Specially the fiber patient's standard sending lung attends to _'s treatment

Specially the fiber patient's standard sending lung attends to _'s treatment
Specially sending lung fiber (IPF) It is a quality and disease, a kind of comparatively common representative disease of China of the chronic lung with unidentified reason. Shown as more the going on has difficulty in breathing with the stimulating dry cough clinic. Condition develop continuously generally, breathe depletedly finally and death. It is mainly adrenocortical hormone and use of inhibitor of the immunological function to treat the measure at present, but the result is unsatisfactory. The question is as follows, that it is attended to that common Poor efficiency breath type attitude; Air exchange is damaged; Malnutrition: Lower than organism requirement; Have danger of infecting; The premonition is grieved; Potential complication --Therapeutic side effect of adrenocortical hormone.
Poor efficiency breath type attitude
[Relevant factor ]
Extensive fiber of lung.
[Mainly behave ]
The patient has difficulty in breathing, the analysis value of artery vim and vigour is unusual.
[Attend to the goal ]
The patient maintains the breathing attitude best, is shown as and had difficulty in breathing to lighten.
[Attend to the measure ]
Follow the doctor's advice oxygen intake.
Provide the body posture that helps to be breathed for patient.
Monitor analysis value of patient's artery vim and vigour.
Often accompany patients, explain the security by guaranteeing the patient of taking measures, remove the patient's anxiety.
Change the nose conduit every day, and from inclining the nostril to insert separately.
Predict whether the patient needs trachea breathing machine to assist breath, and ready.
[Comment on especially ]
Whether improvement, analysis value of vim and vigour of the artery is normal whether the patient has difficulty in breathing.
Air exchange is damaged
[Relevant factor ]
It is extensive in lung take fiber it lead to the fact keep in touch with /blood flow imbalance.
[Mainly behave ]
Hypoxemia disease, cyanosis, the patient has the fidgets.
[Attend to the goal ]
The patient maintains the best air exchange, is shown as hypoxemia disease is improved, the state of mind takes a favorable turn or not.
[Attend to the measure ]
Monitor the analysis value of vim and vigour tightly.
Observe the change of patient's life physical sign, the change that especially breathes tightly.
Follow the doctor's advice and suck the oxygen.
Follow the doctor's advice and give medicine, and observe the side effect of the medicine.
[Comment on especially ]
Patient's spiritual state, the analysis value of artery vim and vigour.
Malnutrition: Lower than organism requirement
[Relevant factor ]
Patient's appetite drops, ingest and reduce.
[Mainly behave ]
Patient's weight is lightened, become thin, unable.
[Attend to the goal ]
The patient maintains the best nutrition state, is shown as the weight is steady, the intaking amount is sufficient.
[Attend to the measure ]
Advise patients and take more time to rest.
Offer the diet of high protein, high heat, high vitamin to patients, assist to take food if necessary.
Offer the diet of much meal of small quantity.
Create a happy environment of having meal for patient, try hard to reduce the bad stimulus.
The simultaneous all right oxygen intake having meal, in order to breathe hard while avoiding having meal, lead to the fact the appetite drops.
Follow the doctor's advice for the vein to supply nutrition.
[Comment on especially ]
The patient's weight.
The intersection of patient and serum albumin and competence of hemoglobin.
Have danger of infecting
[Relevant factor ]
Damage of system of defence of the lung due to extensive fiber of lung.
Employ glucocorticoid for a long time.
[Mainly behave ]
The body temperature is higher than normally.
The blood is checked to reveal leucocyte total number rising, neutral cell proportions increase.
[Attend to the goal ]
The dangerous factor that the patient infects is reduced.
Patient happen, infect, show as body temperature to be normal, blood check, reveal leucocyte count and classify normally.
[Attend to the measure ]
Keep the air of the ward fresh, ventilates twice every day, 15-30min each time.
Guarantee wetly to melt and give oxygen, change the wet distilled water that melted in bottle and bottle regularly.
Encourage patients to cough effectively, expectorate the phlegm liquid in time, avoid phlegm liquid retention.
Follow the doctor's advice and offer antibiotic, observe the curative effect of medicine.
Monitor the body temperature 3 times a day, find the raised sign of the body temperature minutes to combine the record at any time.
[Comment on especially ]
Patient have sign infected to happen, the body temperature is raised, unusually,etc. blood routine examination.
The premonition is grieved
[Relevant factor ]
The prognosis is bad, disease can threaten the life.
[Mainly behave ]
The patient demonstrates grief, sorrow, sense of depression, lose confidence in treating.
[Attend to the goal ]
The patient can describe the idea to disease.
[Attend to the measure ]
Answer the question about treating and attending to the respect that the patient puts forward seriously and candidly.
Clearly explain that diagnoses the result.
Allow patients to express their psychology to experience.
Advise and establish trusting relationship with patient and family, understand the patient's idea, encourage patients to tell the question cared about.
Under the situation that the condition allows, can let patients carry on oneself and attend to, in order to disperse its attention.
Help patient relatives to find out about environment and the patient's situation of the hospital.
[Comment on especially ]
The patient's spiritual state, thoughts and feelings.
Sixth, potential complication --Therapeutic side effect of adrenocortical hormone
[Relevant factor ]
Employ glucocorticoid for a long time.
Medicines stop to react.
[Mainly behave ]
The kind of renal gland hyperfunction syndrome of cortex function, for instance full moon face, water ox back, hirsutism,etc. behave.
Bring out or aggravate and infect.
Bring out or aggravate the stomach, duodenal ulcer.
Hypertension, arteriosclerosis.
It is not complete to cure the source renal gland cortex function.
Medicines stop to react and jump the phenomenon, give up symptom etc. instead.
[Attend to the goal ]
The patient avoids the serious bad reaction.
The patient can know the method to stop medicine and the danger of medicine stop suddenly.
[Attend to the measure ]
Function and side effect of telling patients to employ glucocorticoid, the general side effect such as full moon face, water ox back, hirsutism, edema,etc., could disappear by oneself after medicines stopped.
Observe and infect the sign tightly, follow the doctor's advice and use antibiotic.
Observe the bad reaction of digestive tract tightly, watch out for digestive tract massive haemorrhage, do a god job in rescuing to prepare if necessary.
Monitor blood pressure, follow the doctor's advice and use depressor.
Following the doctor's advice instructs the patient how to stop medicines gradually, tell patients to stop the danger of medicine suddenly.
[Comment on especially ]
The patient uses the side effect of the adrenocortical hormone.
Whether the patient has known that stops the medicine method and the danger of medicine stop suddenly.

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