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Dołączył: 21 Lut 2011
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 Wysłany: Sob 13:59, 05 Mar 2011 Temat postu: puma bpi oab hwsy lwa |
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Postpartum hemorrhage and emergency care of patients
Contractions,[link widoczny dla zalogowanych], reducing the amount of bleeding. 3.2 General care to detect postpartum bleeding, prevent shock. Careful assessment of blood loss and hemorrhagic shock performance; close observation of vital signs, uterine contractions and vaginal bleeding; prepare medicines and first aid items, leaving women supine, warmth, oxygen. Prescribed fluid, blood, record intake and output, to correct acidosis. 3.3 clean environment to prevent and treat infections, attention to indoor ventilation and disinfection and strict aseptic technique to prevent the bacteria with human reproductive tract. Daily temperature taking i 0 4 beta, perineal wound washed 2 to 3 times a day to give consumer 34 * wounds, was prescribed antibiotics, and regular inspection of blood laboratory. 3.4 increase activity tolerance Well maternal bed rest; assisted living care and care of the baby. Instruct patient to enhance nutrition. Enhance the body resistance, to correct severe anemia. 3.5 Psychological care of maternal postpartum hemorrhage suffered a sudden attack, often a high degree of mental stress, while there will be sadness, frustration, anxiety,[link widoczny dla zalogowanych], depression and other psychological changes. Nurses should do a good job at this time guidance and interpretation, and more to patients with a positive, warm, sincere, warm person and timely language of the heart,[link widoczny dla zalogowanych], loving touch, an optimistic mood, happy expression, exchange contact with the patient, arouse the patient love of life,[link widoczny dla zalogowanych], enhance the confidence to overcome the disease. When finished needle injection on intravenous infusion of Liu Qiumei (maternity hospital in Kaifeng City in Henan Province,[link widoczny dla zalogowanych], 475000) intravenous infusion as a rapid and effective fluid replacement, drug delivery methods, in many ways no doubt occupies a treatment priority. I work in nursing for many years, succeeded in doing, A painless needle injection needle as the needle and the liquid on the scalp blood vessels, skin irritation, needle injection often have some degree of pain, to reduce or avoid pain should Note: 1.1 good psychological care. When the patient when too much tension, vascular spasm and easy, needle injection is easy to produce pain. Therefore, the infusion is completed, first of all need to needle injection psychological care should be to try to make the patient relaxed. Inform patients of the 1.2 maintain the appropriate direction of the rapid needle injection. Needle injection needle thoroughly before disposal of fixed tape, right hand thumb and forefinger and the needle handle, to prevent needle rotation and with the skin for 15. A 20. Point of view, and then quickly pull out the needle. 1.3 did not pull out the needle before the needle can not be pressed with cotton balls to prevent needle stick compression of the vascular wall and increased nociception, vascular wall, subcutaneous tissue, skin, increase the resistance of needle pain. The right approach: when the left hand needle injection cotton balls ready to put on the need to gently press office, pulled out the needle until after the cotton compress. 2 pull out the needle to prevent bleeding after the 2.1 press should pay attention to the location and time of cotton. Needle into the correct position is not into the skin blood vessels at the Department. We puncture the skin is usually after the first needle into the top of the parallel section along the vessel and then into the blood vessels, thus forming two distance. If you press the skin on the Note Do not rub when pressed and held for 12 minutes. When the first 2.2 infusion needle injection shut down to prevent liquid leakage in the process of needle injection into the skin. 2.3 Zhu Huanzhe temporarily not in the local force after needle injection. Such as: back of the hand should be to prevent the infusion needle injection immediately after the weight-bearing wrist. Patients halo pin Analysis and Prevention Xue Lirong (Health School of Henan Kaifeng, 475003), the Li (Henan Province, Kaifeng suburb of Maternal and Child Health Hospital, 475004, China) is the halo needle injection course of treatment, the patient developed dizziness, nausea, and even syncope phenomenon. Needle is in the halo of a syncope is due to acute ischemia caused by vascular brain. Our hospital from 2003 December 1 March 2004 there were 5 cases of fainting, this occurs by analyzing the patient fainting related factors, to propose appropriate preventive care measures, provide a basis for clinical care. 1 clinical data from patient injection room in December 2003 March 2004 680 people were injected with the treatment, the occurrence of 5 cases of fainting, the rate was 0.74%. Young men aged 20-35 in 3 cases, 60%, 2 females, accounting for 40%. 2 halo pin psychological factors related factors in patients with excessive tension 2.1, reflex sympathetic cause Xinmi vasodilator nerve and nerve fibers excited by the force of myocardial contraction
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