脑出血的护理查房（Nursing ward rounds of cerebral hemorrhage）.docVIP

脑出血的护理查房（Nursing ward rounds of cerebral hemorrhage） