Nursing cryogenic hibernation therapy.doc

 PAGE \* MERGEFORMAT 8 Nursing cryogenic hibernation therapy [Keywords:] hibernation using low-temperature treatment care Drug therapy is the application of cryogenic hibernation with physical cooling method of reducing body temperature. To reduce cerebral oxygen consumption and cerebral metabolic rate, reducing cerebral blood flow, improve cell permeability, increase the cerebral tolerance of ischemia and hypoxia, to prevent the occurrence and development of cerebral edema, while the role of intracranial pressure to decrease. Main indications: (1) heavy and severe head injury; (2) primary and secondary brain stem injury; (3) central high fever; (4) increased intracranial pressure, accompanied by restlessness and convulsions; (5) diffuse cerebral contusion, cerebral edema; (6) Neurosurgery. the main contraindications: (a diagnosis of unknown diseases, (2 cerebral thrombosis, (3 atrioventricular block, (4 systemic failure, shock, severe dehydration, blood loss, (5 elderly and young children. We combine practical experience, low-temperature hibernation treatment of contemporary methods of care specifically described below. A low temperature method of hibernation Prescribed to give lytic cocktail (pethidine 100mg Promethazine 50mg 50mg intramuscular injection of chlorpromazine or micro pump pump until the patient gradually into hibernation state, response to external stimuli significantly decreased, miosis, light reflex slow, steady breathing , the frequency is relatively slow, weakening or disappearance of deep reflection, the use of mild hypothermia treatment for the temperature control apparatus, temperature control blanket physical cooling the patient, the patient’s body temperature control in rectal temperature 33 ~ 35 ℃, easy to induce hypothermia arrhythmia, hypotension, coagulation disorders and other complications, hyperthermia, higher than 35 ℃ the treatment ineffective. hypothermia to maintain the shortest time 24h, up to 5 ~ 7d, rewarmed