Nursing care of patients on the main points of the chest injury.doc

Nursing care of patients on the main points of the chest injury [Abstract] chest injury (chest trauma) is divided into two major categories of closed and open. Closed soft tissue injury of the chest wall or the wall integrity is still good pleura, pleural cavity and the outside world does not. More compression due to violence, shock or blunt caused by the chest blow. light are only the chest wall soft tissue injury or simple rib fractures, severe chest may be associated with organ or vascular injury, leading to pneumothorax, hemothorax. sometimes can cause cardiac contusion, laceration, pericardial cavity bleeding and other complex situation. open injury is a full-thickness wound through the chest wall, including the walls of the pleura, the pleural cavity and the outside world. more a result of shrapnel and other sharp weapon or firearm caused by penetrating chest wall, can lead to an open pneumothorax or hemothorax, affect the respiratory and circulatory function. [Keywords:] open nursing closed chest injury [Nursing diagnosis and collaborative problems] 1. Ineffective breathing pattern and chest pain, excessive respiratory secretions and chest injuries caused by activities of respiratory function disorders and other factors. 2. Cardiac output is reduced and multiple multiple rib fractures, hemothorax, pneumothorax, the circulatory function. 3. Anxiety and acute injury and worry about the prognosis for surgery. 4. Pain and chest injuries and the drainage tube stimulation. 5. Potential complications: pulmonary atelectasis, lung or pleural cavity infection, shock. [Care points] The purposes of general thoracic surgical care, but should pay particular attention to the following aspects: 1. First aid nurses and doctors to actively cooperate in the field under no doctors, nurses to conduct timely and effective treatment: ① chest injuries per capita have different degrees of hypoxia symptoms, first of all to give nasal oxygen cathe