nlwxpearo
Joined: 13 Dec 2010
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Location: England
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 Posted: Sun 0:38, 13 Mar 2011 Post subject: Elderly patients with colorectal cancer in periope |
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Elderly patients with colorectal cancer Perioperative Nursing
Maintain the drainage tube smooth and clean. Suspected of infection should be cultured on the drainage of fluid. 3.5 comorbidities down 39 nursing patients with hypertension in this group, postoperative pain due to other reasons, 32 cases of preoperative systolic blood pressure higher than 2 ~ 4kPa, 18 cases showed varying degrees of headache, to give control of the infusion unit time speed and volume, so that the liquid evenly to maintain high blood pressure are given 24h intramuscular injection of reserpine 1mg1 ~ 2 times, to restore blood pressure to 18.5/11.5kPa about 24h. 44 patients with diabetes were down glucose in the 1O 6 ~ 10U adding insulin to reduce or avoid low blood sugar reactions; as the blood glucose after eating to oral hypoglycemic agents regularly measure blood glucose, urine sugar and electrolyte content. The application of group 3 patients had transient hypoglycemia after insulin response, the symptoms disappeared after symptomatic treatment. On and have heart disease, patients need close observation of the heart rate, heart rate, breathing and so on. 52 do have the arrhythmia in this group, 38 fell electrocardiogram showed myocardial ischemia, r,,. 7 /. , 67 teams of 30 feet infusion speed drops / rain or so, oral fluids to prevent constipation can be paraffin 20ml3 / d. Nurses should pay attention to patient complaints, such as chest tightness, shortness of breath,[link widoczny dla zalogowanych], precordial discomfort, timely detection of positive signs,[link widoczny dla zalogowanych], activities, semi-synthetic Bidan Hong 77 - a 77 * amount should be increased. The group 2 patients out of bed after the attack and ineffective treatment of death, a profound lesson to be learned (Received :1998-12-16 Revised 【999-0326J semi-synthetic penicillin and cephalosporins currently were made with penicillin allergy test. Because penicillin lot of different, often appear to affect a number of false positive clinical use. We think that the best use of drugs intended to do allergy testing, allergy testing in order to improve the accuracy. We penicillin allergy test intradermal injection of 10 ~ 50U doses based on the 25g as a semi-synthetic penicillin and cephalosporin allergy intradermal test dose for clinical use. now 208 cases reported the following observations. 1 1.1 objects and methods of the object Upon inquiry with the group without a history of penicillin allergy patient cable 208 (male 178 cases, 30 females) were randomly divided into two groups: experimental group l04 cases, the drug intended to do with allergy testing; control group l04 cases, with penicillin allergy test done (all with the same batch). 1.2 Test preparation method used liquid semi-synthetic penicillin and cephalosporins 250mg/ml preparation of the liquid, and then to extract 0.1mJ, plus isotonic saline 0.9ml to lml (25mg/m1), abandoned to 0.9m1, coupled with isotonic saline to 1ml (2.5mg/m1), abandoned to 0.9ml, coupled with isotonic saline to 1ml (0.25mg / m1), is the skin test liquid. take 0.1ml (25g) do intradermal injection. method of preparation, see Annex. 2 Results The 104 patients, 9 of the Schedule of antibiotics were done, allergy test, there 2 cases, the positive rate of 2%. This is done in 2 cases of penicillin allergy test is also positive,[link widoczny dla zalogowanych], to switch his medication. the control group of 104 cases. positive l8 cases, the positive rate of l7, l8 cases instead of the intended drug allergy test done. negative l7 cases, positive in 1 case, the l-side switch to other medicines. 3 discussions and semi-synthetic cephalosporin penicillin belong to the B lactam anti-1 23O Hospital, hospital car door saying Guo ll80O02 3 Feng hospital nursing department three subjects antibiotics, causing the mechanism of allergic reaction is more complex, and that was mainly due to degradation or polymer caused. clinical use of different batches of penicillin allergy test before re-done,[link widoczny dla zalogowanych], because different manufacturers, different batches of product solutions of polymer type difference between the larger impurities, and thus the incidence of allergic reactions are not the same, in addition, scholars have found that carbenicillin West, Cefalotin, cefotaxime lactam antibiotics such as the formation of allergy I can gather raw material units, sufficient to show cephalosporins and semi-synthetic penicillin allergy testing done by the original drug is right. Schedule common semi-synthetic penicillin and cephalosporin allergy testing flail medicines with pharmaceutical drug name dose cs, branch to be allergic to penicillin pro-valve Xiao Pi intradermal injection of test dose of l0 ~ 50U,[link widoczny dla zalogowanych], 1U of a 0.6, so l0 ~ 50U equivalent to 6 ~ 30g. The semi-synthetic penicillin and cephalosporins as drugs to intradermal injection of 25ug dose does not exceed the Penicillium Suopi range of doses of safe injection method is simple and easy to calculate, after the preliminary clinical observation, no allergy test was negative and the phenomenon of an allergic reaction after administration, but the observed number of cases was small, need to be further accumulation of information in order to make this method exact evaluation. (close your samples :1998-11-30 Revised: 【999o5l8
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