Difference between revisions of "MND-RESPIRATORY FAILURE"
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===== [[Summary Article|'''SUMMARY''']] ===== | ===== [[Summary Article|'''SUMMARY''']] ===== | ||
1. Monitor respiratory function: look for symptoms of respiratory failure. | 1. Monitor respiratory function: look for symptoms of respiratory failure. | ||
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<br/>2. Monitor respiratory function tests: pCO<sub>2</sub> > 45 mmHg, FVC < 50% predicted, MIP < 60 cm H<sub>2</sub>O, SNIP < 40 cm H<sub style="color: var(--field-fg); background: var(--field-bg);">2</sub>O, nocturnal desaturation. | <br/>2. Monitor respiratory function tests: pCO<sub>2</sub> > 45 mmHg, FVC < 50% predicted, MIP < 60 cm H<sub>2</sub>O, SNIP < 40 cm H<sub style="color: var(--field-fg); background: var(--field-bg);">2</sub>O, nocturnal desaturation. | ||
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Latest revision as of 11:07, 20 March 2023
SUMMARY
1. Monitor respiratory function: look for symptoms of respiratory failure.
2. Monitor respiratory function tests: pCO2 > 45 mmHg, FVC < 50% predicted, MIP < 60 cm H2O, SNIP < 40 cm H2O, nocturnal desaturation.
3. Non-invasive BiPAP: provides symptom relief (fatigue, breathlessness, improved sleep), prolongs life (Berlowitz 2016). Consider: cost, tolerance, caregiver dependence.
4. Avoid supplemental O2 as this is type 2 RF.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
