Nursing of patients with pulmonary embolism.doc

 PAGE \* MERGEFORMAT 9 Nursing of patients with pulmonary embolism [Keywords:] Pulmonary Care Pulmonary embolism as endogenous or exogenous pulmonary embolism and its branches, pulmonary circulation disorders caused by the clinical and pathophysiological syndrome. Bedridden slow blood flow and the formation of venous thrombosis and easy to fracture, myocardial infarction, atrial fibrillation, heart failure, after major surgery, lung cancer and other factors, these factors affect a variety of ways and damage the clotting mechanism when intimal, can form a venous thrombosis, pulmonary embolism can occur in some cases [1]. our hospital in 2009 In January ~ January 2010 10 cases of pulmonary embolism were treated by thrombolysis and anticoagulation therapy, intensive care, were clinically cured and discharged. 1 Clinical data 10 cases of pulmonary embolism patients, 7 males and 3 females, aged between 50 to 68 years, mean 59 years, long bed, 6 cases, 2 cases of myocardial infarction, atrial fibrillation, 2 cases were due to deep vein Tuola cause thrombotic embolus, which line the inferior vena cava filter placement performed in 3 patients, and 6 cases of intravenous thrombolysis patients who, due to hypoxemia tracheal intubation, mechanical ventilation in 3 cases. 2 Care close observation of changes in condition 2.1 intensive care unit stay, close monitoring of heart rate, heart rate, ECG, respiration, blood pressure, oxygen saturation changes. Someone special care, every 15 ~ 30min record time, while observing the patient, cyanosis, chest tightness, suffocation, chest whether the improvement of pain, with or without cough and urine output and so on. 2h stable condition after each recorded once. strict control of infusion speed, vigilance acute pulmonary edema, 24h access to accurate records of the amount, provide a basis for the medical treatment. a variety of close observation drug effects and side effects, such as antibiotics cause v