Tuberculosis hemoptysis care measures?
2.1 Note that postural drainage, maintaining emotional stability in patients, maintain airway patency, is one of the key measures for successful treatment in patients with absolute bed rest guide to the first partial side of the supine position, favorable blood cough; temporary fasting when hemoptysis, hemoptysis to a low-temperature after the cessation of liquid diet, each desirable capacity of 150 ~ 200 ml. Every time when someone in the next hemoptysis care, encourage patients to cough up blood every time as far as possible to prevent blood clots blocking cemented airway, causing suffocation. If breathing difficulties, should be used 30 ° ~ 40 ° semi-recumbent, to facilitate coughing, breathing, blood row. Temporary fasting, when massive hemoptysis, hemoptysis stop or reduce the backward Wenliang digest food, maintain a smooth stool. Have shortness of breath, difficulty breathing oxygen, oxygen flow rate 6 ~ 8 L / min, attention to regular measurement of patient's body temperature, respiration, pulse and blood pressure, and closely observe the patient's condition, emotional tension or irritability are given prompt psychological care, appropriate Application of sedatives, theatrical appropriate, cough cough, Jiyong morphine. For a pattern of massive hemoptysis in patients with hemoptysis time when someone in the next care, as to enable patients to control a large variety of attention to matters of hemoptysis, the patient has been able to remain calm mood, strengthen oral care, timely erase lip bloody, each After the meeting hemoptysis with normal saline or cold water gargle.
2.2 massive hemoptysis choking rescue and care
2.2.1 asphyxia due to suffocation because a large number of blood or blood clots blocking the respiratory tract. The reason is that: (1) weak weak cough, blood accumulation; (2) sedative, antitussive agent incorrectly applied the suppression of cough reflex, or asleep; (3), bronchial stenosis, distortion or poor bronchial drainage; (4) in patients with extreme tension or blood clot, or throat evoked bronchial spasm; (5) one-time heavy bleeding too late to cough.
2.2.2 hemoptysis asphyxia precursors to introduce what is hemoptysis in patients with early signs of suffocation, to understand the danger of suffocation, the church to accompany patients and dangerous person who signs, do not tense, immediately notify the medical staff; close observation of the color of hemoptysis, volume and patient's spirit and state of consciousness, if the following occurs: (1) massive hemoptysis sudden stop or terminate the process, appears chest tightness, extreme irritability, facial expressions of fear, mental sluggishness; (2) throat sounds shallow breathing appears fast or respiratory arrest; (3) looking purple, stunned, sweating, his hands making unwarranted, delirium, incontinence. Should guard against the occurrence of massive hemoptysis asphyxia, resuscitation.
2.2.3 emergency rescue and measures of massive hemoptysis, the quickly and effectively to exclude the blood within the respiratory tract is to prevent suffocation effective rescue measures. (1) immediately pick up the patients with lower body upside down, so that the trunk and bed into a 45 ° ~ 90 ° angle, and they break on the back, poured the blood product within the trachea, to prevent blood flooded into the lungs; (2) promptly remove a blood clot, First, with the opener forced open the teeth, dug throat of a blood clot, if necessary, endotracheal intubation on a continuous suction blood clot; (3) high flow oxygen, oxygen flow rate 6 ~ 8 L / min.
2.2.4 Nursing hemorrhagic shock (1) closely observing the changes in vital signs and central venous pressure; (2) Observe the urine and the urine specific gravity, when the shock drop in blood pressure in patients with renal artery blood pressure that may be caused by a direct impact on decline in kidney blood perfusion, renal failure occurs; (3) careful records of access to the amount of the input liquid type, quantity, time, and loss of body fluid volume of detailed records; (4) temperature anomalies of care in patients with hemorrhagic shock body temperature of the majority of partial low, should be increased at room temperature, with warm quilts, rather than using local thermal hot water, etc. to ensure that the body temperature at normal levels.
2.2.5 asphyxiation psychological care in patients with hemoptysis psychological unbearable the day, fear, anxiety and irritability. End of their psychological ease, comfort and care to enable patients to realize that massive hemoptysis is the key to maintain calm, otherwise fear, irritability will enhance the sympathetic excitement, rapid heart rate, blood circulation growth disadvantage caused by increased pulmonary blood circulation to stop bleeding. Their treatment of hemoptysis are some successful examples, and describe the severity of hemoptysis and disease not a positive correlation, and foster the confidence to overcome the disease. Patients with fear, anxiety alleviated.
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