What _'s prevention and health care is the liver cirrhosis patient's general nursing main point

What _'s prevention and health care is the liver cirrhosis patient's general nursing main point
It is complicated, changeable and managing, healing for a long time because of long, symptom of the course of disease for the liver cirrhosis patient, the patient will and torment the agony on spirit, on the body, it is apt to produce pessimistic mood. Good nursing, positive treatment, essential health care instruct, let patient treat development of disease and rotate, return correctly, establish confidence to overcome disease, seem very important at being clinical.
(1)Isolate according to digestive tract disease: Carry out and sterilize and isolate the system strictly, to its secretion, excrement, carry on strict disinfecting.
(2)Stay in bed: It can make whole body and liver supersession reduce, reduce liver load to stay in bed, the blood flow volume of liver increases, help to promote the recovery of the liver while having a rest.
(3)The psychology is attended to:
The patient breaks out repeatedly because of the condition, in hospital many times, it is disheartened to have certain assessment, production to one's own condition, therapeutic effect and prognosis, passive mood. We employ the cordial and affable language, give patients a spiritual encouragement, by suffering from the liver encephalopathy or patient who once there was massive haemorrhage, the case taking a favorable turn after treating, help it to establish confidence of overcoming disease.
There are some introverted, unsociable and eccentric and not loving the speech patients. Unless it want voluntarily we it close to they, instead of talking,in order to finding out about by conditioning and thought trends of it, make the countermeasure finally, enable it to keep the psychology receiving treatment in the best state, remove its worry.
(4)The diet is attended to: Should offer high heat, high protein, high vitamin, low fat diet. The daily total amount of heat should be in 10467- 12 560J(2 500- 3000cal) ,And guarantee protein of certain content. Protein is a component of many kinds of enzymes in the liver, it can mend the cells of the damaged liver, promote hepatocyte regeneration, improve the detoxication ability of cells, help the disappearing of ascites.
(5)The oral cavity is attended to: The good oral cavity is attended to, can promote the diet, prevent from infecting. The intersection of condition and the lighter relatively, should let it gargle, brush teeth by oneself; The more serious one of condition, should gargle with the physiological saline, 2-3 times a day.
(6)The condition is observed:
Pay attention to having inclination of bleeding, for instance the gingivae bleeds, the mucous membrane of skin is blood stasis spot and nose nasal hemorrhage,etc..
Jaundice situation: The depth of the yellow subcutaneous ulcer, it is a signal of the function obstacle severity of hepatocyte. We while inspecting patients, should pay attention to, it observes patients to be yellow to dye the intensity in sclera and skin, change in urine color,etc..
Observation of physical sign of the life and consciousness: Such as the obstacle of the directional function, the change of patient's mood; Abnormal state of the sleep,etc., it may be the omen of liver encephalopathy.
Notice the medicine, infusion, blood transfusion reacting: Because the patient has bad resistance, the above-mentioned response may happen. Once the above-mentioned response takes place, can make the organism consume and increase, the condition becomes more serious.
(7)Inspect various samples by ready samples in time,Offer the reference basis for diagnosing, treating.
(8)Health care is guided: When the patient has steady condition, should tell them taking a good rest, diet, take medicine on time, and pay attention to preventing cold,etc..
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