Postoperative mitral valve replacement grand mal epilepsy and 1 patient in the nursing.doc

 PAGE \* MERGEFORMAT 6 Postoperative mitral valve replacement grand mal epilepsy and 1 patient in the nursing [Keywords:] mitral valve replacement Nursing care of grand mal epilepsy A medical record Patients, male, 65 years old. 10 days after mitral valve replacement two years ago, suffered from cerebral infarction have been cured, leaving the after-effects, adverse events are left limb, with history of seizures, mental state can be. In 2008 April 7 8 pm After dinner, bed rest, suddenly felt a tightening throat, poking hands, eyes wide open, frightened facial expression. family immediately called nurses, medical staff immediately toward the ward. examination: T 35.6 , P 105 times / min, R 20 times / min, BP 90/55mmHg, pupil of 5mm, patient of consciousness, eyes on the turn, trismus, limbs twitch muscle tension, urinary incontinence, head profusely. immediately unlock the collar to the patient, to pillow supine, head to the right, oxygen, suction, cardiac monitoring, intravenous injection of anti-epileptic drugs. regained consciousness after emergency treatment of patients, the mental state can be, language fluency, 3 days later discharged. 2 Nursing grand mal epilepsy 2.1 with the care and control of seizures (1) immediately calm, Zhijing, control seizure. (2) oxygen, suction, to keep the airway clear, correct brain tissue hypoxia during seizures, it is very important. (3) Prevention of trauma, asphyxia, hand guard, so that the patient supine, head to one side, opening into the device, tongue depressor, a detailed record of the attack has been; convulsions and pupil awareness of the change; convulsions started the site, symptoms and idiopathic parts of the order of episodes, duration, etc., in order to provide diagnostic evidence. 2.2 episodes of care after the cessation of (1) shall ensure that the patient quiet and sleep, eliminating fatigue. (2) the patient to stop seizures, the sense of the recovery process, there may be psychiatric sympt