Subjects: Nursing >> Nursing submitted time 2023-10-15
Abstract：总结1例老年重症患者进行肠内营养支持时出现严重胃肠功能障碍，通过应用中医适宜技术及针对患者个性化管理改善患者胃肠功能障碍的护理体会。针对本例老年重症胃肠功能障碍患者实际情况制定护理措施：中医适宜技术（耳穴压丸、足三里穴位注射和艾灸）和鼻饲管路护理。经过28天的精心治疗与护理，本例老年重症胃肠功能障碍患者的肠内营养喂养量逐渐达到喂养方案，胃残余量监测逐渐趋于正常，未再发生腹胀、腹泻症状，白蛋白等监测指标趋于正常，AGI急性胃肠损伤分级由入院时Ⅱ级到出院时0级，恢复效果较好。
Peer Review Status:
Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-03-06
Abstract： To summarize the nursing experience of one elderly patient with postoperative endotracheal intubation of suppurative cholecystitis complicated with lung injury who was difficult to detach from the invasive ventilator after the implementation of modified prone position ventilation. The effect of prone position ventilation in the treatment and nursing of elderly patients with suppurative cholecystitis complicated with lung injury after operation ensures the safety of patients before and after prone position ventilation, prevents complications and promotes rehabilitation. Through the close observation of vital signs, the management of sedation and analgesia, the implementation of whole-process management of improved prone position, the nursing of shallow sputum suction in prone position, the nursing of prevention of pressure injury, the nursing of prevention of catheter blockage and pipeline slippage, the psychological nursing of patients and their families, the elderly patients with suppurative cholecystitis complicated with lung injury after surgery can be separated from invasive ventilator treatment as soon as possible. After careful treatment and nursing, the patient with senile suppurative cholecystitis complicated with lung injury was successfully removed from the ventilator assisted ventilation after the modified prone position ventilation. After the operation, the patient inhaled oxygen in the 10th astronomical dome, with oxygen concentration of 40%, oxygen flow of 8L/min, blood oxygen saturation of 100%, clear mind, stable condition, and transferred to the surgical ward for further treatment, with good recovery effect.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-03-06
Abstract： Objective: To summarize the nursing process of a case of septic shock complicated with gastrointestinal dysfunction, and provide a reference for the nursing of severe patients with such diseases. Methods: Through the physical examination, digestive examination, circulation examination and infection of patients with sepsis, western medicine clearly diagnosed sepsis shock, acute gastroenteritis, and traditional Chinese medicine diagnosed the syndrome of withdrawal of yang qi and phlegm stagnation. During the whole treatment process, we will provide gastrointestinal function management, anti-infection, fluid infusion and pressure boosting, regulation of flora imbalance, perianal skin management, and emotional nursing measures of traditional Chinese medicine. Results: The gastrointestinal function of the patient recovered and the condition was stable. The patient was transferred to the general ward for further treatment. Conclusion: In the process of comprehensive nursing intervention in traditional Chinese medicine, traditional medical theories and methods are adopted to treat patients with characteristic technical methods of traditional Chinese medicine nursing, combined with maintenance, and nursing intervention is carried out for patients with severe sepsis gastrointestinal dysfunction at the same time, which is intended to improve the clinical effect and recover the autonomic function.
Peer Review Status:Awaiting Review
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