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Thoracic surgery nursing of elderly patients


Given gentamicin, chymotrypsin aerosol inhalation to reduce respiratory complications. Elderly cardiovascular patients, routine preoperative ECG, blood pressure 2 times a day, if cardiac insufficiency, coronary artery drugs can be given daily to the high glucose and insulin infusion to increase cardiac stress. Sugar feces patients, preoperative use of insulin in controlling blood glucose 6.1mmol / I below,[link widoczny dla zalogowanych], urine negative. The elderly poor digestion and absorption, easy to produce constipation, taking the evening before surgery to help defecation paraffin oil or senna, if necessary, with warm salt water or soapy water enema 1. 2.3 Nutritional support of patients before surgery guide fiber intake rich, high-calorie, easily digested food. Those who can not eat. Intravenous nutrition should be. To improve the general situation, improve the immune capacity. 3.1 3 after post-operative care by anesthesia care routine to ensure the timely oxygen,[link widoczny dla zalogowanych], keep the airway open. Guardian of the designated persons, close monitoring of vital signs and oxygen saturation, well make records. After continuing to observe the condition of preoperative comorbidities, symptomatic treatment positively. 3.2 Care of complications of pulmonary complications, early postoperative oxygen mask, oxygen saturation adjustment noted in the oxygen flow rate, time of Baotou Medical Wan Volume No. l6 solution without oxygen. Because thoracotomy incision, the thoracic drainage tube pain, the patient can not cough, respiratory secretions, and revolves more thick, which leads to restriction, obstructive ventilatory defect so pay attention to pain medications and chest physical therapy combination, can be inhaled After sitting help, call the chest, shot back to stimulate cough, sputum in order to achieve effective chest physical therapy, inability or refusal of sputum expectoration, should press the trachea to stimulate expectoration, if necessary, sputum or nasal catheter bronchoscopy suction, and breath sounds should always understand the lungs, with or without dry rales and wheezing of sound, such as abnormal chest x-ray examination in a timely manner in order to control both infection and lung atelectasis. Attention to monitoring patients after cardiovascular disease, blood pressure, pulse, ECG hypertension, arrhythmia incentives, it should promptly be given sedation, pain medication, and to pay attention to monitoring of serum potassium, while giving the infusion of glucose and potassium ho islets,[link widoczny dla zalogowanych], improving myocardial nutrition, to combat cardiovascular complications in patients with diabetes because the body's stress response to surgery, tend to make diabetes increased, easily lead to the lungs,[link widoczny dla zalogowanych], urinary tract, wound infection, postoperative regularly check blood sugar, urine sugar, control blood sugar normal range, after rehydration should be noted that insulin use, and use powerful antibiotics to prevent infection. Resistance to reduce the elderly, long-term bed rest is easy to produce pressure ulcers, so patients should encourage patients to bed early activities, strengthen basic care, to give high-calorie, high protein diet, the degree and infusion volume. Postoperative pain, stress, induce hypokalemia will _'-I (CCS hospital maternity materials, Inner Mongolia, Baotou 014010, China) / lack of: 7 Field CLC R473.71 Document code B Article ID 1O06-740X (2OO0) 01 a. 068-02 officer outside the maternity pregnant hemorrhagic shock is the critical life-threatening maternal disease. The correct care, preoperative and postoperative rehabilitation of the key role. Our hospital in March 1996 to March 1999 ectopic pregnancy treated 30 patients with hemorrhagic shock,[link widoczny dla zalogowanych], as l Nursing ectopic pregnancy clinical data of 30 patients with hemorrhagic shock, aged 2O ~ 38 years, mean age 28 years} 2 cases in which unmarried , married 18 cases without birth, married a parent who stopped by the time patients 1O 34 ~ 7O days, an average of 52 days mainly as lower abdominal pain, irregular vaginal bleeding, anemia appearance. 3O patients underwent emergency surgery emergency treatment, surgery, see 28 cases of tubal pregnancy, ovarian pregnancy, 2 sides, intra-abdominal hemorrhage 800 Received: l999 l2-02 of a grapefruit boat: Wang Ailing (1963 -), female. Inner Mongolia. Too specialized, physician. 3200ml, an average of 2.1 nursing 1400ml2 patients to take head-down position, head and torso of the elevation 20 ~ 3O degrees, 15 degrees lower limb elevation, back efforts to increase the flow of oxygen to give a timely manner to reduce the burden of respiratory inhalation, the concentration of 40, Flow 4 ~ 5I, / rain is appropriate to reduce the main organs of oxygen, is conducive to the reverse shock, while paying attention to catheter patency, and maintain good ventilation function. As more patients with blood loss, peripheral circulation disorder, poor body self-regulatory function, we must keep warm. And the patient's condition and mental state based on good psychological care in order to obtain the active cooperation of patients. 2.2 The establishment of two or more as soon as intravenous access, strict aseptic technique, so steady, accurate, light, rescue time should be chosen to win 9 to 12, jurisdiction of liquid crude needles, blood transfusions, to supplement the circulating blood volume improve blood pressure. Waiting for surgery, can be used on behalf of 706 plasma or dextran, normal saline to maintain blood pressure. Early hypovolemia shock, vascular collapse
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