's prevention and health care of nursing of liver encephalopathy

's prevention and health care of nursing of liver encephalopathy
Generally attend to: Should have, protect the liver encephalopathy patient specially, fit the bed to block on the bed, the restless one uses restraining from to take, in order to guarantee the patient's security. Get ready and rescue articles and medicines. Fetch the comfortable body posture and vary regularly and prevent producing bedsore. Finish oral cavity, attend to, keep respiratory tract to be unobstructed, prevent and cure oral cavity, respiratory tract, secrete the intersection of urine and department, infect. Oxygen intake, the head puts the icecap, reduces the temperature in the cranium if necessary, reduce the brain cell and consume oxygen, protect the cell function. Keep the stool unobstructed, reduce the intestinal bacterium and produce ammonia. Set up the intravenous thorough fare, use medicine rationally in time. Pay attention to controlling the liquid input speed strictly, prevent diluting low potassium and hyponatremia disease, the lung edema and hydropic emergence of brain in heart failure.
Diet: Control protein to take in strictly, supplement heat energy with the high candy, waits for the condition to improve, increase protein to supply progressively.
Observe the condition closely, remove the risk factor in time: While liver cirrhosis loses the treatment which compensates the patient, pay attention to observing the consciousness change, find and deal with forerunner's symptom in time, such as there are happy delights depressed, the speech is unclear, forgetful, behavior disorder, having a liking for sleeping, flapping wing kind trembling etc.. To the upper digestive tract bleeding patient, should arrest blood and combine supplementary fresh blood immediately. Should adopt physiological saline or weak acid solution to clear up and accumulate the blood in the intestines after bleeding and stopping, in order to reduce production and absorption of enteric inner ammonia. Find and infect and select effective antibiotic for use that controls inflammation. To edema and ascites patient, should be paid attention to assuaring potassiumed and arranges potassium diuretic to use alternatively in diuresis, prevent the electrolyte from being disorderly, find low potassium, hyponatremia disease are corrected in time. Use sedative cautiously, select smalls medicines to liver toxicity for use, damage in order to reduce the liver. Discharge ascites in a large amount, abdominal cavity pressure lower suddenly, the intersection of portal vein and extravasated blood, enable enter blood flow of liver, reduce, cause oxygen deficiency of hepatocyte necrosis, can bring out and aggravate liver encephalopathy, pay attention to knowing that puts speed and quantity of the ascites, and supplement the lost albumen in time. Answer to tighten the bellyband while putting when put the ascites.
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