Nursing routine for rescuing patients

According to the general patient care of internal medicine.

After admission, the patients were isolated according to the disease types, and the disinfection and isolation system was strictly implemented. A syringe, a needle and a tube should be disinfected at any time, and the end should be disinfected to avoid cross infection.

Patients in acute phase should stay in bed absolutely until their condition improves before they can exercise properly.

The room is often ventilated to keep the air fresh and the temperature and humidity appropriate.

Pay attention to nutrition and give a digestible, high-calorie and nutritious diet. Encourage patients to drink more water and promote the excretion of toxins in the body.

2, coma, high fever according to coma, high fever nursing routine.

Closely observe the changes of the disease. Make nursing records of serious diseases and assist doctors to make epidemic reports.

Do a good job in physical and mental care, introduce the isolation and disinfection system and the health knowledge of preventing infectious diseases to peers and patients, and cooperate with the hospital to do a good job in disinfection and isolation management.

3, viral hepatitis nursing routine

According to the general nursing routine of infectious diseases, isolate until the symptoms disappear. Pay attention to the blood-borne transmission of hepatitis B and hepatitis C, and strictly disinfect one person, one needle, one tube and one discarded device.

In the acute stage, you must stay in bed until the yellow staining decreases and the symptoms basically disappear.

Give a low-fat, high-carbohydrate and digestible diet, limit the intake of protein in severe hepatitis, and give a low-sodium diet to limit the intake of water when there is ascites.

Propagandize hepatitis prevention knowledge to patients, such as general isolation, common knowledge of disinfection, prohibition of taking drugs harmful to the liver, prohibition of drinking alcohol, regular review, etc. For severe hepatitis, psychological care should be done to reduce tension.

Pay attention to the change of the condition. If there is bleeding and changes in consciousness, personality and behavior, it is a precursor to liver coma and should be reported to the doctor immediately. If you are in a coma, you should follow the coma nursing routine.

When there is a massive hemorrhage in the digestive tract, we should first appease the patient's mood, tilt our head to one side, closely observe the changes of pulse and blood pressure, record the amount of bleeding in detail, and make preparations for rescue.

4, liver cirrhosis nursing routine

According to the general nursing routine of internal medicine.

Stay in bed, do psychological care and overcome pessimism.

A diet with high protein, high calories, high vitamins and low fat, do not eat hard food, so as not to cause esophageal varices bleeding.

Closely observe the changes of the disease, pay attention to the color and quantity of vomit and stool, and report to the doctor in time if there are symptoms such as drowsiness and irritability in the early stage of liver coma.

Avoid using drugs harmful to the liver (morphine, tetracycline, etc.). ).

Be ready to rescue medical devices at any time, such as three-lumen and two-sac tubes, hemostatic drugs, blood transfusion and infusion devices, etc.

If the patient is fidgeting, add a bed rail to prevent him from falling off the bed.

Do a good job in basic nursing and disinfection and isolation to prevent complications.

Patients with ascites should take a semi-recumbent position, limit sodium intake, and pay attention to urine volume when using diuretics.

Patients with hepatic coma should keep their stools unobstructed, reduce the absorption of ammonia, and prohibit enema with alkaline solutions such as soapy water.

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