Question

Mrs. J. is placed on noninvasive positive-pressure ventilation (NPPV). Why is this decision made? Within 2 hours of NPPV, Mrs. J. is getting worse. Her SpO2 remains at 85%, and the oxygen via NPPV was 80%. Her chest x-ray shows bilateral “white out.” What treatment is indicated?

Answer 1

Answer :

NPPV as an alternative management strategy in acute respiratory failure .

NPPV has been shown to be beneficial in moderate to severe COPD with hypercarbia and respiratory acidosis ,cardiogenic pulmonary edema , pulmonary infections in immunocompromised patients and can be useful in bridge after extubation in COPD patients .

If the mr. J may be having chronic respiratory diseases like COPD or other diseases related to respiratory system .

He is unable to breath spontaneously .

May be the saturation is not improved with 02 mask

After 2hours also his saturation is not improved remains 85%. Because his lungs may be collapsed or spontaneous respiration fall down.

His respiratory muscles are relaxed and unable to produce normal breathing .

Treatment :

Hydrocortisone is very much useful in this case .

Deriphylline also helpful

Doctors should take decision to intubate the client

Intubation is required to prevent the further collapse of lungs .