Pseudomembranous colitis on patient care.docVIP

 PAGE \* MERGEFORMAT 7 Pseudomembranous colitis on patient care [Keywords:] pseudomembranous colitis Care First, the nursing assessment (A) assess the patient’s health history and family history Ask past physical condition of patients, especially in the near future more serious infections occurred, and the recent use of antibiotics. (B) assessment and observation of clinical symptoms 1. Assessment of clinical symptoms in patients with diarrhea can be as light as a general diarrhea to severe bloody heavy. The patient showed watery diarrhea (90% -95%), up to 10 times / day, severe cases of water samples will be seen floating in the pseudomembrane, 5% to 10% of patients may have bloody stools. intractable diarrhea of #8203;#8203;up to 2 to 4 weeks. 2. Assessment of the situation of patients with abdominal pain 80% to 90% of patients will suffer from abdominal pain. 3. Assess whether patients with fever of nearly 80% of patients with fever. 4. Assess the nutritional status of patients because the patients diarrhea, fever can cause varying degrees of malnutrition. 5. Assess the mental status of patients can be expressed as the spirit of some patients dejected, fatigue and blurred consciousness, severe cases may enter a coma. (C) inspection and evaluation assistance 1. Leukocytosis blood tests, and more in the (10 ~ 20) × 109 / L or more, even up to 40 × 109 / L or higher, mainly to an increase in neutrophils. There hypoalbuminemia, electrolyte disorders, or acid-base balance. 2. Stool smear stool examination found a large number of gram-positive cocci, suggesting that staphylococcal enteritis. Clostridium difficile culture and toxin in diagnosis of pseudomembranous colitis has very important significance. 3. Endoscopy is the diagnosis of pseudomembranous colitis fast and reliable way to light those who can no typical endoscopic performance, intestinal mucosa may be normal or only mild congestion and edema. In s