The is a chronic obstructive pulmonary disease which is determined by the appearance of a severe blockage of the air passage, in some occasions it tends to advance with the passage of time and one of its characteristics is that it can alter the respiratory system. The primary purpose used to treat chronic obstructive pulmonary disease, which must decrease the percentage of deaths and increase life stability; There are guides that help us treat this pathology, which is going to be used on the Gold scale. They limit that this procedure must include the prevention and reduction of each of its signs and symptoms. In the clinical case in which a 65-year-old patient with chronic obstructive pulmonary disease was studied, admitted for emergencies from the IESS Babahoyo General Hospital, with a symptomatic picture of dyspnea and intense cough that did not stop. His clinical signs are altered at the time of admission; heart rate of 120 bpm, body temperature 37.5 ° C, respiratory rate 28 rpm, blood pressure 85 / 55mmHg is hypotensive, oxygen saturation 82% and a Glasgow scale score of 13/15. A treatment according to the pathology was used, where non-invasive mechanical ventilation was established with a continuous pressure mode in the airway to achieve a saturation of 90%, and to improve his vital signs. In this patient, inhalation therapy was also applied with drugs such as bronchodilators and mucolytics that helped to patent the airway of the patient who had a nasal interface.The is a chronic obstructive pulmonary disease which is determined by the appearance of a severe blockage of the air passage, in some occasions it tends to advance with the passage of time and one of its characteristics is that it can alter the respiratory system. The primary purpose used to treat chronic obstructive pulmonary disease, which must decrease the percentage of deaths and increase life stability; There are guides that help us treat this pathology, which is going to be used on the Gold scale. They limit that this procedure must include the prevention and reduction of each of its signs and symptoms. In the clinical case in which a 65-year-old patient with chronic obstructive pulmonary disease was studied, admitted for emergencies from the IESS Babahoyo General Hospital, with a symptomatic picture of dyspnea and intense cough that did not stop. His clinical signs are altered at the time of admission; heart rate of 120 bpm, body temperature 37.5 ° C, respiratory rate 28 rpm, blood pressure 85 / 55mmHg is hypotensive, oxygen saturation 82% and a Glasgow scale score of 13/15. A treatment according to the pathology was used, where non-invasive mechanical ventilation was established with a continuous pressure mode in the airway to achieve a saturation of 90%, and to improve his vital signs. In this patient, inhalation therapy was also applied with drugs such as bronchodilators and mucolytics that helped to patent the airway of the patient who had a nasal interface.La enfermedad pulmonar obstructiva crónica, que se determina por la aparición de un taponamiento grave del paso del aire, en algunas ocasiones suele avanzar con el pasar del tiempo y una de sus características es que puede llegar alterar el sistema respiratorio. La finalidad primordial que se utiliza para tratar la enfermedad pulmonar obstructiva crónica, el cuál debe disminuir el porcentaje de muertes y que incremente la estabilidad de la vida; hay guías que nos ayudan a tratar esta patología la cual se va a utilizar la escala de Gold, se acotan que este procedimiento debe incluir la prevención y el descenso de cada uno de sus signos y síntomas. En el caso clínico donde se estudia a una paciente de 65 años de edad con enfermedad pulmonar obstructiva crónica, ingresada por emergencia del Hospital General IESS Babahoyo, con un cuadro sintomático de disnea y tos intensa que no cesa. Sus signos clínicos están alterados al momento de ingresar; frecuencia cardíaca de 120 lpm, la temperatura corporal 37.5°C, la frecuencia respiratoria 28 rpm, la presión arterial 85/55mmHg se encuentra hipotensa, la saturación de oxígeno en 82% y una valoración de la escala de Glasgow de 13/15. Se le empleo un tratamiento de acorde a la patología, donde se instauró ventilación mecánica no invasiva con un modo de presión continua en la vía aérea para lograr una saturación de 90%, y mejorar sus signos vitales. En esta paciente también, se aplicó inhaloterapia con fármacos como broncodilatadores y mucolíticos que ayudaron a permeabilizar la vía aérea del paciente que se encontraba con interfase nasal.