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Wysłany: Śro 11:46, 09 Mar 2011
Temat postu: nike sale The clinical care of diabetes in childre
The clinical care of diabetes in children
8 down ketoacidosis. 1 case of diabetes flat coma. Metabolic acidosis. Generous blood volume of the body of g, the rest of type 1 diabetes l1 down flat. The average age was 8 years old. Male to female ratio is 2:3. Family history of hospitalization over the same period accounted for 25. Air sleep blood glucose> 25Dmg/dl total 60.2 2.1 Psychological care nursing: Diabetes is a lifelong disease. Therefore, meticulous care is a very important link. Daily insulin injections and diet by your doctor control, to the flat where their families have brought a lot of mental burden, this must be prepared solid psychological care of children and their parents. Before treatment, comfort and more ashamed interpretation work. To obtain reasonable arrangements with the 2.2 and the control diet: children with diabetes nutrition arrangements appropriate to their age, gender,
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, body weight and activity level to adapt. Healthy children with similar age to meet their growth and development needs. Need to develop with normal eating habits. Fu Ji Food and protein should be high fiber Viso. Limit of pure sugar. Wo-step saturated fat and cholesterol. Insulin and to reduce the burden of islet cells,
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, enabling their functional recovery. Therefore, most diabetes diet control can not ignore the most basic of the most important care. Nurses to strengthen the food and beverage management, to prevent the stealing of children. Rationing to maintain normal body weight. Step by blood glucose fluctuations. The principle of maintaining normal blood lipids. Then the total heat 187J / d as the base. Black children must be limited by the amount of food diet under doctor's advice. Avoid candy, candied fruit and other food tough. If still hungry after eating, may consider increasing crude Die f-dimensional food. Such as green leafy vegetables. In this paper 20 cases of children with diabetes are at a reasonable flat arrangement made diet effect. Urine sugar, blood sugar under control. 2.3 Skin Care: Diabetes in children less resistance to bacterial infection. No. f so easy to play skin infections. Therefore, the importance of keeping clean sheets put children and smooth. Also told his children, bed rest, reduced activity to stimulate the skin to prevent sweating. Qinhuan underwear, underwear, shower wash your hair frequently. Keep the skin clean. On a more timely manner to pull the diaper children. Especially after a bowel movement on the buttocks and genital clear antagonist. To prevent the occurrence of red buttocks. In addition, oral clearance 33 must be maintained clean. Increase in the wash after each meal IZl1 times. The group of 20 patients in 1 case without the skin, mouth infections Wang 2.4 Insulin Application of Nursing; Insulin-bian's special effects for the treatment of diabetes drugs. When Aunt Island cable applications. We nurses must be strictly controlled sterile operating ashamed. Should be replaced each injection site, should not be injected at the same site - two steps away from the injection site to lcm, to avoid hardening of local subcutaneous fat atrophy. Urine test before each meal determined the increase or decrease the amount of Insulin. Aims to have withdrawn in recent years low-dose Insulin infusion treatment of acid poisoning. O. 5 to 1 unit / (kg. times). When blood sugar drops when the switch 200rag/all subcutaneous, intradermal injection should not. So as not to cause tissue necrosis. Insulin injection dose must be absolutely accurate, and should be used lml syringe and small needle. Step by Wo the residual Insulin syringe. Insulin response to close observation of excess, the value of the thin class, strengthening the tour. Cang found from looking, weak. Dizziness, sweating, irritability and other doctors should be promptly reported. At the same time pumping blood sugar level pan. And immediately make syrup in children with oral or intravenous 50GS, 10GS given after the intravenous drip. To prevent low blood sugar and response. Another church parents to Insulin dose, sterile operation site and to achieve their long-term cooperation. 2O cases of children in the. Insulin subcutaneous application of 19 down. 1 case with an ordinary crystal vein seep Insulin injection. As nurses and accurate calculation. Timely adjustment of insulin dose, there is no hypoglycemia reaction. 3 diabetic ketoacidosis coma carbuncle care for the occurrence of diabetic ketoacidosis coma. Hypovolemic shock in children. Can take the following care measures: 3.1 Profile 』,
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, nursing. Detailed record of special care sheets. Single Room. Prevent various infections. Maintain the infusion of more than 3.2 diameter smooth. Vein after the establishment and protection of the fixed properly strict aseptic operation. 3.3 to correct extracellular dehydration. Improve blood circulation and renal function. Correct acidosis accurate records of 24k access to water. 3.4 keep the airway open. Provide effective oxygen. Huai any degree of oxygen absorption of not more than 40 is appropriate. Flow rate 2 ~ 4L / m | n. Insulin injections of 3.5 prepared to give. To correct the acidosis. Lower blood sugar. But the drug must be based on doctor's orders in a short amount of injection of graded. 『Avoid excessive shock from low blood sugar. 3e close observation of consciousness, wisdom knowledge, the pupil. Regular body temperature, pulse} respect,
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, respiration, blood pressure well documented. 3.7 According to your doctor regularly test r cut sugar, cut ketones, blood glucose end units of carbon dioxide force, potassium, sodium, chloride, blood pH. Better estimate the amount of insulin.
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