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ORANGE EKSTRAKLASA
Dołączył: 26 Paź 2010
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Wysłany: Sob 15:39, 19 Mar 2011 |
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12 patients with coronary artery bypass surgery nursing
Blocked blood flow , the general micro- pump surgery with intravenous nitroglycerin 0.2 to 1. Og · kg · rain ~,[link widoczny dla zalogowanych], 48 ~ 72h after the gradual reduction disabled, to prevent and control blood pressure in cardiac insufficiency . 2.2.3 Respiratory management: postoperative ventilator-assisted breathing , keep breathing machine breathing out of step with the patient at any time to listen to breath sounds , breathing machine regularly check the work index, patency , pipeline location. Blood gas analysis according to the condition and adjust the ventilator based on the results of various parameters , correct the acid-base imbalance. After extubation to nasal oxygen , close observation of patients with respiratory frequency, amplitude , respiratory status, inhalation 2 times / d,[link widoczny dla zalogowanych], time shooting back, to help patients cough, expectoration , as difficult to cough up thick sputum , to electric suction to maintain airway patency ,[link widoczny dla zalogowanych], to prevent the complications of suture perineal incision and beauty care Moren Shi ( Jinchengjiang Railway Hospital , Guangxi Jinchengjiang 547000 ) occurs. 2.2.4 limb Care : This group of 75 coronary artery bypass grafting in patients with saphenous vein as a bypass to take , so patients need to make limb care, early postoperative period should be Taigaohuanzhi 3O degrees , the tension Bandage 2 ~ 3d, and regularly release in order to facilitate venous return , while observing the skin color and swelling and so on. 2.2.5 postoperative functional exercise: for patients with coronary artery disease and high blood viscosity , postoperative patients with early activities must be encouraged to prevent deep vein thrombosis. Drainage tube does not pull out before and after 2 days in bed to help patients with activities, circulation and stability , a variety of monitoring indicators in the normal range and variety of channels have been pulled out after the patient bedside activities, gradually increase activity . [
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