Nursing retinal artery occlusion_0.doc

Nursing retinal artery occlusion [Keywords:] eyes, retinal artery occlusion, care Retinal artery occlusion is the central retinal artery or branch artery atherosclerotic plaque hemorrhage, hypertension, arterial spasm and dissection and other diseases that blocked arteries supply of nutrients, causing retinal ischemia, hypoxia, edema, degeneration, resulting in as rapid cell death. clinical features or loss of vision loss sudden one, so the acute retinal artery occlusion is one of the eye. Thus, every second counts active treatment and care, to save the visual function of the importance of nursing now reported as follows. 1 Clinical data July 2006 ~ October 2008 our department treated 8 patients with retinal artery occlusion, including 5 males and 3 females, aged 38 to 58 years old. Average of 52 years. After emergency treatment and care, except one case of conversion of Neurology treatment, the rest have different procedures for visual recovery. 2 Nursing 2.1 Emergency Care If retinal artery occlusion caused by retinal ischemia more than 90min, the irreversible death of photoreceptors [1] caused a permanent loss of visual function. Therefore, once confirmed must race against time to actively rescue, to restore retinal blood circulation. Immediate sublingual nitroglycerin, inhaled 95% oxygen and 5% carbon dioxide gas mixture, to promote the expansion of retinal arteries and increase blood levels of choroidal capillaries, improve blood circulation, thus easing retinal artery hypoxia. Therefore, the Department of Ophthalmology, outpatient and inpatient Nitroglycerin should stand as a regular first-aid medicines. Retrobulbar injection of 2.2 for the expansion of retinal blood vessels, the lifting of central retinal artery spasm, eliminating retinal edema, retinal improve nutrition. Prescribed by a doctor to give the ball properly after the injection of vitamin B12 + La Sulin + dexamethasone, or 654-2. Supplementary vitamins. Ball light injection s