 Wysłany: Nie 9:31, 06 Mar 2011 Temat postu: Tory Burch outlet Nursing experience of 13 cases o |
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| Nursing experience of 13 cases of eclampsia convulsions
Patient supine head to one side, to facilitate discharge of vomit. Spatula to roll into a gauze between the upper and lower molars to prevent the tongue being bitten, keep the airway open. Respiratory secretions and promptly suction mouth vomit to prevent choking and aspiration pneumonia, if necessary, clamp the tongue can pick out the tongue, the tongue so as not to affect the respiratory fall. 2. I. 3 establishment of intravenous access, antispasmodic, sedative, blood pressure, diuretic. (1) spasm preferred 25 magnesium sulfate, the specific usage is the first loading dose of magnesium sulfate with 25% glucose solution 4OmL 2OmI dissolved in 5O, completed in 5min intravenous injection, and continue to 5 glucose, 25 magnesium sulfate dissolved in 100mL 60mL intravenous infusion, infusion rate is appropriate 1g per hour, the fastest of not more than 2g. (2) stability of sedation is generally used in slow intravenous injection of 10mg, followed by pethidine 50mg 100mg or slow intravenous injection, intramuscular injection another 50mg line. High blood pressure, the magnesium sulfate treatment, diastolic blood pressure was still greater than 14.7kPa (1mmHg a 0.133kPa) application of antihypertensive drugs to prevent cerebral vascular accident, the line is generally used 1mg intramuscular injection of reserpine. (3) The application of these three kinds of diuretic drugs in heart rate below 100 beats / min, a small amount of urine, the lungs without rales, for the elimination of cerebral edema, mannitol can be used 2O% 250mL rapid intravenous drip cry diuretic to reduce intracranial pressure . Eclampsia general performance of the whole body and limbs, muscle rigidity, with both hands, arms strong Straight Open tic, the site of infusion should be selected so superficial, coarse, easily fixed in the vein (eg, median cubital vein and wrist vein, cephalic vein great saphenous vein, etc.). In addition to strictly aseptic principles, but also master the skill of the puncture technique, be fast, accurate, and to establish two intravenous access and infusion simultaneously to win the rescue time. 2.1.4 Determination of blood test blood carbon dioxide combining power, hematocrit, renal function, in order to understand the whole body metabolism, and promptly correct the acidosis. 2.1.5 Urine specimens from urine samples were sent to test urine samples and urine density, in order to understand the renal function. 2.2 The process of rescue and treatment of clinical observation 2.2.1 in intensive care, send someone to care, the situation observed convulsions, detailed records of convulsion duration,Tory Burch outlet, interval and frequency,Tory Burch Outlet, indwelling catheters, accurately record the urine and traits. Hour measurement of blood pressure, pulse and respiration, body temperature every 4h, while pre-eclampsia can cause seizure uterine contractions, fetal heart tones should be Qin Xin, and Observation of contractions, good preparation for childbirth and infant rescue. Close observation of cerebral hemorrhage, pulmonary edema, heart failure and other clinical manifestations, identify problems and timely reporting of a doctor soon as possible. 2.2.2 the need for labor and delivery with sufficient medical staff, prepare a variety of emergency drugs and equipment. Close observation of blood pressure, pulse and uterine changes, to prevent the recurrence of convulsions or sudden infant was delivered, to prevent the occurrence of maternal trauma and accidents. 3 intramuscular injection immediately after labor oxytocin, eclampsia cases tend to have a bleeding tendency, the organization vulnerable, tend to have a birth trauma, should always pay attention. Methysergide is disabled, because it contains vasopressin, which can cause adverse maternal blood pressure. 2.2.3 After delivery, the majority of maternal remission and gradually returned to normal, a small number of mothers in the 24 ~ 72h postpartum eclampsia still occur within the risk, still need to closely observe the blood pressure, pulse, respiration, urine output, seriously listen to complaints of maternal for early treatment. 2.2.4 postpartum maternal well should be allowed to rest,mbt shoes sale, blood pressure and physical strength to be gradually restored, before breast-feeding, and ambulation. 2.3.1 2.3 to strengthen basic care to reduce stimulation, sound, light,Mbt Schuhe Günstig, touch and other stimuli can induce seizures from happening again, the patient should live in single rooms, superstition, room built drapes shade, keep the light soft, quiet and indoor air circulation, all treatment operations as gently as possible, the relative concentration to avoid interference, so as not to induce seizure. 2.3.2 pay attention to oral hygiene and oral care, beds should be flat, dry, keep the skin clean, massage pressure areas, time to help turn over, to prevent the occurrence of bedsores. 2.3.3 maintain the will vulva clean, wash daily with 1:1000 potassium permanganate, 2 perineum to prevent retrograde infection, prevention of other complications occurred. 2.3.4 Note that infusion tube, the catheter tract smooth, daily replacement of urine bag to prevent ascending infection, accurate records of fluid intake and output information for medical treatment, pay attention to the toxic effects of magnesium sulfate. 2.3.5 strengthen psychological care. First, comfort, care about their families, their emotional stability, not anxiety, increased self-confidence, actively cooperate with the treatment. Maternal mortality in infants, should be arranged in the absence of the baby's room, give compassion and guidance, in order to avoid recalling the tragic, blood pressure fluctuations caused by grief. More articles related to topics： mbt zapatos Genetic polymorphism of HLA Chaoshan c Free Stuff on The Net_3292 Coronary heart disease lipoprotein lipase gene in patients with single-core ... _2860 |
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