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Integrative Medicine Nursing of severe acute pancreatitis

m1 retention enema 3 to 4 times / day, and the gastric tube into the parallel, as far as possible to retain more than 1 hour. Note that charge temperature at the time enema 39-41 ℃, the front air enema toilet, take left lateral position when the enema, the night side from the anus 5 (_ BU a 6Ocm. If the elderly person anal sphincter relaxation, can be dual-chamber balloon catheter enema. Methods: TCM cooled to 39 - 41 ~ CH, ~, to take down one 100ml bottle of sterile solution,[link widoczny dla zalogowanych], connecting one-time infusion and Foley catheter. the front rubbed catheter paraffin oil and then slowly inserted into the anus about 10-15cm, bit by bit rate of 8 (1 【BU) (] drops / min (lower abdomen to the patient feels warm, comfortable, no better than they intended.) medicine drops after normal saline with 15-20m1 into the balloon, gently pull the end of the catheter, feeling strong, you can not easily emerge, 1 hour after taking the balloon with saline, to allocate catheter, it will persist objects intestinal discharge. and observe the stool color, quantity, character and accurately recorded in the care sheets. enema time to observe whether patients palpitation, sweating, severe abdominal pain and discomfort, if the above symptoms should immediately stop and report enema doctor. 2.10.2 medicine mirabilite method sewn with cotton made an area of 35cm ~ 20cm of the bag, bag left and right sides of the sewing 4-5 Chang 4 (BU 50cm, width 1-1.5cm of the cloth. the Glauber's salt 500g, inquiry into powder, into a bag and sealing, drugs thickness ≤ 5ram, patching the abdomen, the left and right sides of the cloth bags to play slipknot fixed Glauber's salt, so that is not slipping or displacement, replacement of 2 times a day. 3 therapeutic efficacy markedly: 1 week the symptoms completely disappeared, blood, urine amylase returned to normal, no abdominal distension,[link widoczny dla zalogowanych], abdominal pain, body temperature normal. Effective: 1 week to alleviate the symptoms, bloating, abdominal pain relieved,[link widoczny dla zalogowanych], nausea, vomiting disappeared, vital signs normal, blood and urine amylase returned to normal No signs of peritonitis. invalid: no significant change in symptoms before and after medical treatments or interim surgical treatment. 4 4.1 According to the medical discussion, Relaxing the successful treatment under the approach to medicine Xuebijing, Chaishao decoction and mirabilite method combined in clinical results were satisfactory, with a clear body of Xuebijing inflammatory mediators, bacteria, toxin. Chaishao Chengqi Tom has diarrhea successful product, heat Xiehuo, anti-endotoxin role in promoting the recovery of gastrointestinal function. Topical have detoxification, stasis function. can reduce the absorption of endotoxin and intestinal paralysis, intestinal injury caused by infection of pancreatic . Glauber's salt can be soft-firm, Sanjie; external to detoxify, remove lumps, and promote the role of inflammation absorption dissipated. In addition, Glauber non-toxic, no damage to normal skin, when asked when used without limitation, direct skin lesions can be achieved through The purpose of pain relief. The method is simple, inexpensive, no pain, no side effects, does not affect patient activity. 4.2 to explain to patients and their families characteristic of this disease and Chinese medicine applications,[link widoczny dla zalogowanych], the necessity, purpose, process and results. Chinese sausage in the stomach when the injection and the amount of attention and drug temperature. gastric tube into the temperature is too high too low, exceeding 200ml, there may be stomach upset, nausea, vomiting. when each injection to check whether the gastric tube before the injection. when the charge temperature in the injection 38-40 ℃, the amount of each injection ≤ lOOml, retained two hours and complete release, discharge liquid to record the amount of time, nature, color, and recorded in the care sheets. Note Note that the response of patients when the drug injection, is completed correctly handle the pipe end. enema is appropriate when the temperature of 39-41 ℃, the amount of ≤ lOOml, the temperature is too high can damage the intestinal mucosa, intestinal cramps caused low liquid retention is not leaving live. the appropriate temperature can contribute to the improvement of intestinal blood circulation, promote inflammation and limitations of dissipation, reducing the excitability of nerve pain, improving intestinal resistance and repair capacity, the lifting of intestinal spasms, reduce pain. enema operation, action should be gentle, intubation to be slow, so as not to difficult intubation caused by anal sphincter spasm affect the retention effects. If deterrence force, may withdraw a little, then plug rotation. extubation action should be slow to avoid the anal sphincter spasm, leading to defecation response in pulling anal massage of former do first, to be adapted in patients after extubation. enema stool should be observed after the discharge conditions and abdominal symptoms and signs of remission. if the stool frequency increased, the need to strengthen the perianal skin care, maintenance of local clean and dry, prevent skin redness, erosion, if necessary,[link widoczny dla zalogowanych], treated with firewood oil anal weeks.