The whole nursing that much delivers sex marrow lump 2

3.10.2009

214 latent complications-bleed(propagates with tumor cell ill nature to repress red cell to fasten fasten with huge pit cell of increase a rare function after hair the blood platelets reduce relevant) measure:
(1)closely observe and record the patient's blood platelets variety and there is a non- issue of blood symptom advertising for with the body, and in the meantime church patient how observe, such as the skin have have no the Yu order a Yu spot, the gum didn't ooze blood and relieved nature a color and had already had no headache, sight faintness etc..
(2)BE lower than a 20 xes in patient's blood platelets 109 Ls, absolutely lie a bed rest in response to the patient of Zhu, in order to prevent the self-moving bleed.
(3)various needle that shoulded as far as possible choose small while wearing a sting, after injecting press press to wear sting the part 5~10 mins, and should closely observe old wear the circumstance of stabbing the part
(4)instruction the patient avoids various activity that can cause issue of blood and tell the patient uses soft hair toothbrush to brush teeth, don't use toothpick, don't make an effort to blow nose, while moving bowels don't make an effort excessively, don't wear tights trousers.
(5)the Zun cure Zhu to give fresh blood or blood platelets, and closely the observation have have no blood transfusion reaction, such as disgusted, vomit, cold Zhan, hot, urticaria etc., should immediately notify a doctor, give homologous processing.
215 knowledge lacks(with lately confirm in order to deliver sex marrow lump more, lack to have low degree concerning knowledge, cultural, cognize ability is waited by limit relevant) measure:
(1)valuation the knowledge patient have currently level, cultural degree and accept ability, be advantageous to establishment to suit to personally explain in detail a plan.
(2)use popular the language easily understanding describe and much deliver the treatment characteristics, chemotherapy method and meaning and side effect of sex marrow lump toward the patient and make the patient have preparation, in order to closely match treatment.
(3)explain normal value and function and prevention issue of blood of the white cell, blood platelets and the method of the infection, if lie bed rest, and decrease visit...etc., in order to increment the patient's ego health care consciousness.
(4)explains various purpose, method that the check analyzes to the patient, such as:The bone wears, the waist wear, adopt to point blood and adopt vein blood etc. to obtain the patient's match.
(5)the explanation may take place of complications, and make the patient learn how to prevent°fro to reduce the occurrence of complications.
(6)tell the patient is hopeful after preparing, and relate other alleviate a preparing of patient behind or please prepare behind better patient's personally appear with strengthen patient's confidence.
216 constipations(measure decrease with activity, daily life regulation change relevant) measure:
(1)understand the patient's food habit, liquid to absorb quantity, and be advantageous to drawing up a detailed nursing plan compared with the food of hospital.
(2)introduce to contain cellulose many food categories to the patient.Such as:Take leathern fruit and vegetable, and explain edible thick fiber food should from little arrive much, increase quantity gradually, and according to oneself economic circumstance, choose in response to the fruit, vegetable in quarter.
(3)want to keep ample liquid to go into quantity, encourage a patient to drink water more, can soften the bowels like this about the 2000~3000 mls everyday, easy to eject.
(4)can follow a bowel peristalsis everyday the direction massage belly, increase a bowel peristalsis and promote to have a bowel movement.
(5)can increase movable quantity appropriately under the sistuation that the condition allows, because the activity can increase a stomach and intestines peristalsis and promote to have a bowel movement.
(6)do not make it a rule a bed to up have a bowel movement of patient, reason should have a bowel movement on the bed toward its elucidation condition and the demand, if the condition allows, can jack up bedside and helps a patient to sit to have a bowel movement on the bedpan.
(7)explain the necessary measure of prevention and processing constipation to the patient and the family members.Such as:The food, liquid goes into quantity, and activity...etc., and emphasize preventive usefulness and importance.

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