Diabetes mellitus nursing hip abscess.docVIP

 PAGE \* MERGEFORMAT 5 Diabetes mellitus nursing hip abscess [Keywords:] diabetes mellitus; abscess; Care Diabetes is a syndrome, is caused by different etiology and pathogenesis of insulin deficiency or insulin resistance, clinical to sugar, protein and fat metabolism as the main manifestation of a heterogeneous group of metabolic diseases, general .2008 to 2009 In our department treated 120 patients with diabetes, patients with concurrent hip abscess, 5 cases by prompt treatment and careful nursing, the condition was improved. now care reported as follows. 1 Materials and Methods 1.1 General information from 2008 to 2009 of diabetes complicated by hip abscess treated 5 patients, 3 males and 2 females, aged 50 to 65 years, mean 60-year-old Type 1 diabetes mellitus in patients with hip abscess in 4 cases, 2 diabetes mellitus complicated with hip abscess in 1 case. 1.2 Treatment is hypoglycemic, in principle, to resist infection, nutrition, support, mainly symptomatic treatment. 2 care points 2.1 Skin Care patients because of hip abscess rupture, causing infection and pain. A lot of liquid leakage, resulting in protein and electrolyte loss, lower the resistance. Therefore, to keep the skin clean and dry is the key to infection control. First of all the nails were trimmed to prevent scratching and skin damage and infection increase. ulceration of the hematoma on thorough debridement. daily with 3% hydrogen peroxide and saline wound wash, rinse repeatedly until the wound cleaning, removal of necrotic tissue with surgical scissors, then use the new direct rehabilitation placed in small gauze soaked in the wound, then bandage, change the second day. At the same time with a heat lamp or infrared radiation 20 ~ 30 min (to prevent burns). close observation of secretions around the abscess, color, odor and scab situation and detailed records do shift change. In the sacral bones at the pad gas ring, with 3% alcohol regularly sacral massage, massage b