20% mannitol Clinical side effects and nursing intervention.docVIP

 PAGE \* MERGEFORMAT 8 20% mannitol Clinical side effects and nursing intervention [Abstract] Objective To observe the 20% mannitol produced side effects on patients, leakage causes and nursing intervention. To observe the use of 20% of 126 patients after intravenous infusion of mannitol in patients with complaints, biochemical testing and partial response to the puncture site. The results of 126 patients with electrolyte disorders that occur during treatment, 88 cases of renal dysfunction in 7 cases, 13 cases of phlebitis, drug extravasation in 9 cases. Conclusions Patients with 20% mannitol infusion, heart and kidney function should be closely monitored to check electrolytes, the same time, select or coarse forearm vein puncture, and to avoid a blood vessel in the same position with repeated puncture, can effectively control the infusion phlebitis and extravasation. [Keywords:] mannitol; side effects; clinical observation; nursing intervention 20% mannitol is widely used in clinical practice, because of its easy penetration into the tissue, can rapidly increase plasma osmotic pressure, may be within the organization, cerebrospinal fluid or aqueous absorption of excess water from the blood into the sky dehydration, hypotensive, osmotic diuresis [1], with low cost, good effect in clinical irreplaceable. but 20% of the hypertonic mannitol as a liquid, in the course of a variety of adverse reactions occur, now using 20% mannitol undergraduate 126 cases of side effects in patients with clinical observation and analysis of nursing intervention follows. 1 Clinical data 20% mannitol were used for light, medium and severe traumatic brain injury, intracranial tumor, male 88, female 38 cases; the youngest 2 years old, maximum 63 years. 2 Results 20% mannitol used in patients, 88 patients had electrolyte imbalance, renal dysfunction occurred in 16 cases, 13 patients had phlebitis, 9 cases of drug extravasation phenomenon. 3 Observation and nursing