40 cases of nasal bleeding in patients with hypertension care.docVIP

 PAGE \* MERGEFORMAT 4 40 cases of nasal bleeding in patients with hypertension care [Keywords:] hypertensive epistaxis Care Hypertensive epistaxis, mostly arterial pressure increased to a larger nasal artery rupture, bleeding more than before with aura, such as headache, dizziness, head swollen, fever, nasal impact of flu, mostly for the side of the nasal cavity hemorrhage, small amount of bleeding in general, a few can cause bleeding, in the event, the spirit of patients and their families are very nervous, more likely lead to high blood pressure, so that increased bleeding. Therefore, nurses should fully do a good job of hypertensive patients with nasal bleeding after discharge from the hospital to the overall care. A clinical data From May 2006 to May 2008 I hypertensive subjects were treated in 40 patients with nasal bleeding, of which 23 cases of male and female 17 cases; aged 39 to 76 years of age; blood pressure 180 ~ 230/100 ~ 140mmHg (1mmHg = 0.1333kPa ); the side of the nasal cavity bleeding in 25 cases, bilateral nasal bleeding in 15 cases. 2 nursing (1), severe bleeding, excessive bleeding, patients should establish intravenous access, line infusion, blood transfusion, bleeding and other treatment, and are ready to save items. (2) to help patients to take sitting or semi-sitting position, patients with shock to the concave supine position, according to shock procedures for emergency treatment. (3) Psychological care. Hypertensive epistaxis mostly acute, sudden onset, patients and their families are very tight, nurses must be patient comfort and encourage patients to eliminate their fears and avoid mental stress caused by increased blood pressure continues to rise to bleeding, if necessary, the use of tranquilizers by your doctor stability in patients with mood, reduce bleeding. (4) The observation of vital signs. ① to maintain airway patency. Bleeding in patients with first preference to guide the side benefit of blood flow, prevent accid