The chemotherapy expects a patient disgusted vomit of prevention and nursing

The chemotherapy medicine can effectively control the growth of tumor cell and have become blood tumor the patient cures of the head choose a method.But the under medical treatment causes of disgusted vomit side effect, often make the patient feel painful, and influence a patient to live quality.Vomit to cause dehydration, metabolism mess, malnutrition etc. reaction, the serious has to terminate a treatment, can not result in chemotherapy's going on wheel.Currently, although clinical have new of vomit a medicine, still more than half chemotherapy patients still appear different degree disgusted vomit.Consequently how ease a patient chemotherapy to of stomach and intestines way reaction, raise curative effect to have an aggressive function towards improving blood patient living quality, .Underneath I according to clinical fulfillment around chemotherapy front and back how work well a patient disgusted prevention and nursing and nursing colleague vomiting are common to inquiry into.
One chemotherapy before expect a nursing
1.1 make good nursing valuation to be a patient drive certain need a chemotherapy, the chemotherapy previous nursing personnel should make to the patient's sex, age, mental appearance and physical endowment condition and the disease history first step of analytical valuation.Generally speak, the little occurrence of male patient more female patient is disgusted to vomit, this has relation with spirit mental factor, the female patient a little bit easily produces strain, fear, worry anxiously etc. bad emotion, lowered a machine body thus to disgusted vomit of bearing and being subjected to dint, particularly is once had the gestation patient's chemotherapy that the play vomited a little bit easily disgusted vomit.The old-age sufferer vomits a rate Gao, this because the stomach peristalsis of old people and the oesophagus next Gua about the muscle strain turn down, the stomach lines up empty slow, remain quantity increment inside the stomach, press to increase Gao Suo inside the stomach to ① .Moreover, the physical endowment is weak and last time chemotherapy behind recover not quite right and have the stomach and intestines paroxysm the patient to all and a little bit easily take place to vomit.Therefore, aiming at the female patient whom the emotion turns should possibly live sickroom or arrangement alone in the small illness building, and the member of other diseases inside the sickroom is disgusted to vomit symptom lighter, in order to prevent influence mutually, aggravate symptom.
1.2 understand chemotherapy career nursing the personnel is a first time chemotherapy or once accepted a chemotherapy to the patient and once used what vomited a medicine, the stomach and intestines way responded a circumstance after the chemotherapy, disgusted vomited the frequency of occurrence, keep on the time and serious degree all should have understanding.Usually once had in the chemotherapy disgusted vomited career of patient, produced the unwell feeling of mightiness to flow the bottom deep impression at that time to the machine body, didn't have already been disgusted to expect symptom but be afraid a chemotherapy before vomiting before starting in the chemotherapy.But the first time accept a chemotherapy patient's this symptom less appear.So, to the patient who once accepted a chemotherapy, emphasize the importance of chemotherapy, set up to win paroxysm confidence from the thought.
1.3 acquaint with the chemotherapy project different chemotherapy project and different quantity, different medicine, the degree making the patient vomit isn't same either.Unite a chemotherapy and single chemotherapy and big quantity and small quantity, height to vomit medicine and low degree to vomit a medicine to compare, the former compare the latter alter to take place disgusted vomit.Chemotherapy medicine to vomiting is because the medicine incitement brain vomits axis and produce 5-the Qian color An, and dopamine...etc. to vomiting nerve to pass quality but cause to vomit.Secondly, the chemotherapy medicine causes of stomach Chang way the reaction stimulate vomiting of marrow the axis can also cause to vomit.Clinical up unite a chemotherapy project in:Big quantity sugar afterbirth Mao, soft erythromycin and Mao wreath anti- tumor antibiotics and platinum medicine etc., the symptom of vomiting of patient all and more obvious, therefore, nursing personnel in response to vomiting of tight observation chemotherapy period reaction, make to correspond so much in time of nursing.
1.4 control a mental nursing to first time accept the patient of chemotherapy, the nursing personnel should explain the side effect that purpose, method and treatment of chemotherapy may appear, make patient's understanding relevant knowledge, but as for method processing that need not emphasize too much that treating is disgusted to vomit, the in order to prevent factitiousness makes patient nervous mental, creation bad effect.Ever chemotherapy but vomited more violent patient, usually at don't chemotherapy the front have already produced to fear mental state, the personnel of the nursing should work well mental state to appease at this time and help a patient analysis to the reason for vomiting, adopt homologous prevention measure.When the patient whom the first time relapses again accepts a chemotherapy, will lack confidence to the chemotherapy medicine treatment disease, the nurse wants to help a patient exactitude understanding and treats a chemotherapy, the to build up wins paroxysm confidence.Patient's emotion that relapses for many times is very unsteady, the chemotherapy project may also change, nurse should tell a sufferer, the stable emotion can increase a machine body to be subjected to dint to the chemotherapy's bearing, actively active match treatment, can produce better treatment effect.
1.5 appropriate food instruction chemotherapy medicine while killing wound tumor cell, equally have already killed to harm a function to the normal cell.Therefore, bigger to the damage of machine body after the chemotherapy, the patient can appropriately add nourishment before accepting a chemotherapy, the encouragement enters high egg white, hot quantity, high vitamin more to easily digest of food, the choice suits matching of patient's taste, attention aroma and avoid greasy, mordacity of food.Lay more healthy body foundation for chemotherapy.
2 chemotherapy period nursings
2.1 create the clean and neat calmness of the indoor that the good environment keeps a disease, is a patient construction comfort, easy of environment.To some patients who love music, chemotherapy broadcast music that oneself likes, the patient listens to music the plant nerve excitement descend, physiology, mental state and emotion reaction of meeting influence patient, can scatter attention, ease a chemotherapy in of disgusted vomit.Want to reduce various bad incitement in the meantime such as:The filth, medicine, and smell...etc., the color same food after being particularly a dilution with chemotherapy medicine, should as far as possible avoid, in order to prevent produce bad conditioned reflex.While implementing a chemotherapy, the nurse's attitude is kind, fitting language, operates norm, accurate without any error.When the patient appears to vomit, give to comfort, help a patient to start to sit, help a sufferer to use Wen Shui to gargle after vomiting, clean up to vomit a thing in time.
2.2 the controling to use a medicine for times can prevent°fro to the medicine in the sleep chemotherapy to of vomit ② .This because the stomach acid secretes with the pneumogastric nerves of control but periodic variety, sleep the stomach and intestines peristalsis is slow, ass Gua invite the muscle reflect a change and swallow an activity weak, the saliva secretes almost in stop, so vomit a glint in the sleep will weaken.Consequently to vomit multifarious can adopt noon to sleep to the medicine.Vein chemotherapy in use a medicine feater for after meal 3-4 hours, the stomach Chong Ying degree is small at this time, the pressure inside the stomach is low, the occurrence vomits symptom little.