The whole nursing is in the chemotherapy sufferer of diabetes of make use of 1

1 clinical data August 19, 2002~go to hospital on December 8, 2003 of in the malignant tumor(all sick reason or cytology definitely diagnosis) sufferer, 34 confirms merger Ⅱ type diabetes, among them male 7, female 27, the mammary glands cancer is 15, the stomach cancer is 7, the bowel cancer is 4, the lung cancer is 5, the neck lump is a , Huo hero gold surname the disease is 1, the malignant and lymphoid lump is a , the age is 40 years old~78 years old, the average age is 58.8 years old.
2 methods and result
2.1 methods
This all cases adopt a different chemotherapy project to carry on according to the oneself condition and the body condition 2~6 treat a distance chemotherapy, monitor a morning in the chemotherapy process empty stomach blood sugar or four blood sugars, adoption promise and work properly the method control of 30 R subcutaneous injection blood sugar.
2.2 results
30 smooth completion chemotherapies, 4 control because of the blood sugar poor postpone a chemotherapy.
3 nursings
3.1 nursing valuations understand the sufferer's occupation, cultural degree, living habit, there is non- diabetes and malignant tumor household history, observe main symptom and body to advertise for, acquaint with the result of laboratory and other checks, such as the pathologic cent expect, liver, kidney function, blood elephant, CEA, and blood sugar...etc., control a sufferer mental state, social data.
3.2 familiar nursing diagnosis, measure, evaluate the relevant knowledge that 3.2.1 knowledge lacks a chemotherapy and diabetes
3.2.1.1 target sufferer and family members a with in the week understand the related knowledge of chemotherapy and diabetes.
3.2.1.2 nursing measure according to the cultural degree of the sufferer and the family members, accept ability, adopt to explain in detail or issue a publicity manual etc. method, introduces the poison pair that the chemotherapy project, chemotherapy may appear used to respond to the sufferer and the family members, regulation, prevent method from etc..
Ease a sufferer thought worry, telling a sufferer the diabetes isn't terrible and want ～only to control blood sugar in the normal scope and effectively prevent°from complications, can as usual chemotherapy.
Explain in detail the cause of disease ofⅡ type diabetes, cure the importance that the method, food control and athletics toughens and control blood sugar's meaning for chemotherapy, the insulin injects a method, the usage declines the regulation of sugar medicine.
3.2.1.3 evaluation the sufferer and family members can reply the related knowledge of saying the chemotherapy and diabetes, actively match treatment.
3.2.2 deficiency diseases are lower than a machine body to need to be measured and consume with tumor, the hormone secrete an excrescent to material metabolism, stomach and intestines way function mess relevant.
3.2.2.1 target the sufferer go to hospital the weight in period keep or increase, the blood sugar control is in the normal scope.
3.2.2.2 nursing measure food nursings:The chemotherapy ex- Zun cures Zhu to vomit a medicine, ease a stomach and intestines way reaction.Provides good food environment for sufferer, promises that the environment sweeps just like flavor and reduces bad incitement.Keep mouth cavity to sweep, give an appetite.According to sufferer the ideal weight and activity strength compute everyday the total calories needed, the reasonable assigns three meals.Little food is many meals, many drinkings.The comparison of protein, fat and carbohydrate has to be reasonable.Forbid wine, avoid eating glucose, cane sugar and honey and its product.
The athletics toughens:Choose suitable line of action according to sufferer's age, physical strength, condition etc., such as walk, jog, calisthenics, Taichi etc. Aerobic, notice prevention side effect, if is unwell immediately stop, notify when it's necessary that the medical personnel handles in time.
3.2.2.3 evaluation sufferer's weight increase a 0~1.5 kgs, the blood sugar controls in the 7.6 mmolsl in.
3.2.3 the skins integrity is damaged and the chemotherapy medicine poisonous side effect, inject insulin, personal hygiene to be used to relevant.
3.2.3.1 target sufferer's skin glue a film to have no harm and harm happen and can discover in time and handle.
3.2.3.2 nursing measure skin changes:(the vein is burning and bad to die)The experienced specialty nurse brings trouble to carry on vein to wear a sting and chooses suitable vein, while injecting a chemotherapy medicine check needle whether in the vein.Explain to the sufferer and the family members the bane that the medicine outside oozes, Zhu it gives medicine inject part system to move, inject to complete to jack up arms, pleased treat ointment of partial outside be not yet guarded against to.Can adopt deep vein to place a tube when it's necessary, make the medicine outside oozed.The occurrence immediately stopped noting a medicine and adopted 2% benefits many cards because of the 5 mls while outside oozing+DXM5 mg+NS10 ml partial wreath type closing, ice-packing and laser treatment.
Glue a film pathological changes:(the mouth cavity ulcerates)Explain in detail the occurrence reason of mouth cavity ulcer and prevent°from method, cure measure, the important function of mouth cavity nursing;Guide sufferer's exactitude to brush teeth, two at least everyday;Many drinkings gargle with the antibiotic aqua after the every meal and prevent fungi from being infected.Take place mouth cavity ulcer, the Zun cures Zhu new gram of etc. is to the watermelon frost and Guan product part usage, work well a mouth cavity nursing.Aggressive control blood sugar keeps blood sugar in the normal scope.
Skin bottom the fat atrophy or increase to living:Stop that injecting of part.Usually replace to inject part, avoid two with in the week in the same part and inject twice.
3.2.3.3 evaluate sufferer's skin and glue film harm and is in time discovered with processing, good after preparing.
3.2.4 there are danger and endocrine disease or chemotherapy of infection to the machine body immunity function lowly relevant.
3.2.4.1 target the sufferer have no infection;Taking place the infection can discover in time and handle.