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e707004304
ORANGE EKSTRAKLASA
Dołączył: 17 Gru 2010
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Wysłany: Wto 0:40, 01 Mar 2011 |
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Care in the hospital of traditional Chinese medicine's role
Pot, jar, enamel can, avoid using iron pots. Herbs with cold water immersion 3060rain Zai Jian, the decoction of the time, the furnace, quantity, time of medication, there are stringent requirements. Different drugs to be different furnace, such as diaphoretic, clear powder to be short,[link widoczny dla zalogowanych], fierce fire; tonic medicine to a long time, fire slow, otherwise it will affect the efficacy. The method is also a lot of medication,[link widoczny dla zalogowanych], such as before meals, after meals, Dayton clothing, Pingdan clothes, night wear, hot clothes, cool clothes and so on. General day one, taking in two. Disease in the person, such as eye, throat diseases should be taking a meal; disease in the next persons, such as liver and kidney disease,[link widoczny dla zalogowanych], gastrointestinal medication before meals should be. Medicine should be taken after meals divergence, sedative drugs should be taken before bedtime, menstruation drug should be started in a few days before passing through the taking. Decoction generally warm clothing is appropriate, but the solution should be hot side table diaphoretic services to help sweating, antipyretic,[link widoczny dla zalogowanych], cooling and other drugs should be taking slightly cool. These are subject to our skilled nursing staff and accurate use. 4.2 medication to observe the patient's condition changes and adverse reactions, and make the appropriate patient care services, such as relieving medicine, should pay attention to sweating, and to observe temperature, pulse changes, should rest in bed quilt cover from wind, drink more water, cold food taboos. Such as sweating hot back, then the second can not be served fried, avoid sweating too much damage essence. Such as diarrhea constipation prescription service, be aware of stool frequency, nature, dry pond, and to make a record. If the toxic or potent pharmaceutical drugs, and they should closely observe the pulse, blood pressure, with or without vomiting, found the patient was pale, shortness of breath, severe abdominal pain, sweating, etc. should be discontinued immediately and inform the doctor. In short, the Chinese care is a very important job, with the development of the traditional Chinese medicine, Chinese medicine care will play a more active and important role, but also in the entire hospital nursing work occupies an important position as the hospital care must enhance learning, the better to meet the development needs of the hospital. Introduction of the tube: Li Xueting, (1963), female, charge nurse, Datong Chinese medicine hospital. (The proof: Liu Zhilan lotus collection date :2008-11-2) Nursing of stroke patients with nasal feeding Lizheng Jing Nanjing Hospital of cerebral vascular Division (21ooo1) Keywords: stroke; nasal feeding; nursing doi: 10.3969 / j. issn. 1003-8914.2009.01.100 Article ID: 1003.8914 (2009). 01.0141.02 stroke, said stroke is traditional Chinese medicine, including the organs, the meridians two categories. The former is often dangerous conditions, which are usually more moderate disease, but Both of these two changes will lead to a sudden illness. Since 1998, our hospital set up a Severe stroke patients tend to loss of consciousness, swallowing, loss of function caused by eating disorders, in addition to the body in patients with high metabolic state, sharp increase in energy consumption, the body can not meet the required parenteral nutrition, so keep the line nasal feeding tube has become an important nutritional approach. March 2005 to March 2007, 90 cases of stroke in patients with nasal retention tube to observe the line care, a summary of some nursing experience and experience of the nasogastric feeding tube to keep stroke patients have made some progress. l data and methods 1.1 General information on a total of 90 cases, male 6l, female 29,[link widoczny dla zalogowanych], age 53 to 88 years, the diagnosis of patients in this group are in line with the 1995 National Conference on the Fourth of cerebrovascular standards. L1GCS score 35 points in 28 cases, 62 cases from 6 to 8 minutes. Distribution of disease: 32 cases of cerebral hemorrhage, cerebral infarction, 44 cases of subarachnoid hemorrhage in 14 cases. The patients are used 1618F silicone nasogastric tube, nasal feeding nutrient solution can be self-made, can also be used enteral nutrition - to the full (Netherlands Nutricia products). 1.2 Methods to retain this group underwent a gastric tube enteral nutrition support, the use of silicone nasogastric tube, inserted through the nose, length of hair to the xiphoid about patients, about 45 ~ 55cm, lubricated tube, gentle movements o [232 Results in 12 cases the patients died because of dangerous conditions, more than 78 cases were improved and discharged. Nasal regurgitation and aspiration during the concurrent l4 cases, diarrhea in 13 cases, 5 cases of blocked nasal feeding tube, feeding tube off in 11 cases, 10 cases of constipation, through the intensive care better recovery. 3 3.1 General Nursing Care ① lower the resistance because patients could easily cause an intestinal infection, with the materials should be disinfected daily, strict aseptic technique. ② the prevention of oral infections, and oral care, cotton line with normal saline for each Et secondary oral care and, if oral infection should be selective use of oral care solution. ③ be confirmed prior to each nasal gastric tube before injection in the stomach and food, gastric tube firmly fixed to prevent slippage. ④ After each nasal wash with warm water of about 30ml tube. To prevent
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lao319hei
KLASA B
Dołączył: 24 Lut 2011
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Wysłany: Śro 21:29, 02 Mar 2011 |
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bemustxw
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Dołączył: 12 Lut 2011
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Wysłany: Nie 23:44, 06 Mar 2011 |
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