respiratory failure. 6. Scientific and technological revolution provided a wide use of technology in different spheres of life. Medical care achieved a high level due to the technological innovations. The work of the medical men is speeded up and supported by means of technology. ...
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