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Encyclopedia of Health and Medicine

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228 The Pulmonary System<br />

• cyanosis<br />

• fatigue<br />

• edema (swelling, typically in the h<strong>and</strong>s <strong>and</strong> feet)<br />

Doctors measure <strong>and</strong> assess chronic respiratory<br />

failure through blood levels <strong>of</strong> oxygen (which are<br />

low) <strong>and</strong> carbon dioxide (which are high). People<br />

who have chronic respiratory failure also commonly<br />

have PULMONARY HYPERTENSION. Treatment<br />

for chronic respiratory failure attempts to improve<br />

oxygenation through OXYGEN THERAPY <strong>and</strong> medications<br />

such as bronchodilators <strong>and</strong> some situations<br />

corticosteroids. The underlying disease <strong>and</strong> the<br />

person’s response to therapy are key factors in<br />

determining the overall treatment approach.<br />

When chronic respiratory failure results from endstage<br />

pulmonary disease, treatment options are<br />

limited. Some people are c<strong>and</strong>idates for LUNG<br />

TRANSPLANTATION.<br />

See also APNEA; ATELECTASIS; BREATH SOUNDS;<br />

BRONCHIECTASIS; OXYGEN–CARBON DIOXIDE EXCHANGE;<br />

SUDDEN CARDIAC DEATH.

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