Mbt Schuhe Günstig Stent graft treatment of abdom

43nike9485qt · Wysłany: Pią 11:40, 11 Mar 2011

Stent graft treatment of abdominal aortic aneurysm Perioperative nursing

Shao Zenith stent graft treatment of the advantages to eliminate concerns, and actively cooperate with the preoperative preparation. 2.1.3 wary of tumor rupture: importance of patients abdomen, lower back pain. Burst abdomen, lower back pain are often signs before rupture, and you should promptly notify the doctor, and close observation of blood pressure, pulse and consciousness. Once palpitation, pulse and blood pressure first and then decreased, should consider the possibility of ruptured abdominal aortic aneurysm should be immediately rescued. 2.1.4 Preoperative preparation: bilateral inguinal skin preparation, penicillin skin allergy test, preoperative fasting 6h water. 2.2 2.2.1 postoperative care and nursing care: the patient back to the ward after the vital signs should be closely observed, given 24h ECG monitoring,[link widoczny dla zalogowanych], continuous low flow oxygen, blood pressure once every 15min, always observe the ECG waveform and respiratory frequency. This group of patients before and after surgery no significant changes in blood pressure, 1 patient postoperative arrhythmias (atrial premature beats), go away after a week diet nursing 2.2.2 : 6d after giving high-calorie, high protein, diet rich in vitamins, prevent constipation induced by coronary heart disease, high blood pressure, if necessary, give laxatives. Continuing Care Medicine May 2006 21 parameters of SVM Khon firefly 2.2.3 femoral artery puncture plastic observation: both lower extremities should be water: flat straight 6 - 8h, puncture was given with elastic bandage pressure bandage to prevent bleeding. Observed at any time if local bleeding, bleeding and so on. Over 8h to help patients after turning over in bed the next day after the lifting of pressure bandage and patients themselves get out of bed. 2.2.4 fever observation: 3d after surgery, the 5 patients with body temperature. At 38.2 - 39.2C. 1 ~ 2d after blood WBC increased to 8.8 ~ 15.1O / I (pre 5.6 ~ 5.9G / i). Given physical cooling fever, antibiotic treatment 5 ~ 7d, 4 ~ 8d Blood WBC 'back to normal. 2.2.5 anticoagulant therapy: heparin for patients after three-day 4000 ~ 6000U / d of anticoagulant therapy to prevent vascular thrombosis. Coagulation time as to cause local or systemic bleeding on the close observation of patient care whether the puncture site bleeding, hematoma around the patient's gums, skin and mucous membranes, gastrointestinal tract, such as whether intracranial bleeding tendency, coagulation testing at any time to adjust heparin dosage and time. 2.2.6 Pain Observation: To observe the location of abdominal pain, nature, extent. Stent placement and balloon dilatation to stent and vessel wall closely attached, patients have varying degrees of abdominal pain, dull pain, etc., in the case of acute abdomen ruled out, given appropriate painkillers. 27 patients were given different levels of oral,[link widoczny dla zalogowanych], intramuscular analgesics. 2.2.7 abdominal observation: postoperative abdominal touch, auscultation mass and noise immediately disappeared. If the mass and the noise again, consider the stent graft into the vessel wall attachment and lax, with the Louxue possible. Shall promptly notify the doctor, to take treatment. 27 patients more than 1 patient in the no symptoms . 2.2.8 urine observation: observe the urine within 24h after surgery, because some of the bare stent across the renal artery on |】,[link widoczny dla zalogowanych], such as a sudden reduction in urine output, consider ectopic induced renal artery stent occlusion possible. The group of 27 patients with intraoperative stent release position are correct, bare stents were opened across the renal artery E1, without renal artery occlusion occurred. Patients after discharge guidance 2.3 7 ~ 14d discharged after a week-line review of non-enhanced CT endoleak occurred, the patient should be appropriate activities. Not overwork, to prevent stent loss. Should observe the urine, lower extremity skin temperature, skin color and pain, such as the above symptoms, consider the renal artery and iliac artery occlusion,[link widoczny dla zalogowanych], and timely review. Can prevent thrombosis after hospital discharge oral aspirin 50mg3 ~ 6 months..
More articles related to topics：

[link widoczny dla zalogowanych]

ralph lauren outlet 2001 and 2002 analysis of cesa

[link widoczny dla zalogowanych]