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Micro-pump massive hemoptysis in pulmonary tuberculosis patients and nursing care_61995

By Rachel Peterson,2014-11-02 09:48
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Micro-pump massive hemoptysis in pulmonary tuberculosis patients and nursing care_61995

    Micro-pump massive hemoptysis in pulmonary tuberculosis patients and nursing care

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     [Keywords:] micro pumps, tuberculosis, lung, hemoptysis, therapeutic use, care

     Micro-pump is a small, simple, easy to use, a small amount

    of liquid and drug precise, constant, uniform continuous pumping of a pump power of the human body instrument. Our department with massive hemoptysis is widely used in tuberculosis treatment of patients with bleeding and achieved good results, now using the experience of micro pump are

    described below.

     1 Data and methods

     1.1 General Information The group of 15 patients, 10 males and 5 females, aged 23 to 60 years, the initial hemoptysis in 1 case, recurrent hemoptysis in 14 cases, one of more than 300

    ml in 12 cases, hemoptysis 1 000 per day ml in 3 cases, 2 cases of disturbance of consciousness.

     1.2 How to trace the pump bracket fixed to the bed, turn on power and check the various components is intact, with good liquid pumping 60 ml syringe, connecting extension tubes,

    exhaust, turn intravenous access, and then adjust the parameters, to 10 ml / h speed q 6 h, and once, for 5 to 7 days, after use, press the stop button, unplug the infusion needle connected or disconnected links, and then turn off the

    power.

     2 Results

     15 cases improved, 14 patients were successfully discharged from hospital bleeding, 1 patient died.

     3 Care

     3.1 Psychological care is a new micro pump treatment, has

been widely used clinically for patients with non-stop to 24 ~

    168 h the use of life is very convenient (such as bed and toilet, a lot of pressure and difficult to be accepted Therefore, micro pump to the patient to explain the functions and advantages of using notes is particularly important so that patients can actively cooperate with treatment and care.

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     3.2 clarifying the strict shift change should be done orally, in writing Xie Qing, head of the bed to see three clear system.

     3.3 strict check system in use, an infusion card, giving the

    bed number, name, drug name, usage and speed, posted on a micro infusion pump, and indicate the start time and stop time, in the middle when the replacement of liquid to sign the full name, but also indicate the start and stop time.

     3.4 step up inspections should be observed visits if liquid leakage, whether tees off, the infusion tube is smooth, the blood vessels to the presence of red strip, record the difference between the margin settings are consistent with the micro pump .

     3.5 venous return venous blood vessels that return blood through blocked, it can directly press the stop button, such as plugging a long time is not available syringe blood clot, and then sterile saline washing pipe, if the block longer, with no effective syringe pump should be re-intubation

    tracheal extubation.

     3.6 phlebitis in patients with prolonged due to continuous infusion, a higher risk of phlebitis, other than the more common peripheral vein, select the intravenous catheter, or deep venous catheter to avoid phlebitis.

     3.7 micro pump air embolism no air alarm settings, each time the liquid connection extension tube configuration must be drained of air, to prevent air embolism.

     3.8 Maintenance of micro pump micro pump after use smoked me in time after disinfection cleaning, dust removal, in particular, propulsion and orbital and syringes, the performance of periodic testing of micro pump, such as the

    findings suggest that light does not shine, speed allowed, alarm failure , prohibited the use of professional service to

    find as soon as possible.

     4 Summary

     Micro-pump the liquid uniform, continuous pump into the body, effectively maintaining the concentration of the drug in vivo. Therefore, has been widely applied in clinical practice, this group of patients also achieved a good therapeutic effect.

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