Anaphylactic shock penicillin rescue care will be

yxfbbiedtj · Wysłany: Pią 19:10, 25 Mar 2011

Anaphylactic shock penicillin rescue care will be the body

On the error to the immediate sensation of breathlessness penicillin, since, good management and successful treatment of respiratory tract has been solved buttoned, and requested intravenous dexamethasone. Immediately close relationship. Respiration was inhibited shock patients, often because access to a coma, breathing and promoting force, facial Shui cyanosis, vomit excretion of pulmonary secretions of respiratory tract obstruction caused by the difficulties do not spit a small amount of white mucous discharge. 14:35 autonomy after good aircraft. Therefore, we give special attention to patient care and respiratory arrest, convulsion, blood pressure of zero, heart rate 142 / min. Tracheotomy in respiratory management. Given respiratory stimulant, boost drugs, antihistamines, 1. Three off the good and timely replacement of the trachea ① pad, so acupuncture, oxygen and other disposal supine. After correcting the brain to keep the water clear antagonistic dry. The skin around the tracheotomy, with swelling, heart failure, infection, electrolyte disturbance, length of stay of 18 days 75 alcohol disinfection. ② the same model with two sets ● discharged. Tube to spare, every four hours for the tube again. ③ Nursing suction pipe to high pressure sterilization of sputum, suction-use, such as sterile forceps, good governance recovery care of patients, rescue treatment was replaced every 24 hours of the bowl. Red tube father to use sterile cream regret if students express a funeral One segment; curse at Heave round. Lan was l992 s i0 37 management of saline irrigation. 2. Keep the airway clear, and remove obstruction causes the head to one side the patient, observe the situation there is non-blocking when the suction action to light, move up and down, left and right rotation. Second, maintaining patency of intravenous fluids after the patient unconscious Ⅱ effective use of intravenous access, to ensure that the liquid quickly into the body to do the femoral vein incision. After the cut, observe local hematoma, silicone tube fixed to prevent the infusion tube when the patient restless tax down. In patients with vasopressor infusion fluid velocity when the attention, close observation of blood pressure, while paying attention to boost the small population of drug l definitely not outside so as not to irritate the skin caused by leakage of local tissue necrosis. Drugs with cardiac and respiratory stimulant attention to heart rate, heart rate, respiratory rate, strong or weak to be pressurized into using drugs to prevent dehydration would not achieve the desired effects. Determination of central venous pressure in time to see the amount of blood solution. Fourth, measures to protect the medical wards clean, non-professional nursing personnel prohibited from entering, but allowed claims of everyone in contact with penicillin. Keep the air fresh, disinfected once daily air, moisture, suitable temperature. V. Other care 1. Detailed record of 4, when fluid intake and output. 2. To keep beds clean, dry skin. 3 to maintain patency of indwelling catheter, one hour a day, 24 hours every two water rinse with physiological Ping. 4. Head home ice to prevent the oxygen supply is not, reduce oxygen consumption, to prevent cerebral edema. ,, Acute hemorrhagic necrotizing pancreatitis before and after surgery nursing l,, Wangqing staff hospital R {, l't _ acute pancreatitis is often seen in acute abdomen, and acute hemorrhagic necrotizing pancreatitis in our hospital surgical path laparotomy and drainage, the first case successfully rescued. Hospital patients were lost _ by the blood, fluid replacement, vasopressors and other anti-shock therapy and 4 hours after the blood pressure rose to 14/i0Kpa, that line of abdominal drainage into the operating room, surgery lasted 2 hours and 30 minutes after the successful surgery, placed around the lower abdomen a porous tube drainage hose. After aggressive treatment and careful postoperative care, hospital 4O days cured. Clinical observation and nursing care will now be summarized as follows one I observed abdominal pain, abdominal Lan timely prevention of shock, hemorrhage and necrosis are the main symptoms of pancreatitis, patients often knife-like pain, general pain relief medication is easy, pain, inflammation, as part of lame site may be changed, when the inflammation of the pancreas gland fluid and the whole that can occur when the whole abdominal pain. After diagnosis to prevent the patients due to pain caused by shock, should be given analgesics. Hemorrhagic shock, necrotizing pancreatitis is a common cause of death. Therefore, care should be to strengthen the understanding of shock, timely detection of early symptoms, avoid Puya Jie Li Shuqing '● _-' a _-● -, _ the progress of a disease-free and prevent the occurrence of shock. =, Cong police nausea and vomiting, and - when an intestinal reservoir pressure necrotizing pancreatitis, abdominal distention after nausea and vomiting, abdominal pain and no significant reduced gastrointestinal decompression should be taken, to avoid fast food and gastric acid stimulation or two duodenum-j The amount of sub-intestinal hormones, which increase the secretion of intestinal fluid and reduce the white of pancreatic digestive enzyme solubilization, reduce bloating, nausea and vomiting, and abdominal distention so, granting fast and decompression. Third, to maintain the patency glance drainage drainage tube to maintain patency is the treatment of hemorrhagic necrotizing pancreatitis important measure,[link widoczny dla zalogowanych], because intra-abdominal pancreatic juice contains enzymes and tissue breakdown product of weeks of coral and trypsin on the blood vessels and have poor impact. So to keep the smooth flow tube g 【observed with saline drainage can be wash-time, intermittent negative pressure suction, strict aseptic technique should be to prevent infection. Fourth, after observation of the disease,