1 patient after cesarean delivery nursing _12863

yxfbbiedtj · Wysłany: Pią 17:40, 25 Mar 2011

1 patient after cesarean delivery nursing

Induced depression (especially raw baby) cause of postpartum hemorrhage, loss of appetite reduction opportunities. Reduce the secretion of milk. Therefore, pregnant women, prenatal family planning should missionary work, which is an important measure to prevent postpartum hemorrhage foot, and warm, amiable, sincere concern for them, comfort them, the maternal confidence. In addition to concerns take along. Stay healthy. In order to facilitate the body recovery. DICII cases of postpartum cases poison control Longjing hospital management rob plan and full scale distillation Hong Shao )}->/ l ill patients 1 32 years old, pregnant 3 Production 2. Solid full-term pregnancy and labor. On February 8, 1992 6 am admitted. No patients with previous hemorrhagic factors. The pregnancy through smoothly. The admission examination results were normal. Palace at the end of Obstetrics and see the next three horizontal refers to the xiphoid. Cephalic, left anterior, fetal heart tones of 120 beats / min, check the cervix in full consultation has been broken water, solid officer fatigue reduction. Rejection of the fetal head bow 【suction device midwifery a baby girl. Rating 8 post-natal placental membranes was delivered complete tear care was overcast. Other crack house and no vaginal laceration, vaginal bleeding after made more back and forth ward orderly 20U prescribed intravenous oxytocin, while the vaginal gauze packing was observed still flaccid vaginal bleeding, bleeding amounted to 80Oral, by adding oxytocin infusion pressure index and hemostatic agents, flaws at the Department of aortic pressure and other processing activity may have vaginal bleeding, when blood pressure 7/3kPa. 8:20 found a sudden increase in the amount of vaginal bleeding, self chest tightness, difficulty breathing, blood pressure decreased rapidly. Patients consciousness, pale, nausea, limb Jue Ling, weak pulse and other symptoms, vaginal blood flow without clots. And a DIC of the】 blood tests positive. 【Clinical diagnosis of postpartum D c. 8 4O points, while in the active anti-shock, immediately hysterectomy, surgery through smoothly. Conscious patients after surgery. Blood pressure stable 12/gkPa, intraoperative and postoperative total amount of auxiliary cover 300 ~ n]. The total volume of blood transfusion 800n ~. Gradually returned to normal after symptomatic treatment. 7 days after suture removal, wound birds together, were discharged after l5 days. 2 33.2 .1 closely observed experience of intrapartum, postpartum patients complexion, blood pressure, pulse,[link widoczny dla zalogowanych], such as uterine and vaginal bleeding, particularly postpartum vaginal bleeding, clots and other colors with or without early detection of postpartum complications key. 2.2 in the rescue process, the nurse should race against time and prompt action. Pa Taiwan accurate and timely rescue. Shock patients should immediately head home low oxygen pressure, the rapid establishment of 2 or 3 ten-channel auxiliary reservoir, and someone records, for reporting the disease. 2.3 When was postpartum vaginal bleeding. 【From the DIC or amniotic fluid embolism bow dangerous diseases such a critical moment. As a maternity nurse first thought is surgery side {hit. When the clinical diagnosis of DIC down, the nurses in the active anti-shock, while good should be immediately associate the surgery. Ward before the patient back and forth 2.4. Should the various rescue and medical items. Prevent accidents. 2.5 Di signs after close observation of the changes students should pay attention to fluid intake and output were observed. Especially in urine and urine, and to strengthen insulation, and oral, respiratory, urinary tract of the care. The back care patients to the occurrence of any concurrent ounces. (Bats Series CUI Jin) i3 ~ i 1 case of severe baskets Gen Wang Yi and Compliance) 1 Argentina)) / Hu Shumei Tumen Shenyang Railway Administration Hospital, a medical record review of patients 22 years of age. On 28 March 1995, at home, self-l2 delivery, rejection of his family after the birth of ordinary scissors, cut the umbilical cord. Died shortly after birth, maternal placenta solid less than 1 hour and eager to come to our hospital. Lazy kind of clear language examination, looking pale. T36.4 ℃, PIO0 / min. RI6 beats / min, Bplg/13kPa. Palpable uterine umbilical level, hard, vaginal prolapse of the umbilical cord can be seen. Step by the amount of vaginal bleeding vaginal wall (6 points) tear mucous layer only. No action, including bleeding. Immediate washing perineum, pulling the umbilical cord under sterile conditions fundus press was delivered placenta, fetal membrane integrity, and bleeding of about 150ml, vaginal wall laceration of intestinal seam to give Taiwan. After back benefits, the prevention of postpartum hemorrhage with uterine agents, antibiotics to prevent infection tangled. ? 45 minutes when the physical barrier in patients with sudden convulsions. Eyes the ball of fixed, perioral cyanosis. Trismus. Bp24/13kPa, R18 second plant points. P64 / min. 【Not find out the pathological reflex, diagnosed as preeclampsia, postpartum sub carbuncle. Immediately given oxygen. Unobstructed airway. Pad dental pad. Intravenous stability l0m1, I, half the amount of intramuscular injection of hibernation, levels of care. Catheterization. Acute urine routine examination. Close observation of the heart, renal function, 9 pm onwards. Patients with frequent seizures. Ping impatient anxiety to give An Dingjing Note. Dextran intravenous injection pump, I, half the amount of hibernating intravenous drip. 5 Carbonate