nyenaceyg
Dołączył: 13 Gru 2010
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 Wysłany: Pon 12:18, 07 Mar 2011 Temat postu: Spinal trauma with chest trauma nursing care of pu |
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Spinal trauma with chest trauma nursing care of pulmonary complications in 22 cases
2 cases of severe chest trauma patients because of inability to make a lot of coughing and sputum retention in the trachea, there hypoxemia. We take bronchoscopic suction,[link widoczny dla zalogowanych], Zaishi 24 * Practical Nursing 1 March 2004, the first 2o lO Volume lO 』of infants in the first half title!! Falling 2Q::! Q line tube to cricothyroid membrane stimulate coughing and promote expectoration, and achieved good results. 5. Early nutritional support. Increased energy consumption in patients with early trauma, the body is in negative nitrogen balance. Respiratory muscle movement needs energy for power, when the energy is low, respiratory muscle fatigue leaving campaign prone to disharmony and vt reduced. Fasting, protein synthesis decreased flexibility of lung tissue and surfactant production, the normal clearance of bacteria damage the structure and immunological activity,[link widoczny dla zalogowanych], increase the likelihood of lung infection J. Injury severity because this group of patients, there is such a problem,[link widoczny dla zalogowanych], so as soon as the establishment of nutritional support on the prognosis of this group of patients has an important effect. This group of patients given TPN in the nutritional support during fasting; without ventilator support who were treated with tube feeding fasting nutrition; can we guide their patients to eat eat high protein, high calorie, vitamin-rich foods to enhance the body's resistance. Patients also urged water 2000 ~ 2500ml / d, easy to spit up mucus. Discussion of the characteristics of the injury, the patients blood pneumothorax,[link widoczny dla zalogowanych], shock, traumatic wet lung and hypoxemia incidence; severe trauma suppressed immune function and lead to secondary infection; the initial trauma, the body of the high metabolic state,[link widoczny dla zalogowanych], fasting and the merger of the early so that patients with multiple rib fractures cough, weakness, or chest pain patients for fear of cough, which affected the patient's sputum; care flail chest is the problem; semi-supine, lung buckle and postural drainage is effective treatment for patients with chest trauma and means position. However, this group of patients because of spinal fracture and multiple rib fractures, the treatment position and means are limited. These many factors make patients prone to pulmonary complications. Therefore, only fully understand the characteristics and treatment of patients with injury care and difficulties, develop effective treatment and care measures, so early prevention, timely detection and timely measures can effectively reduce the incidence of pulmonary complications.
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