Tuesday, October 19, 2010

Cerebral infarction care routine

 1, psychological care

more patients to communicate effectively, to understand the occurrence of the disease, development and prognosis of the objective laws, maintain peace of mind, to avoid emotion, more than to share, reduce stress, take the initiative to cooperate with the treatment and establish the confidence to overcome the disease.

2, general nursing

ward to clean, quiet, soft lighting, fresh air. Good resort environment, the patient happy and can promote metabolism, increase appetite and the function of organs

supply enough water, Yi Shi light digestible, low fat, high-protein high-vitamin diet. Note to gastrointestinal dysfunction on Eat small meals often, to improve meal quality. When necessary, nasal feeding diet and oral hygiene care.

time plus service beverage, hot water and less tea and coffee, quit smoking wine. Attention to training in bowel habits, if necessary, can be used glycerin suppository, solution or enema laxative senna.

patients of urinary retention, strictly to do catheterization care, attention to urine output, urine color and nature of change. Female patient attention to the cleaning of the perineum, the daily rinse.

patient movement, sensation, local blood circulation is poor, pay attention to skin care. Reduce and avoid pressure to keep beds dry and flat, turning over every 1-2 hours, behind the back, massage pressure areas, wine red flower massage can improve circulation and prevent pressure record occurred.

keep warm and prevent cold. Avoid scalding occurred.

maintain airway patency, if necessary, to the seedling gas inhalation. Those of conscious, stand back and encourage expectoration can be ranked with the inhalation to prevent pneumonia.

routine care of patients with cerebral hemorrhage

1, absolute bed rest for 2-4 weeks to minimize the move, raising the head of 5-30 degrees.

2, to the pre-lateral position, the body was 30 degrees, head to one side.

3, fasting for 24 hours to prevent increased intracranial pressure caused by vomiting.

4, to maintain airway patency, reduction and prevention of respiratory complications, prevent aspiration, suction is the action should be gentle to avoid damage to tracheal mucosa, the tongue falling or who shall hold jaw pliers to pull the tongue out.

5, give oxygen to prevent brain hypoxia.

6, such as the patient's physician barriers gradually increased, ranging from large bilateral pupil, loss of response to light, irregular breathing, blood pressure, pulse slow, suggesting the possibility of brain Shan, the rescue as soon as possible.

7, in patients with cerebral hemorrhage can lead to coma upper gastrointestinal bleeding, diarrhea, enteritis, vomiting of coffee-like substance, should be immediately given intravenous cimetidine, fasting.

8, in the diet, mild person, unconscious barriers, no dysphagia, should be near normal diet or semi-liquid food, should choose light foods, Eat small meals, eating not too fast, so as to avoid choking Well, due to food residues should be retained between the paralyzed side of the cheek teeth, mouth or after a meal to help patients make oral care.

9, coma, or swallowing difficulties, should be given nasal feeding, nasal gastric juice before pumping, check whether the early gastric tube, whether there is bleeding, pay attention to the patient's digestive conditions, there pay, diarrhea should know about no hypokalemia or excessive consumption of sugars. Not suited for milk and slow down bowel movements due to bed and so on.

10, paralyzed limb during the recovery period to enhance the function of exercise. City, passive movement of paralyzed limbs, from simple to complex, gradual increase in activity, prevent muscle contracture, pay attention to work and rest, to encourage patients to make appropriate physical exercise, diet, life should be laws to prevent the mood swings to prevent further bleeding.

infarction care routine (2010-05-26 22:40:15)



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Tags: diet health infarction passive limb movement routine health care Category: Nurses Guide - compiled

1. general nursing

1.1, psychological care to communicate effectively with patients and their families to explain the disease, development and prognosis and the rehabilitation of knowledge, to reduce patient stress, patient comfort, encourage patients to establish disease-fighting, self-care confidence, initiative with treatment.

1.2, to give low-salt, low fat, high protein, light digestible food, sufficient water supply. Coma temporary fasting, 48 hours after the given nasal feeding liquid diet.

1.3, acute phase to the pillow lying, stable condition after the early functional exercise paralyzed limbs. Developed jointly with the patient and family rehabilitation program,Discount UGG boots, massage and passive movement can gradually increase activity levels, encourage patients to take the initiative activity, maintaining a functional limb in the position. Aphasia who assist them in the language training as soon as possible.

1.4, to keep sheets clean, dry and to maintain oral hygiene, regular turning, shot back.

