Clinical care about the children with pneumonia.docVIP

 PAGE \* MERGEFORMAT 5 Clinical care about the children with pneumonia Children appear pale, the pulse of more than 160 ~ 180 times / min, irritability, asthma and heart failure occurs when the doctor should be promptly reported cardiac drug therapy, and slow down the infusion rate. Such as pulmonary edema, the inhalation of 40 % to 70% alcohol wet oxygen, inhaled less than 20 minutes. Abdominal distension: anal discharge or intramuscular injection can be used neostigmine. Intravenous infusions Note: A strict control of bit rate, usually less than 6 to 8 drops / min, B to prevent electrolyte imbalance, accurate records of intake and output. C Note prevent and correct acidosis. 2.4 to keep the airway clear the nose and mouth secretions of time necessary to give suction. Every 2 to 4 hours turning over, shot back, changing body position, take the semi-supine or head up 30 ° ~ 60 °, so that the lung expansion alleviate breathing difficulties, help discharge discharge. necessary to give cough and phlegm or ultrasonic inhalation drugs, and to assess the results. atomization inhalation lightly pressed into the back to assist expectoration, is five fingers close together, slightly inside the prayer, from the bottom up, from outside to inside lightly pressed into the back, side buckle side to encourage children with cough. If the discharge of respiratory secretions are more poor, the conditions permit, feasible postural drainage, respiratory secretions discharged through gravity. 2.5 Oxygen mild breathing difficulties, generally do not need oxygen. If looking pale, lips cyanosis, wheezing, difficulty breathing increased, such as performance, oxygen immediately. Normal nasal oxygen catheter, oxygen flow rate 0.5 ~ 1L/min, 40% oxygen concentration, hypoxia significantly by suitably oxygen mask, oxygen flow rate 2 ~ 4L/min, the oxygen concentration of 50% to 60%. Neonatal or nasal secretions of children with more, can mask, hood, nasal oxygen or oxyg