Hematogenous disseminated tuberculosis clinical care of patients.docVIP

 PAGE \* MERGEFORMAT 8 Hematogenous disseminated tuberculosis clinical care of patients Of: Gengyan Dong YUAN Jun Yu Ling Shen [Keywords:] tuberculosis; Nursing Hematogenous disseminated tuberculosis (HDPT) is the TB into the bloodstream, the widely spread to the lungs caused by tuberculosis, are severe tuberculosis. Acute onset of the disease, early diagnosis more difficult, severe clinical symptoms, treatment is difficult, complications and poor prognosis, high mortality .2006 to 2008 32 patients were treated in our department HDPT patients, by using a variety of measures and careful nursing, and achieved a significant effect, therapy and nursing will now report as follows. Clinical Nursing 1 1.1 General Care (1) rest: TB is a wasting disease, especially in advanced tuberculosis, poisoning symptoms or lesions in a high activity state, the body wear large, this stage should stay in bed, with hemoptysis to absolute bed rest, ensure that patients have a good sleep, not less than 10 hours a day. wait for his condition improved, appropriate physical activity can be restored, but should still be plenty of sleep. (2) Ward Requirements: environment can produce multiple effects in patients with diseases, good comfort environment can reduce the stimulation of patients [1]. sick room should be comfortable and to maintain appropriate temperature, humidity, attention to ventilation, fresh air to keep wards. bedside should be placed in a covered sputum cup sputum cup to spit into, disinfected daily sputum cup. (3) disease observation: close observation of changes in condition, observation of vital signs are stable, if hemoptysis, fever, breathing difficulties should immediately notify the physician and assist physician. pay attention to controlling the speed of infusion to avoid increase the burden on the heart. close observation of adverse drug reactions, especially rifampicin on the liver damage, observe the color of urine, scleral or without jaundice, in