Diagnosis and Treatment On Respiratory Failure

Basic disorders: Pulmonary gas exchange was not able to perform and maintain blood pH caused by intra or ekstrapulmonal. I. DIAGNOSIS A. Complaint Main

    * Chest pain suddenly, in accompanied with thick sputum
    * Tightness and cough
    * Palpitations
    * Based on basic diseases
B. The important Signs 

    * Disturbance of consciousness
    * Cyanosis
    * Fidget
    * Pupil shrinking
    * Hyperaemia konyunktiva
    * Hiperkapni
    * Easily offended
    * Pulsus paradoksus
    * Hypertension
    * Stridor
    * Aritmi
    * Tachycardia
    * Rhonchi wet both lungs.
C. Laboratory examination

    * PO? decreased (<60 mmHg)
    * PCO? increased (> 50 mmHg)
    * PH <7.35

D. Special Inspection Both pulmonary infiltrates II. COMPLICATIONS 1.Atelektasis 2.Edema peru 3.Infeksi lung and abdomen 4.Gagal liver 5.Renjatan 6.Asidosis metabolic 7.Hiponatremi III. MANAGEMENT A. General Therapy 1. Break

    * Improves oxygenation disorders:
          o O? high dose
          o Ventilator
          o Clean the airway

    * Physiotherapy when there are exacerbations PPOM.
2. Diet 3. Medical The first drug

    * Stimulation of breathing with oksapram IV (1-4) mg / min
    * Bronkolidator and corticosteroids when there is airway obstruction
    * Antibiotics

Alternative medicine: B. Therapy Complications - IV.PROGNOSIS Prognosis depends on: 1. Factors penyababnya 2. Primary disease COPD, a high mortality rate 3. Weight and length of respiratory failure 4. Facilities (equipment and expertise) 5. Complications that occur Patients who can live, to get to the lungs to be normal again takes many months.