The hair bronchus lung cancer standard nursing planned at first

The hair bronchus lung cancer brief name lung cancer was the department malignant tumor of the most familiar lung at first.Its cause of disease and outbreak mechanism didn't°yet are explicit up to the present.Generally think that the smoking, and air pollution...etc. are the important and dangerous factors of lung cancer.Lung cancer of clinical performance and it part, size, type, development stage, have have no complications or transfer germane.Have 5%-15% patients had no symptom while discovering lung cancer.The symptom that is caused by the original hair tumor among them can have a cough to keep on sex and present Gao Diao4 metal sound and interrupted to spit blood to take blood in phlegm or phlegm, the chest is stuffy, the spirit urge, breathe heavily to blare and the weight descend, has fever etc..The tumor can cause the chest symptoms, such as pain and dyspnea...etc. in partial proliferation.The treatment method of lung cancer includes a surgical operation treatment, chemotherapy, puts to treat...etc..The familiar nursing problem includes:①Ache;②Preparing sensitive faculty is sorrow;③Deficiency disease:BE lower than a machine body to need to be measured;④The bad reaction of latent complications-chemotherapy.

Ache

【Related factor 】

The tumor directly infringes upon chest film, rib and chest wall.

The tumor oppresses a rib nerve.

【Main performance 】

The tumor infringes upon the ache of part.

The nerve distributes the ache of district.

The patient appears a painful facial expression and forces a body, don't dare to cough.

【Nursing target 】

Patient's ache eases, the comfortable feeling strengthens.

【Nursing measure 】

Scatter the patient's attention, encourage a patient much and family, friend and medical personnel's confabulation.

Provide the patient with the body of comfort, if suffer from a side to lie to exercise with the breath by easing output ache.

The chest pain that aggravates with a cough, when the patient needs a cough with oppress ache part, the encouragement patient coughs.

The Zun cures Zhu to press the cancer patient whom WHO puts forward x-rated relieve pain a principle to give to relieve pain.

【Particularly evaluate 】

Whether patient's ache alleviates.

It's sorrow to prepare sensitive faculty

【Related factor 】

The disease is after preparing can threaten life badly.

【Main performance 】

The patient expresses to painfully sad, worry, suppress feeling and loses confidence to the treatment and even doesn't match to match a treatment.

【Nursing target 】

The patient can describe he or she to the paroxysm viewpoint.

Active, progressively the match cure.

【Nursing measure 】

Build up with patient and family memberses to trust a relation, understand the patient's viewpoint.

Encourage a patient to set up to win paroxysm confidence, actively match treatment.

In earnest answer the relevant treatment and the question of nursing that the patient puts forward.

Can make the patient carry on a himself/herself nursing to scatter its attention under the circumstance that the condition allows.

【Particularly evaluate 】

The patient's spirit condition, thought feelings.

To the match degree of the treatment.

Deficiency disease:BE lower than a machine body to need to be measured

【Related factor 】

Patient's appetite descends and absorbs decrease.

Have fever, the machine body is placed in high metabolism appearance and consumes to increase.

The bad reaction of chemotherapy to violent vomit, sense of taste abnormality.

【Main performance 】

Patient's appetite descends and absorbs decrease.

Have fever, the machine body is placed in high metabolism appearance and consumes to increase.

The bad reaction of chemotherapy to violent vomit, sense of taste abnormality.

【Main performance 】

Patient's weight eases, emaciated, have no dint.

The blood check shows the serum white egg white to lower, the hemoglobin lowers.

【Nursing target 】

The patient appetite increases, performance in order to absorb increment, the weight doesn't ease.

【Nursing measure 】

The Zhu patient much takes a rest.

Provide tall egg white for patient, hot measure, the food of high vitamin, help to take a meal when it's necessary.

Satisfy the patient's food habit while exerting, provide the food of much aer little amount meal.

Create having meal of delectation environment for patient, as far as possible reduce bad incitement.

The Zun cures Zhu to give the vein add nourishment.

The period of the chemotherapy, the Zun cures Zhu to give vomit a medicine.

【Particularly evaluate 】

The patient's weight.

The serum white egg white and the level of hemoglobin.

The bad reaction of latent complications-chemotherapy

【Related factor 】

Use chemotherapy medicine.

【Main performance 】

The digest way responds:Disgusted, vomit, the appetite descend, stomach intestinal bleeding, boring.

The partial toxicity responds:Intravenous injection carelessly and outside leak to cause part to organize bad dead and vein to blaze.

The marrow represses:Express for the white cell particularly is a grain of cell to reduce, the blood platelets lowers, severity the red cell, hemoglobin all can lower.

The cardiovascular system responds:Can disorder to the heart Lyu or the mental exertion crock up.

Liver, kidney damage:The expressing is big for liver, jaundice, medicine hepatitis, albuminuria, tube type urine, blood in urine.

Other reactions:Take off hair, the mouth cavity ulcerates, skin dry, Sao Yang etc..

【Nursing target 】

The patient appears a chemotherapy badly reaction ability detection in time and processing.

【Nursing measure 】

Masterly often hold vein to wear a sting technique, input chemotherapy medicine, the front inputs 0.9% physiology brines or 10% glucose liquids first and inputs a chemotherapy medicine again after making sure that the needle is in the blood vessel.Lose a liquid to strengthen a tour for period, sincerely defend a medicine liquid to outside leak.The medicine liquid carelessly leaks should immediately:

The time stopped injecting or losing a liquid, reserving needle to connect to inject a machine is after taking out infuse into antidote again pull out needle.

The skin puts up stakes into antidote.

Partial counteracts poison Ⅱ number, ice-packing 24 hs.

Report a doctor and record.

Medicine in response to appropriate dilution with ease the incitement toward the blood vessel wall.The treatment needs to draw up a vein usage to plan over a long period of time, the or so arm replaces an usage.If appear vein burning should stop vein drop to note, the part is used magnesium sulfate wet spread or nurse and treat.

Close observation the patient take a meal, stomachache property with have a bowel movement circumstance, the stomach and intestines way responds heavy can arrange after dinner to the medicine and take a town quiet analgesic.

Monitor blood normal regulations 1-2 times every week.The Zun cures Zhu to give to rise white cell and the medicine of the blood platelets when it's necessary.To heavy degree marrow repressor, need to carry out a protection insulation.Blood platelets severity decrease attention observation bleed circumstance.

Keep mouth cavity to sweep, mouth cavity nursing everyday 2 times.Mouth cavity's ulceratesing the ache violent can be used 2% benefits many cards relieve pain because of spraying fog.

The skin is dry, the whole body Sao Yang can be washed with a heat of sweet stone Yang, the Zhu patient shears a nail, in order to prevent grasp to break a skin.

Note before the medicine a 5-10 mins, the head places an ice hat and maintains a 30-40 mins after noting a medicine, can prevent°from medicine's incitement for hair bag and there is the function to defend to take off hair.

Monitor liver function, kidney function, the Zhu is patient's many drinkings, 2000-3000 mLs|d.

【Particularly evaluate 】

Patient chemotherapy period appears whether the bad reaction can be in time discovered and handle.