2. condition observation and nursing care

close observation of changes in consciousness and vital signs. Found disturbance of consciousness, paralysis of limbs aggravated respiratory and circulatory disorders, inform your doctor immediately. ,

3. medication care

nurses should be aware of the role of various types of drugs, adverse reactions and precautions.

3.1, watch for allergic reactions when using dextran.

3.2, use of vasodilators attention to changes in blood pressure, low blood pressure in time for the doctor.

3.3, with thrombolytic agents, anticoagulants time to observe whether the bleeding signs.

4. Health Education

4.1, maintaining emotional stability, avoid mental stimulation.

4.2, avoid alcohol and spicy spicy food, bowel movements remain smooth.

4.3, living a regular life, avoid over exertion. Adhere to the language training and functional training of paralyzed limbs.

4.4, positive control high blood pressure, high cholesterol, coronary heart disease, diabetes, obesity, regular outpatient review.

cerebral infarction care routine:

1 psychological care

more patients to communicate effectively, to understand the occurrence of the disease, development and prognosis of the objective laws,cheap UGG boots, maintain peace of mind, to avoid emotion, more than to share, reduce stress, take the initiative to cooperate with the treatment and establish the confidence to overcome the disease.

2 general nursing

(1) patient rooms to clean, quiet, soft lighting, fresh air. Good resort environment, the patient happy and can promote metabolism, increase appetite and various organ functions.

(2) supply enough water, Yi Shi light digestible, low fat, high-protein high-vitamin diet. Note to gastrointestinal dysfunction on Eat small meals often, to improve meal quality. When necessary, nasal feeding diet and oral hygiene care.

(3) time plus service beverage, hot water and less tea and coffee, quit smoking wine. Attention to training in bowel habits, if necessary,UGG boots, can be used glycerin suppository, solution or enema laxative senna.

(4) of patients with urinary retention, strictly to do catheterization care, attention to urine output, urine color and nature of change. Female patient attention to the cleaning of the perineum, the daily rinse.

(5) patients with motor, sensory disorders, blood circulation is poor, pay attention to skin care. Reduce and avoid pressure to keep beds dry and flat, turning over every 1-2 hours, behind the back, massage pressure areas, wine red flower massage can improve circulation and prevent pressure record occurred.

(6) to keep warm and prevent cold. Avoid scalding occurred.

(7) keep the airway open, if necessary, to the seedling gas inhalation. Those of conscious, stand back and encourage expectoration can be ranked with the inhalation to prevent pneumonia. Share



collection cerebral infarction is due to atherosclerosis, vascular intimal injury to the brain artery stenosis, and then due to local thrombosis in a variety of factors that aggravate or artery stenosis complete occlusion, leading to cerebral ischemia, hypoxia, necrosis, neurological dysfunction caused by a cerebrovascular disease. Cerebral infarction care routine to do this to you in detail. 1 psychological care

more patients to communicate effectively, to understand the occurrence of the disease, development and prognosis of the objective laws, maintain peace of mind, to avoid emotion, more than to share, reduce stress, take the initiative to cooperate with the treatment and establish the confidence to overcome the disease.

2 general nursing

(1) patient rooms to clean, quiet, soft lighting, fresh air. Good resort environment, the patient happy and can promote metabolism, increase appetite and various organ functions.

(2) supply enough water, Yi Shi light digestible, low fat, high-protein high-vitamin diet. Note to gastrointestinal dysfunction on Eat small meals often, to improve meal quality. When necessary, nasal feeding diet and oral hygiene care.

(3) time plus service beverage, hot water and less tea and coffee, quit smoking wine. Attention to training in bowel habits, if necessary, can be used glycerin suppository, solution or enema laxative senna.

(4) of patients with urinary retention, strictly to do catheterization care, attention to urine output, urine color and nature of change. Female patient attention to the cleaning of the perineum, the daily rinse.

(5) patients with motor, sensory disorders, blood circulation is poor, pay attention to skin care. Reduce and avoid pressure to keep beds dry and flat, turning over every 1-2 hours, behind the back, massage pressure areas, wine red flower massage can improve circulation and prevent pressure record occurred.

(6) to keep warm and prevent cold. Avoid scalding occurred.

(7) keep the airway open, if necessary,bailey UGG boots, to the seedling gas inhalation. Those of conscious, stand back and encourage expectoration can be ranked with the inhalation to prevent pneumonia.

sum described in detail for everyone infarction care, hope this introduction will give us help, if you want to learn more can click on the online doctor.

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