Epidermolysis bullosa Nursing Atrophic necrosis dr -

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Epidermolysis bullosa Nursing Atrophic necrosis drug eruption

Glucocorticoids. Prevent infection, symptomatic and nutritional support therapy. 3 Ask the patient care wards live 3.1 Single isolation ward, room temperature 28-30 ℃, to keep wards clean and dry, ventilation 2 times a day, every 30rain, and added to the water with each 1000ml dubbed 50Omg Jianzhisu disinfection Wipe the surface liquid, bedside cabinets, stools,[link widoczny dla zalogowanych], door handles. Periodic ultraviolet radiation disinfection. 2 times a day,[link widoczny dla zalogowanych], every 30rain, allows room air cleaner can also be used as sterile state. 3.2 Because rapid onset of psychological care. And in critical condition, disease area, patients worry about skin exfoliation, multiple blisters, crusted and other healing affect the appearance, and thus psychological stress, despair. Depression, loss of confidence on the prognosis, which does not meet the treatment and care. Patients should be patient about the disease progression and prognosis, that as long as the active support treatment is to heal does not affect the appearance,[link widoczny dla zalogowanych], eliminating the worry of patients, encourage patients to establish the confidence to overcome the disease. The best attitude to treatment and care. 3.3 to enhance the nutritional support therapy in patients with more exudate, skin scaling, easy to lose a lot of protein and body fluids of patients with oral mucosal erosion due. Throat pain, difficulty eating. Less prone to cause fluid and hypoproteinemia, patients should be encouraged to eat high protein, high calorie, high in vitamins, digestible liquid or semi-liquid diet, and intravenous fluids such as protein, fresh plasma, fat emulsion, compound amino acid, in order to strengthen nutrition. Enhance the body resistance, promote rehabilitation, and strict record intake and output for the correct guidance of fluid volume and infusion speed. 3.4 The role of the skin barrier to prevent infection and damage to a lot of the role of glucocorticoids. To lower body resistance, easily co-infection, patients should practice protective isolation, patients were placed in single rooms, personal care, declined to visit. Reduce unnecessary movement. Sheets, quilt cover, pillowcases,[link widoczny dla zalogowanych], etc. with high-pressure steam sterilization sterilization, the daily replacement of 1, patients with toilet paper, utensils sterilization should also be handled separately. The skin to keep warm when dressing to prevent the cold cold. Stand taken back in time, encourage patients to cough, respiratory tract secretions is offering a timely manner. To prevent pulmonary infection, the proper and timely use of antibiotics by your doctor and reasonable. 3.5 Protection of the skin for various operations should be concentrated, gentle movements, venipuncture, the tourniquet should not be tied directly to the skin blisters or erosion, need to multi-layer gauze pad; fixed needle when the tape should not be in direct contact with skin, gauze or bandage wrapped fixed: Measuring blood pressure, blood pressure cuffs are not directly tied to the skin, apply sterile gauze or towel pad test. Turn over or change of bed linen for the patients, the action should be gentle, fast, agile, to prevent the push, drag, pull, pull phenomenon, so as not to damage the skin and increase the chances of infection. 3.6 Treatment of blisters, mostly in deep tension in patients with bullae, thin-walled blisters easily rupture. Large blisters can be disinfected with a sterile syringe, blister fluid out, small blisters should not break, can be allowed to self-absorption. Early lesions are more wound exudate, daily dressing changes, skin should be cleaned after the potassium permanganate solution or with a 1:5000 solution of 0.02% nitrofurazone wet packing, 3 times a day; wound exudate solution decrease, the oil can be treated with cotton swab dipped in Lithospermum, 3 times a day; and regularly out of blister fluid, bacterial culture and drug sensitivity tests to guide the proper use of antibiotics. 3.7 ① local nursing as the oral mucosa erosion oral care, the patient can rinse their own teeth, mouth, easy to form a thick skin of dirt and ignorance. Oral care available saline, 3 times a day to remove blood and dirt crazy mouth and gargle with Dobell's solution; lips dry. After washing with sterile cotton balls coated with oil Lithospermum protection against chapped bleeding. ② eye care due to extensive leakage of serous discharge, conjunctival serious congestion. Upper and lower eyelid margin of adhesion. Eyes closed, eyes open eyelid skin is a little forced stripping. Wounds exposed pink, sterile cotton bud can graze saline eye, and then cover with erythromycin eye ointment protection. And wipe away eye discharge in a timely manner to help patients. Bond can not open its eyes to prevent secretions. Observation of patients with the disease a large number of 3.8 glucocorticoids. Should observe the side effects of glucocorticoids. Daily measurement of blood pressure, urine sugar regularly checked, stool occult blood and related laboratory tests, and to observe the mental state of patients. In short. Intensive care and the close cooperation of patients can greatly reduce the incidence of complications. In nursing work. Nurse stable unpleasant emotions through the spirit of comfort to the patient. Attentive patient care and enhance the confidence to overcome the disease, so patients with early recovery.

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