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Oxy liệu pháp trong điều trị viêm phổi do virus (Phần 9)

Tham khảo tài liệu 'oxy liệu pháp trong điều trị viêm phổi do virus (phần 9)', y tế - sức khoẻ, y học thường thức phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | BTS guideline BTS guideline for emergency oxygen use in adult patients B H O Driscoll 1 L S Howard 2 A G Davison2 on behalf of the British Thoracic Society 1 Department of Respiratory Medicine Salford Royal University Hospital Salford UK 2 Hammersmith Hospital. Imperial College Healthcare NHS Trust London. UK 3 Southend University Hospital Westcliff on Sea. Essex UK Correspondence to Dr B R C Driscoll. Department of Respiratory Medicine Salford Royal University Hospital Stott Lane SafordMG BHD UK ronan.o dnsc oll@srft.nhs.uk Received 11 June 200H Accepted 11 June 2ŨŨB EXECUTIVE SUMMARY Of THE GUIDELINE Philosophy of the guideline Oxygen is a treatment for hypoxaemia not breathlessness. Oxygen has not been shown to have any effect on the sensation of breathlessness in non hypoxaemic patients. The essence of this guideline can be sum marised simply as a requirement for oxygen to be prescribed according to a target saturation range and for those who administer oxygen therapy to monitor the patient and keep within the target saturation range. The guideline suggests aiming to achieve normal or near normal oxygen saturation for all acutely ill patients apart from those at risk of hypercapnic respiratory failure or those receiving terminal palliative care. Monitoring and maintenance of target saturation Oxygen saturation and delivery system should be recorded on the patient s monitoring chan alongside the oximetry result. Oxygen delivery devices and flow rates should be adjusted to keep the oxygen saturation in the target range. Oxygen should be signed for on the drug chart on each drug round. Weaning and discontinuation of oxygen therapy Oxygen should be reduced in stable patients with satisfactory oxygen saturation. Oxygen should be crossed off the drug chart once oxygen is discontinued. Oxygen is one of the most widely used drugs and is Achieving desirable oxygen saturation ranges in -acute illness sections 6.7 and 6.8 1. This guideline recommends aiming to achieve a .