RESPIRATORY FAILURE
TREATMENTS |
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Nearly all patients are given oxygen as the first treatment. Then
the underlying cause of respiratory failure must be treated. For
example, antibiotics are used to fight a lung infection, or, for an
asthmatic patient, a drug to open up the airways is commonly
prescribed.
A patient whose breathing remains very poor will require a
ventilator to aid breathing. A plastic tube is placed through the
nose or mouth into the windpipe and is attached to a machine that
forces air into the lungs. This can be a lifesaving treatment and
should be continued until the patient's own lungs can take over the
work of breathing. It is very important to use no more pressure than
is necessary to provide sufficient oxygen; otherwise ventilation may
cause further lung damage. Drugs are given to keep the patient calm,
and the amount of fluid in the body is carefully adjusted so that
the heart and lungs can function as normally as possible. Steroids,
which combat inflammation, may sometimes be helpful but they can
cause complications, including weakening the breathing muscles.
The respiratory therapist has a number of methods available to help
patients overcome respiratory failure. They include:
Suctioning the lungs through a small plastic tube passed through the
nose, in order to remove secretions from the airways that the
patient cannot cough up
Postural drainage, in which the patient is propped up at an angle or
tilted to help secretions drain out of the lungs. The therapist may
clap the patient on the chest or back to loosen the secretions, or a
vibrator may be used for the same purpose.
Breathing exercises often are prescribed after the patient recovers.
They make the patient feel better and help to strengthen the muscles
that aid breathing. One useful method is for the patient to suck on
a tube attached to a clear plastic hosing containing a ball so as to
keep the ball lifted. Regular deep breathing exercises are simpler
and often just as helpful. Another technique is to have the patient
breathe out against pursed lips to increase pressure in the airways
and keep them from collapsing. |
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| RESPIRATORY FAILURE RELATED ITEMS |
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