On the clinical observation of patients with massive hemoptysis and nursing.docVIP

 PAGE \* MERGEFORMAT 5 On the clinical observation of patients with massive hemoptysis and nursing Hemoptysis with fever, could increase in the ipsilateral chest cold packs set to cause reflex vasoconstriction in patients with chest. Winter chest compression braking sandbags available to facilitate bleeding. To strengthen oral care after each hemoptysis with normal saline or cold water mouth, 5% sodium bicarbonate solution can also be used mouthwash, to prevent fungal growth and reduce concurrent infection. to give sustained in the flow of oxygen inhalation ,3-5L / min. 3.3 The psychological care of hemoptysis, the patient often accompanied by irritability, anxiety, tension, fear, tend to make the disease worse. Psychological factors, emotional and development of the disease is closely related with the outcome. Comparison of patients with massive hemoptysis occurred suddenly , oncoming danger, blood circulation growth, increase blood circulation to the detriment of pulmonary bleeding, a swallow, and breath-hold phenomenon, fear, irritability, increased sympathetic activity would, or even fear, tension, lack of oxygen caused by choking shock. for repeated large hemoptysis patients, on the one hand eager to get effective treatment, rehabilitation as soon as possible, on the other hand can easily be a lack of confidence arising from the treatment of pessimism and despair. Nurses should protect patient comfort at the bedside, in which patients have a sense of security and trust to explain hemoptysis the problem, gently guide the patient spit up blood, instruct patient not to breath, to advise the patient relaxed, quiet and rest will help alleviate hemoptysis. patiently explain and comfort the patient, lifting concerns, elimination of tension, fear. maintain the ward quiet, minimize visits, regular disinfection of wards, regular ventilation to keep indoor air fresh. promptly dumped spit up blood, the timely replacement of blood contaminated clothing and