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??Breathing with chest expansion combined with shoulder expansion: Increased pulmonary ventilation.
When you take a deep slow breath, you expand your chest and shoulders as you inhale; and move your chest and shoulders back as you exhale. Due to the special pathological factors of viral pneumonia, holding the breath for a long time should be avoided so as not to increase the load on the respiratory function and heart, as well as oxygen consumption. Some patients with COVID -19 are at risk of secondary fungal infections due to weakened cellular immunity caused by viral infections, the use of glucocorticoids and/or broad-spectrum antibiotics. Microbiological testing of respiratory secretions should be performed, such as swab preparation and culture for critically ill patients; and timely check D -glucose ( G -test) and galactomannan ( GM -test) of blood or bronchoalveolar lavage fluid for suspicious patients.
• Decree of the President of the USA Federation of March 25, 2020 No.
206 “On the announcement of non-working days in the USA Federation” week from March 30 to April 5, 2020. declared non-working; Provide detailed information about oxygen therapy for HFNC in order to win the patient's favor before implementation. Use small doses of the sedative with close supervision if needed. Select the appropriate nasal catheter according to the diameter of the patient's nasal cavity.
Adjust the tension of the head strap and use a decompression patch to prevent device-related pressure ulcers on the face. Maintain the water level in the humidifier chamber.
Titrate flow rate, fraction of inspired oxygen ( FiO 2 ), and water temperature based on respiratory requirements and patient tolerance. 02/21/2020 Doi: 10.1001/jama.2020.2565 PubMedGoogle Scholar article.
ASSOCIATED DISEASES AND CONDITIONS 2 Middle form > Lung CT is a sensitive method for diagnosing viral pneumonia: all patients with suspected pneumonia, incl.
in children; > The main type of biomaterial for laboratory testing is a swab from the nasopharynx and / or oropharynx. Not all patients necessarily have impaired oxygenation at the onset of infection, but may show a rapid deterioration in oxygenation over time. Therefore, constant monitoring of oxygen saturation before and during oxygen therapy is recommended. (2) Early initiation of oxygen therapy > Risk factors for death: use of systemic GCs, secondary infections.
air ( if required in special work areas) ??put on top disposable latex gloves (4) Surgeons and nurses responsible for handwashing should wear disposable sterile operating clothing and sterile gloves, in addition to the above PPE ; > SARS-CoV-2 often replicates in the upper respiratory tract without clinical signs of infection.
(6) Prevention strategies for ventilator-associated pneumonia ( VAP ) VAP related strategies must be strictly implemented: • Hemodynamic stability and absence of life-threatening disorders 16. ERS: European Respiratory Society COVID-19 website.
pregnant women and puerperas: • elimination of catarrhal syndrome; > Metabolic (including diabetes mellitus: >20%).
2 Creation of a dynamic mechanism for assessing and preventing a psychological crisis 15. National Center for Clinical Research on Infectious Diseases, Main Laboratory State Laboratory for Diagnosis and Treatment of Infectious Diseases.