医学新文(国外英文资料).docVIP

医学新文 Second, difficulty breathing The patient is more asthmatic/angry/angry/angry. The key is to observe the patients vital signs and general conditions. If the patient is in a good mood, there is no pause in speech, no libido, more than 90 percent of the spoof spoof, and the heart rate is not very fast. Give him a low flow of oxygen. The discomfort is atomized (NS5ml + pmik, and a 1ml mist); It is also a way to give a 0.1 PO to ammonia. This kind of person should be in half. The tension pneumothorax (which is frequently associated with basic diseases such as COPD), severe asthma, phlegm obstruction, acute left heart failure and pulmonary edema. But to say that, in fact, the most common form of the respiratory division is the acute onset of COPD. So - it is quite common, and very need to be careful, namely: (1) the obvious difficulty breathing, heart rate (2) (especially 120), (3) oral purple, (4) the SPO2 measurement decline, (5) with lung thick wet then sound. I think there should be no hesitation in meeting two or more of the five items, because it can be fatal. Ive seen a few people who have died before. At this time, you need (1) blood gas analysis st! (2) considering the COPD and tension pneumothorax rush to check the sternum (3) low flow oxygen (regular; but if the SPO2 obviously low, even if high PCO2 also asked the high flow oxygen therapy, because this is the main contradiction can kill hypoxemia, rather than CO2 retention, inhibit breathing (4) NS250 + 0.25 + dexamethasone 10 mg ivdrip aminophylline; 20 mg + 5% famotidine NS250 ivdrip. (5) looks very heavy, ecg monitoring, to critically ill, completes the doctor-patient communication, report the superior doctors (6) please urgent consultation in the ICU (7) can be adjusted when blood gas analysis results out drugs, such as using nikethamide (nikethamide) (PCO2 9 kpa can use), such as changing oxygen flow rate. In the case of the first case, sleep can be assured. (2) there is no obvious sign of sleep, a