About 60 cases of traumatic pneumothorax in emergency nursing blood.docVIP

 PAGE \* MERGEFORMAT 7 About 60 cases of traumatic pneumothorax in emergency nursing blood Our hospital from August 2005 to August 2007 were treated 60 cases of traumatic pneumothorax blood, after rescue, the first aid for traumatic pneumothorax nursing blood are summarized below. First, the preparation before admission: traumatic pneumothorax patients were admitted to our Emergency blood, the condition is often heavier, therefore, in patients admitted to hospital a short time before, must do the following priorities. (A) the preparation of the necessary items: chest strap, chest stab bud color, tracheotomy bag, suction, oxygen reduction, oxygen tubes, chest drainage bottles, thoracic drainage planes, and infusion of 1% Nu Fuka plate due to necessary When ready to ECG and ventilator. (B) of the blood moving traumatic pneumothorax, the patient should protect the injured area, making it into a horizontal position, action should be gentle, do not stretch, twist, to prevent further injury. (C) remove contaminated clothes, exposing the injured area, wrap the chest with a chest strap fixed, reduce pain and control of abnormal breathing, to avoid chest injuries were aggravated. The winter to keep warm. Second, circulation, respiratory system, emergency care: a lot of blood in the pleural cavity, integrated gas side of the lung and mediastinal compression injury, affecting the respiratory, circulatory, and our nursing measures to help correct the shock quickly, emit a lot of blood in the chest and the product gas. (A) assist the correct shock: Of the 15 patients on admission in the clinical signs associated with shock, rescue care measures are: 1. To expand blood volume: If there are difficulties in venipuncture, immediately reported to the physician, bigger and saphenous vein cut, to ensure that the two venous access. If necessary, take blood pressure, infusion. It is possible, the central venous pressure should