 Wysłany: Pią 19:13, 25 Mar 2011 Temat postu: Anesthesia patient care _10893 |
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| Anesthesia patient care
Down the longer the duration , the worse the effect of expansion , or even completely ineffective. Therefore, we must carefully observe the rescue of the treatment time to master . ② pupil : observations of patients in coma , pupil observation is essential. Generally the first bilateral mydriasis , light reflex , and often dying symptoms, bleeding in the chest , the bilateral pupils ranging from large , then the tips of intracranial hematoma , subject to emergency preparation. ③ Pulse: abnormal breathing , shall promptly notify the doctor. Have to do more than observe the condition of nursing records. 2 routine care ① oxygen : Oxygen on the protection of brain cells play an important role , nasal oxygen catheter , the flow of 2 to 4 L / min , corrected cerebral anoxia. ② Infusion : to ensure effective and timely supply of drugs, drugs to control the speed of the input , so if a 20% mannitol rapidly dehydrating agent should be instilled . ③ to maintain airway patency : a variety of reflective slow unconscious patients , easy to suffocation. Therefore, patients should be to one side the head when supine , to prevent the tongue falling to prevent inhalation of tracheal secretions , suctioning at any time . ④ catheterization should be held in comatose patients , once again , after they should wash with warm water , such as coma too long, should be coated with antibiotic ointment , the catheter changed regularly disinfected. ⑤ As patients , confusion, should be blocked extra protection against falling bed. 3 sheets of skin care to keep clean,ghd piastre, flat, turning the patient regularly , but the action should be slow, gentle , and should observe the condition changes, then prone to accidents , should pay attention to promote the local loop , to give local massage, to prevent bedsores from occurring. . . Nursing the unconscious patient can not diet and disease, the consumption of food leading to nutritional deficiency. Therefore, to the line nasal feeding , nutrition , and enhance patient resistance , nasal feeding each infusion does not exceed 200rrd, speed should be slow, gastric tube should be replaced once a week , to be firmly fixed . 5, dentures should be removed if oral care , oral care before and after the making , the number of cotton balls and gauze to the number of blocks to prevent the left in the mouth , the mouth breathing , and they should mulching wet gauze. |
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