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Dołączył: 30 Lip 2010
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Temat postu: asics tiger shoes Treatment of tracheal stenosis w |
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Tracheal stent nursing intervention
Be fully expanded to the desired diameter. Patients need full bed rest 2d, 1 week to avoid the violent activity, a bad cough, to prevent stent migration and shedding. 2. Diet. 4h after water fasting, because pharyngeal anesthesia, swallowing, weakness, early diet can lead to choking. 4h backward flow of digestible food gradually returned to normal diet. When necessary, intravenous high-nutrition, to increase their body resistance and promote postoperative recovery. 3. Respiratory care. More respiratory secretions of patients, and promote the discharge of mucus, to prevent stent clogging secretions. Effective cough, expectoration, inhalation, airway humidification, expectorant cough medicine taking time, if necessary, bronchoscopy. If the patient the original lung infection, lung function is poor, both need oxygen and anti-infection treatment. 4. Anti-infection treatment. Although they are minimally invasive interventional procedures, but as an invasive treatment, support is still a foreign body, inside and outside the brush from the cradle to take a variety of pathogens can be seen secretion culture 4J, still need a certain amount of antibiotics to prevent infection, the original lung Department of infected patients, the need to increase the amount of antibiotics, while strengthening oral care. Fifth, the prevention of complications and nursing care 1. Early complications and the operation caused some minor local mucosal damage related to j. The group of 29 patients with chest pain appeared,[link widoczny dla zalogowanych], showed a slight pain, positioning is not accurate. 5 cases of foreign body sensation, chest pain, foreign body sensation and airway stent expansion may result in discomfort after the related relief after 5 ~ 7d. 3 cases of hemoptysis, sputum by the bright red turning into a dark, gradually decreased, after hemostasis, 5 ~ 7d gradually disappear, which may stand on the edge of contusion lesions. Instruct patient to understand these are normal after surgery may occur, which can effectively reduce postoperative anxiety. 2. Long-term complications. Stent restenosis. The group, 3 cases of restenosis, stent lumen may be due to granulation and / or tumor growth caused by the stent lumen. The newly placed stent, a narrow discharge, sputum secretion retention and obstruction. The group, 3 cases of fever, difficulty breathing,[link widoczny dla zalogowanych], the airway imaging showed thick secretions were blocked distal stent,[link widoczny dla zalogowanych], possibly because of in-stent sputum is not easy to discharge, repeated infections can easily lead to secretion retention. The bronchoscopy and anti-infection treatment, respiratory restore patency. Sixth, guiding the patient discharge guidance proper diet, appropriate exercise, strengthening the respiratory care and regular review. Tell patients that if there pulmonary infection, bleeding (slightly large number of new blood), stent migration (a bad cough, breathing difficulties, foreign body sensation) and other symptoms, promptly to the hospital. Stent were only a palliative treatment, guiding patients who continue after stent anti-tumor therapy. Discuss the design and performance as well, the metal stents for the treatment of benign and malignant airway stenosis better method [6j, despite some complications, but after a good treatment and care,[link widoczny dla zalogowanych], tracheal stenting is still a safe, effective method of treatment of airway stenosis. When a patient due to airway, causing suffocation, life-threatening when the stent as a rescue measure to extend a patient's life, in order to provide the possibility of further treatment of patients. Excellent care of the whole intervention process can proceed smoothly, prevent and reduce the occurrence of complications is significant. Need nurses in the treatment of heart and soul the whole process of care for patients, while patients with active play their potentials in order to ensure the ultimate success of surgery, and to achieve the best therapeutic effect.
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