Cisplatin side effects of cancer treatment and cli

e707004304 · Wysłany: Sob 0:15, 19 Mar 2011

Cisplatin in the treatment of malignant tumors and clinical care side effects

Protein, high-calorie, high-living index, nutrient-rich diet, frequent vomiting of light given digestible diet. Qingdao Medical Health Volume 38, 2006 3 3.4 familiar with the combination therapy program, according to doctor's orders and planned arrangements for infusion order is conducive to the smooth progress of chemotherapy. Choose a good blood vessels, to avoid the joint, splint when necessary, to prevent liquid leakage and embolic phlebitis. 3.5 understand the antiemetic efficacy and impact factors (1) Age: The elderly tolerance and vomiting better than youth. (2) Gender: male antiemetic effect than women. (3) regular drinkers: alcoholics antiemetic effective than non-drinkers. Therefore, the choice of antiemetic agent, in addition to considering chemotherapy dose, time, there should consider the characteristics of patients. 3.6 do a good job based care (1) of water should be closely observed chemotherapy the amount of 24-hour access and record, regularly checked renal function. (2) on cardiopulmonary function is poor, should slow down the rate of intravenous infusion. (3) during chemotherapy, such as blood test every 2 days 1 week 1 check liver function. (4) Note ward hygiene, 2 times daily UV disinfection to prevent cross infection. Abortion syndrome Huang Xiaomei preoperative and postoperative care and vacuum aspiration abortion is a procedure for early termination of pregnancy, relatively simple, safe, stimulating the uterus light damage, but part of the surgeon during surgery or surgery the end of an episode of bradycardia, arrhythmia, nausea, vomiting, pale, cold sweats, chest tightness,[link widoczny dla zalogowanych], blood pressure, or even fainting, convulsions and other symptoms, this series of induced abortion syndrome symptoms. By preoperative psychological care, so patients in the case of pregnant women to understand, to lift unnecessary mental burden, it can reduce the reaction of abortion syndrome surgery, so effective in the clinical prevention and treatment, and care is sub- do not open. The observation of a clinical abortion I500 cases, which occurred 3O abortion syndrome cases, including cases of early pregnancy 1O, 10 cases of cesarean section after delivery for the first time in 7 cases of abortion, the mother in 3 cases. 2 reasons for abortion syndrome were 2.1 unwed mental factors have remorse, regret,[link widoczny dla zalogowanych], shame, pregnant women should pay attention to such language should be light, non-discrimination, respect them, and to eliminate their adverse psychological reflection. For the over-anxiety, fear, tension are the kind words to use to talk with them to eliminate their psychological tension, there are three other pregnant women afraid of: a painlessly,[link widoczny dla zalogowanych], second, fear of bleeding, fear of doctors unskilled three,[link widoczny dla zalogowanych], in particular, fear of pregnancy on the first adversely affect future pregnancies. 2.2 The reasons for surgery patients who forced the surgery operation, difficult cervical dilatation of the cervix stretch reflex caused by stimulation of vagus nerve reflex. Common in early pregnancy, the cervix is small, cervical Koujin, cervical dilatation difficulties. 2.3 when the negative pressure suction government is too large, directly suck the uterine wall, pain was significantly, vagus nerve, the release of a large number of acetylcholine, a series on the cardiovascular effects of repeated scraping uterine wall, the amount of bleeding or the house of Shandong unit Provincial People's Hospital of 266600 cavity Lacey Municipal contents discharged faster, strong uterine contractions and so on. 3 expansion of the disease observed in most patients when the cervix, have abdominal distension, abdominal pain; intraoperative bradycardia, arrhythmia, palpitations and other characteristics, blood pressure decreased in varying degrees; as surgical stimulation, there body cold sweat, limbs Jue cold, dizziness, nausea, vomiting, chest tightness, pale, and even irritability, loss of consciousness or convulsions and other symptoms. 4 treatment of mild cases, surgery to stop lying, to relieve symptoms, then surgery, patients must be gentle in action. Surgeon chest tightness, body cold sweat, pale,[link widoczny dla zalogowanych], distal limbs, chills, rapid pulse and other symptoms fine with 5O% glucose 100ml, Vitamin C2g, intravenous injection, while giving the oxygen. When the heart rate slowed to 7O times per minute or less, can be intravenous atropine 0.5mg ~ Img, invalid isoproterenol lmg can integrate into the 59 / 6, the intravenous infusion of glucose, adjust the drip rate based on heart rate recovery. 5 First of all nursing care, nurses and patients to psychological exchange, to obtain the trust of patients to medical staff, the transfer of the operation of the attention, the nerves, health care workers to be affable, patiently explained to the patient a sense of security, so that surgery success. Those who understand the operation of preoperative physical condition to conduct a comprehensive physical examination to exclude contraindications flow and comfort patients overcome fear, to give spiritual comfort before surgery, the use of language shift attention to the surgery, when the expansion of the cervix, guiding patients to do deep breathing, relax the abdominal wall, smoking house of pain some scattered action, such as the mean pressure within the customs, Hegu, but also in preoperative cervical suppository tetracaine put inside the mouth to prevent its occurrence. Control and reduce the negative pressure, smoking and not to repeat the net suction curettage after uterine wall, as short as possible to attract time.