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asbryobvrz · Wysłany: Czw 20:35, 17 Mar 2011

168 patients with deep vein thrombosis surgery and perioperative care

24-hour drainage below lOml when extubation. ③ Other care: successful surgical treatment of half the success, patient and meticulous postoperative care, rational drug treatment is critical to ensure good outcome, earnestly implement the doctor's advice, reasonable and timely repair of vascular intima agent and anticoagulant drugs, patients with exercise guide Efficacy is essential for the consolidation of Medical Forum magazine in March 2003 一 gz4 Kam Khon's. Early after surgery to guide the patient in bed limb muscle contraction, swelling of the limb rehabilitation as soon as possible, so that the limbs 2 days to get out of bed after surgery, postoperative deep venous thrombosis, to gradually increase the time out of bed, early ambulation time,[link widoczny dla zalogowanych], each time not more than 10 minutes to prevent damage due to venous limb over swelling Erzhi. Generally do not limit out of bed after 15 days time to the patient's own tolerance limit. 2.5 ① continue taking discharge guidance of intimal repair agent, since the perceptual activity restriction in January. ② supine Taigaohuanzhi and / or head. ③ line color Doppler or angiography to determine the time of termination of medication. Received :2002-07.26 chemotherapy extravasation during intravenous injection of care Xi-Min (Fifth People's Hospital of Zhengzhou, Henan Province, Zhengzhou City, 450003, Surgical Oncology) in clinical nursing, intravenous injection or intravenous chemotherapy drugs appear Drug extravasation is a frequently encountered clinical problem. Extravasation of drugs can produce local tissue inflammation, skin redness, skin induration and mild to moderate pain, and sometimes by severe burning pain in serious cases, there may be skin and subcutaneous tissue necrosis floor, and even the formation of durable refractory ulcers . Leakage in accordance with conventional drugs early cold with 33% magnesium sulfate, 72h later changed to heat,[link widoczny dla zalogowanych], the result is not satisfactory. In January 1995, we in December ~ 20O2 chemotherapy extravasation due to local tissue taken at the comprehensive treatment, care. One patient did not appear for several years due to leakage caused by chemotherapy local tissue necrosis. Nursing experience will now be described as follows: 1 Data and method January 1, 1995 December 20O2 undergraduate appear on chemotherapy extravasation 20. 12 males, 8 females, aged 25-82 years old. Of these, the majority of intravenous infusion or intravenous extravasation occurs, a small number of patients after treatment 1-2d a partial red, swollen, skin induration. Immediate symptoms treatment and care, have received good results. 2 discussions during the course of chemotherapy, patients should be closely observed local reactions, if not found or no back to Withdrawing venous blood, check the needle is in the blood vessels, if not in blood vessels,[link widoczny dla zalogowanych], should immediately stop the importation of drugs. To replace the injection site. If a slight local swelling, the input drugs fluorouracil,[link widoczny dla zalogowanych], cyclophosphamide and other drugs less toxic, the local processing as follows: ① immediate cessation of drug injection, needle retention. ② Withdrawing the drug residue, blood and fluid volume Withdrawing to 3 ~ 5ml appropriate. ③ selective injection of 25mg hydrocortisone, and then unplug the needle. ④ Taigaohuanzhi. ⑤ drugs used were based on 33% of magnesium sulfate hot or cold. If you enter a drug such as: doxorubicin, epirubicin than doxorubicin, vinorelbine, mitomycin and other toxic drugs, treatment as follows: ① immediate cessation of drug injection, needle retention. ② Withdrawing the drug residue, blood and fluid volume Withdrawing to 3-5ml appropriate. ③ selective injection of 25mg hydrocortisone, and then unplug the needle. ④ avoid local press. ⑤ Taigaohuanzhi. ⑥ according to the chemotherapy drugs used to select the local heat or cold, Vincristine with a hot pack, cold compress other drugs. Severe pain who can be partially closed 2% procaine. ⑦ Hirudoid ointments applied to the lesion, with an area greater than the extent of the swelling, twice a day. ⑧ with anti-inflammatory pain before going to sleep at night cream applied to the lesion, mulching gauze out every night 1. Received Date: 2O02.12.20 medical communication skills with children with Shen (Henan Chest Hospital to meet the current care reform and the smooth systematic holistic nursing care, improve communication between nurses and patients is extremely important, especially with communication between the children with more specificity. Communication is the transmission of information between people, including opinions, feelings, ideas, thinking and so the exchange process, in order to obtain mutual trust, understanding and good relationships. between nurses and patients communication helps to understand the patient's physical and mental shape Swiss Zhengzhou 450003, China) conditions. Provide the correct information to patients is to achieve nurses to patients, reduce patient pain and suffering, the need to create the best physical and mental state is also to promote understanding and support between nurses and patients,[link widoczny dla zalogowanych], improve treatment and care needs. After two years of my pediatric practice, and gradually explore and summarize a set of children with communication methods, good results are reported below.