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 Wysłany: Pią 11:37, 18 Lut 2011 Temat postu: ugg boots günstig With acute tetraethyl lead pois |
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With acute tetraethyl lead poisoning in patients with severe poisoning incidents Nursing
Obvious abnormalities. Brain MRI examination showed diffuse white matter demyelination. 2 rescue and treatment of this collective poisoning, the patient focus on resettlement, to facilitate unified observed treatment and care. Meanwhile prepare the necessary rescue equipment and medicines, such as suction devices, ECG,[link widoczny dla zalogowanych], tracheotomy bags. Timely given oxygen inhalation, ECG monitoring, close observation of changes in vital signs. All patients were admitted to hospital after the rapid establishment of intravenous access, ensure that the medication, it quickly out of danger period. Immediate protection of removing lead and other drugs, heart, liver, kidney, brain and other organs of the drug. Hemodialysis patients with early stage so that blood poison partially cleared. In the dialysis process, strict aseptic technique, wound disinfection. Timely replacement of dressing to prevent infection. Observe whether the puncture site bleeding, redness and swelling. To prevent the distortion, compression, off. And to prevent hypotension, nausea, vomiting, dizziness, headache, fever and other adverse reactions. Of excitement in the Psychomotor status patients. Manic convulsions severe hypoxia caused by the body, increasing organ dysfunction, promptly anticonvulsant sedative hypnotic drugs, alternating with 10% chloral hydrate enema, bedside using a restraint strap, bed protection gear and other tools to restrict the activities of patients; the same time . Given continuous low flow oxygen (1 ~ 2L/min), attention to airway humidification, the oxygen saturation remained at 93%, with a suction device in a timely manner clear respiratory secretions, to prevent secondary infection of the lungs. 3 Observation and nursing of illness in patients close observation of 3.1 15 ~ 30min each measuring body temperature, respiration, pulse, blood pressure 1. Accurate records of intake and output. Prevent water and electrolyte balance disorders. Observed heart rate, changes in heart sounds, ECG monitoring to strengthen and prevent heart failure; observation and awareness of pupil change, watch for mood swings, severe headache, vomiting, irritability, elevated intracranial pressure such as Received Date: 2OO4-12- 27; Revised: 2OO5-05-08 performance; to observe the characteristics of urine and sputum color, color; observed breathing frequency, with or without difficulty breathing, shortness of breath, cyanosis, respiratory secretions are thick promptly removed when to ensure airway patency. 3.2 agitation manic twitch of care when patients have to bedside nursing shift change as the focus of examination of patients serious damage to the body and skin of the limbs. Strictly directed by your doctor use of sedative hypnotic anticonvulsant drugs. Close observation and detailed record of patients improved after treatment with or without agitation, seizure frequency and duration to assess the patient's condition, timely reporting doctor. Facilitate the adjustment of the drug. On by hallucinations, delusions, have dominated wounding, destruction of property, self-injury and other abnormal behavior of the patients. The implementation of separate management unit, the use of restraint strap. 24h a personal protection to prevent the falling-bed and pull out the IV and oxygen pipes themselves. Infusion should not be placed on the bed frame, thermos bottles and other items easy to injuries,[link widoczny dla zalogowanych], medical devices should be placed away from the patient. Providing patients with a quiet, comfortable environment and reduce adverse stimuli, constraints, elastic fit with requirements to ensure that activities and patient comfort. 3.3 Application of drug side effects nursing anticonvulsant drugs have sedative and hypnotic eye and mouth dryness, constipation, dizziness, fatigue, drowsiness, arrhythmias and other side effects. To close observation and detailed record of drug treatment reactions, to observe the side effects of drug-induced extrapyramidal effects such as increased muscle tone, slow movement, muscle tremors, difficulty swallowing, so early detection, accurate judgments, a timely manner. 3.4 to strengthen basic care and treatment of patients with restless tics can not, in order to ensure timely input of drug and parenteral nutrition, given deep vein puncture, and good needle retention of fixed and disinfection treatment. Coma patients to take lateral position. Oropharyngeal secretions and promptly clean up vomit in order to avoid airway obstruction caused by suffocation. The use of catheters in patients with regular washing and replacement of the bladder catheter to prevent urinary tract infection. 2 times a day for patients stand up, massage, warm water to scrub the skin. This group of patients discharged, no case of bedsores. 3.5 Care of the comatose patients diet should adopt the nasal liquid diet, water content can be prepared more high-calorie, high protein, high vitamin diet; for those who have special patient fed antifeedant; overeating who want to limit food intake, do not eat irritation and rough food, eat more fruits, easily digestible food. 3.6 Psychological care nurses to correctly understand the excitement, mania and other symptoms of the disease manifestations, patients with accurate information on the psychological state of intoxication. The poisoning was an accident,[link widoczny dla zalogowanych], the patient psychologically difficult to accept, showing impatience, anxiety, fear, when to use conciliatory language, carried out a friendly guide,[link widoczny dla zalogowanych], to avoid the negative stimulus. Awake patients, explain the poisoning of the relevant knowledge and methods to control symptoms. Taking care of patients in their daily lives more quickly to lift the tension, fear,[link widoczny dla zalogowanych], and enhance the confidence of patients overcome the disease. To feel happy with the treatment.
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