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ORANGE EKSTRAKLASA
Dołączył: 26 Paź 2010
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Wysłany: Pią 14:20, 01 Kwi 2011 |
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Severe brain injury causes pulmonary infection in the early analysis and nursing care
Times / d ,20-30min / time will help dilute mucus and resistance to infection. Humidifier, nebulizer strictly disinfected regularly, for long-term ventilator patients 2 times a week replace a full set of pipes, humidifier,[link widoczny dla zalogowanych], sterile distilled water replaced every day, regular airway sputum culture. 3.3 rational drug use prevention and treatment to prevent the abuse of antibiotics is one of the key measures of pulmonary infection. Antibiotics should be strictly evidence, prophylactic antibiotics should be strictly in accordance with guiding principles. To have pulmonary infection, should be based on the results of sputum bacterial culture and sensitivity test to select antibiotics. Early adequate treatment with effective antibiotics is the key. Glucocorticoid, should be minimal or short-term use of the application of generally not more than 1 week, reducing its side effects. 3.4 Early nutritional support to enhance the treatment of common injuries or after 2-3d after more fasting in water, mainly through parenteral nutrition, such as amino acids, fat emulsion and so on, maintain water and electrolyte balance, nasogastric feeding should be given after the start may be given a small amount of warm water, no abnormal situation, give soy milk, rice soup and so easy to digest food, to be gradually changed after the resumption of gastrointestinal function by enteral nutrition,[link widoczny dla zalogowanych], supplemented by parenteral nutrition, including high-calorie, high protein, high vitamin liquid diet, appropriate to add insulin and various trace elements. 3.5 to enhance nursing care and ward management operations comply strictly with six-step hand-washing before the law, wash your hands is to prevent the spread of pathogens simple and effective measures, but often overlooked. Aseptic operation, to prevent a multi-purpose gloves, strict hand washing remains after operation. Time to turn over call-back expectoration in patients with coma are generally 1 / 2h, is in a position to prevent long. Patients with severe respiratory infection the most effective treatment, antibiotics are not high, but to give patients the bacteria, senior media - as soon as discharged from the sputum, the best way is to stand burp J. Time to strengthen oral care, reducing parasitic pathogens in the oropharynx, reproduction. Wards to keep the air fresh, room temperature control in the 2O a 22 ℃, humidity 60% to 70%. Every morning the room with the chlorine disinfectant wipe and wet mopping items, ventilation windows 2 times a day, 30min / time, morning care wet cleaning. Restricted access to ward staff, reduce access, to avoid cross-infection. Lung infection have been the need for effective patient isolation to prevent cross-infection. In short, SHI patients, in addition to active treatment of primary disease, nutrition support, strict regulation of various care operations such as tracheotomy care, oral care, nasal feeding,[link widoczny dla zalogowanych], so as to avoid iatrogenic infection and reduce the variety of factors,[link widoczny dla zalogowanych], prevention and indispensable lung infection control measures.
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