Integrative Medicine Intensive treatment of leukem

ncycgdxhl · Wysłany: Pią 23:25, 04 Mar 2011

Integrative Medicine Nursing treatment of severe in 1 case of leukemia

2.1 The symptoms of infection and care and nursing observation. (1) to strengthen the clinical observation, good vital signs, clinical laboratory test items and infection control. Cooling: head home ice caps, ice disposal of limbs large blood vessels, disable, alcohol sponge bath,[link widoczny dla zalogowanych], to avoid friction and vasodilation caused by stimulation of bleeding, disabling anti-inflammatory drugs, so that leukopenia, service Ziyinqingre medicine, 4h1 times, and with horns file for the powder boils water to drink. Consciousness were observed during fever, sweating, pulse and temperature conditions. If the micro-sweating, pulse static thermal back cis, if not sweating or sweating hot subside, the patient should report irritability doctor. Antipyretic effect of traditional Chinese medicine is good, no side effects, body temperature returned to normal after the drug 5d. (2) strict isolation to prevent infection. Patients after chemotherapy white blood cells, platelets decreased, decreased immune function, prone to infection. ① Single patient isolation and strict control of burglary staff. Burglary or masks,[link widoczny dla zalogowanych], hats, gloves, gowns, pants, shoes. The treatment of patients with specific disk, tourniquet, tape, sterile forceps, blood pressure monitors, stethoscopes Dengjun into 50% solution of peracetic acid for disinfection cabinet 30Inin smoked and then give patients .... ② ward disinfection. Decontamination with 0.1% chlorine solution ground and patients with friction items, potty fixed with 0.1% after immersion in chlorine decontamination solution, ultraviolet air disinfection of wards 2 times / d, 30min / ~ [2] . ③ seriously and oral care. We made mouthwash: Five Bei sub 10g, Huang Jing 15g, Scutellaria 15g, 10g Jiantang Ban Langen gargle and rinse after the ulcer was coated Yin Shengjisan, with swelling and pain, to the new role of saprophytic, 4 / d. 2.2 Observation and care of bleeding symptoms. (1) to observe the bleeding tendency. Nurses should be rigorous testing blood pressure, pulse, pulse, complexion and other changes were observed with or without hematemesis, hemoptysis, hematuria, unexplained abdominal pain sign of internal bleeding; observe whether the headache, nausea, vomiting,[link widoczny dla zalogowanych], blurred vision and blood pressure, intracranial hemorrhage, etc. performance; observe the skin, mucous membranes and bleeding gums and the degree of availability, distribution area and so on. Timely submission patient blood, urine, feces, sputum,[link widoczny dla zalogowanych], and observe its color, nature, and laboratory results. (2) bleeding prevention and care. ① mucocutaneous purpura patients, the body has scattered bleeding points, teeth bleed at the nose. We instruct patient to strict bed rest, wear loose clothing, furnishings simple and avoid all kinds of bumps. Disable fever alcohol sponge bath, the treatment to avoid intramuscular injection or needle puncture at the pressure 5 ~ 10rain [3]. Ask client usually clean with a soft bristle toothbrush and cotton swab clean I: 1 cavity, bleeding gums be a cold saline mouthwash. Strengthen the observation of patients mucocutaneous bleeding. ② If the patient appears black stool, urine red blood cell full vision, the patient fasting, rigorous testing blood pressure and pulse changes and the amount of bleeding, color, character and record. 2.3 Psychological care. Provide patient support, encouragement, ease, comfort, timely health education to patients. 2.4 dietary care. Our patients and their families for nutrition and health education, instruction, proper diet of patients, especially the use of traditional Chinese medicine theory of targeted dietary guidance, such as porridge Shiquandabu the blood qi (Panax ginseng, Atractylodes, Poria,[link widoczny dla zalogowanych], Licorice, Angelica, Rehmannia, peony, Chuanxiong, cinnamon, jujube) C4]; fill Yin Yiyang food: soft-shelled turtle, lily, lotus seeds and meat, white fungus, bird's nest and other 【5J. Encourage patients to drink more water, eat more fresh vegetables, fruits, and Wu Shi strong, hot, on the I: 1 cavity mucous membrane irritation of food 【6].