mbt hommes Patients with acute brain injury and po

lin06900 · Wysłany: Wto 16:39, 22 Mar 2011

Acute brain injury and postoperative care of patients

C1.12 down with the indications received in 7 cases of successful thrombolysis, the success rate was 583%. Thrombolysis occurred during the injection site subcutaneous hemorrhage l cases. Reperfusion arrhythmias 3 down. I2 patients all recovered. Nursing 1. Thrombolysis for acute myocardial infarction before the thrombolytic treatment of patients with the best time within 6h after onset. Doctors should help patients choose after abdominal cases. Made a brief but detailed history to determine whether treatment solution control ho indications and contraindications. Immediately capture all the relevant experience in specimens sent to pick, such as: urine routine, liver and kidney function, the coagulation time, prothrombin time, platelets, enzymes and so on. In case of no abnormal thrombolysis. Decision after thrombolytic therapy, patients and their families to explain the days of Pu Luoxin thrombolytic therapy methods, advantages, possible side effects and control measures. R to be the treatment solution, a good treatment in the form of psychological state. Conducive to rehabilitation of the disease. 2. Thrombolysis procedure care (1] to perform a clinical accuracy to ensure that thrombolytic agents per unit time input the rapid establishment of intravenous access. Select Straight blind puncture of static wells properly fixed. Thrombolytic agent is now equipped with. Dose must be accurate, the day Provincetown After 30rain drops to be welcomed. (2) Efficacy of thrombolysis: Thrombolytic therapy given after continuous ECG monitoring, in the 2h per 30rain observation of chest pain and the ECG showed ST-stroke high or down situation; observation of creatine kinase and 24h the level of creatine kinase isoenzyme peak change, with or without reperfusion arrhythmia, and detailed records, and then press the thrombolytic therapy of acute myocardial infarction to determine reference therapy program. monitoring the process of timely reporting of unusual doctor. and give treatment. ( 3) thrombolysis ① bleeding tendency observed side effects: Since the days of the circulatory system Puluo Xin Xuan live full effect, can lead to high systemic fibrinolysis in the blood. cause bleeding after dissolving YouiianKMedicine1999.Vol27No4 bolt film revolves observe whether the bleeding tendency of skin and vomiting blood, blood in the stool signs, special attention to the risk of intracranial hemorrhage. in the thrombolysis 3h, 6h, 12h, 24h prothrombin time, bleeding time, thrombocytopenia. after review 1 every other day, I continue to weeks. check the size of 3 consecutive days they rule. If bleeding. immediately report doctors with treatment according to the site of bleeding and severity of bleeding take different measures. this group of cases, only 1 case of subcutaneous bleeding at the injection site to dry intravenous catheter infusion, reduced puncture, injection other treatment. rebleeding was not found. ② reperfusion often the first heart rhythm: arrhythmia after thrombolytic recanalization is one of the indicators to judge. to thrombolysis within the highest incidence of lip 4h, Yu is not timely given control can endanger the patient's life . nan this, given continued after thrombolysis ECG. closely observed symptoms of various arrhythmias and life pension changes. prepare a variety of rescue drugs such as lidocaine, atropine and yeast defibrillators and so on. this group of cases 3 patients had reperfusion arrhythmias. l Ⅱ showed inverted degree atrioventricular block, 1 case of short-Chen ventricular tachycardia, 1 case of premature ventricular contractions, as we discover. Pina were controlled by medication, not death occurs. 3 strengthen the basic health care and good guidance (I) acute myocardial infarction care and rehabilitation of the guidance, directly related to the prognosis of the patient's outcome. there where any proposed solution tied at 24h after treatment started its activities as the most good recovery time but taking into account the patients with acute myocardial infarction in elderly patients, mostly due to old age where there are mostly the presence of senile degenerative heart disease, the basis of its poor cardiac function, the high incidence of complications. So. myocardial infarction in elderly patients. should be an absolute bed rest I ~ 2 weeks or at least stay in bed for 2 weeks ¨). Also note that the prevention groan inflammation,[link widoczny dla zalogowanych], bed sores, urinary tract infection,[link widoczny dla zalogowanych], static squint embolism complications. Acute pressure area of skin to give massage and passive physical activity,[link widoczny dla zalogowanych], were hard to avoid turning over,[link widoczny dla zalogowanych], Wo further complications. Good psychiatric care. To obtain the patient's trust, enhance the confidence of the patient safety through the treatment of the acute phase, into the recovery period. (2) recovery of patients. Given to publicize the disease knowledge. So that patients have sufficient knowledge of their disease, long-term bed rest there are many adverse effects on patient care and the active support given under the guidance of the disease, so patients have a reasonable amount of activity. Do not rush,[link widoczny dla zalogowanych], and comfort to explain to the patient through a stable mood of optimism, peace of mind rest, to avoid the factors that induced angina. Step by emotional patients. Arrangements for reasonable diet, maintain a smooth stool, to prevent recurrent disease. Days Bullock Yan is currently the wide range of dissolved light tied to medicine, can shake vivo plasminogen into plasmin, which hydrolyzed fibrin to thrombolysis, so tied to blockage of the coronary artery recanalization. Ischemic myocardial tissue damage to promote recovery. Rate group of patients were in the pathogenesis of intravenous thrombolytic therapy within the song. Success rate of 58.3%, while intravenous thrombolysis A trend
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