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Nursing of patients with severe epistaxis


Who, as a serious nose bleeding, the care of such patients have their specific requirements from January 1980 January 1990 l2 pulled Division of severe epistaxis treated 48 patients. Male 36 down, l2 female patients aged 40-75 years were bleeding firefly 6oom] above, in which low blood pressure pulse of small fast};} looking pale and cold sweats are l8 cases. In severe cases, repeated before and after nasal packing L 7-8 times a transfusion, anti-shock therapy rescued. According to nursing practice, will now report as a mixed body to determine the site of bleeding as soon as possible bearing in mind the m'il_ identify bleeding sites: General front-end before the nose bleeding nasal septum rupture of the main arteries, like Jet Star Quan, since the nose is bleeding nose after intravenous based. Yu bloody nose before symptoms are outside the drip. Blood clots from the mouth spit outside. Can also be found under the lateral pharyngeal bleeding. All patients admitted to hospital only after a definite bleeding site can only know what as soon as possible. Be targeted to stop the bleeding and prevent blindness 2. Bleeding can be directly observed estimates of crab blood loss. Disease can also escort the families to know where or bleeding through other laboratory tests of hemoglobin,[link widoczny dla zalogowanych], i ga! F + given hematocrit red blood cells to understand whether there are soo shrinkage. Blood loss only accurate one can be grateful to get blood results. Park contingent and other necessary treatment measures. And asked the patient can not swallow the blood within the stomach, causing the error estimated blood loss was swaddling clothes dangerous. :, Note whether Ai Ping Gan poisoning of recent years, high-Zan instigate material reported as bleeding in patients with nasal packing. Especially after the nostrils filling decreased blood oxygen pressure from arch f, = carbon dioxide units increased and hypoxemia may cause serious concurrent blast + Qian has received much attention and even death in elderly patients should therefore closely observe whether the respiratory pause, and respiratory insufficiency + Note respiratory rate, depth} Metaplexis stauntoni degree and rhythm changes; especially at night when sleeping wards are visited regularly by the appropriate oxygen can change the state of Bodhisattva suck bang in patients under conditions of blood gas analysis retreat before rinse stuff determined in order to accurately grasp the blood biochemical changes contingent to determine the treatment. Third, the police of several specialty music epistaxis lei 1. Hereditary hemorrhagic vascular ectasia hair Myanmar. This is a hereditary bleeding tendency t bruise disease is the most common symptoms of nasal bleeding. The peripheral blood vessels in patients with Lou at a small artery or small vein dilation are. . Like, such as the fingertips, nose, tongue and nasal septum in front of urticaria. In particular, is suffering from one. Yu-septal mucosa of pre-F are squamous epithelial capillaries education review'-:·. A, j beetle 1, {cover, it is easy bleeding, and bleeding problems. 2. Zhen blood system diseases, although rare +, but has its own characteristics, diffuse bilateral nasal bleeding common diseases purpura bleeding from leukemia. Aplastic anemia and hemophilia and other bleeding in the nasal cavity at the same time. Yet to active treatment of their primary disease 3. After head trauma from the intracranial carotid artery pseudoaneurysm formation increased bleeding + can cause a rare TV drama after head trauma, headache, eye blindness and a lot of mouth and nose bleeding, may form a pseudoaneurysm. Once the rupture. The amount of bleeding is powerful. While the investigation of serious bleeding nose bleeding is not clear when the sentence should be asked whether the head trauma electricity, consider carotid artery aneurysm rupture may be necessary, feasible and intracranial CT films. To assist diagnosis. Fourth, strict and meticulous care I. Observe whether the shock's performance to closely observe the clinical manifestations of disease. If pale, cold sweat, pulse and blood pressure decrease, suggestive of thin shock performance, they should immediately take effective measures to stop the bleeding,[link widoczny dla zalogowanych], while the rapid establishment of intravenous access, timely rehydration and medication. 2. Closely observe the situation of cardiac function. Note ignorant stroke of the rhythm frequency. Solid older age in patients with nasal bleeding and dynamic pay attention 6O sclerosis with hypertension and other illnesses. More with the heart function is not base. ECG done after proper pre-bleeding the investigation, who were heart conditions i ga! F set or line ECG. 3. Respiratory conditions of observation. After packing the nose suction by mouth bang bang t dumb mouth are not used in patients with solid, resulting in hypoventilation. To observe the lips, looking, or whether hypoxia limbs beam tip performance. Especially in elderly patients, if cyanosis that severe hypoxia,[link widoczny dla zalogowanych], oxygen should be promptly 4. After packing the nose mouth breathing caused by chapped lips. Bad breath. To strengthen the oral care, at least 3 times a day, and the ancient forest to furosemide breastfeeding cough unitary, apply ointment to the lips to keep IZl cavity clean, 5 should be given to prevent complications of high nutrition,[link widoczny dla zalogowanych], digestible liquid diet. Can be smaller meals. Higher amount of potassium to eat some old fruit. Such as bananas,[link widoczny dla zalogowanych], oranges, etc. to avoid eating foods that are not digestible. Such as fried foods + while keeping it smooth and quit smoking too much wine. Fifth, take the initiative to Jl} I love to do psychological care in patients with severe nasal bleeding out of concern psychologically Wen, health care workers should be patient and sincerely encourage patients to overcome the pain, adhere to the patient, treatment with Taiwan. The patient remained stable. Positive and healthy state of mind.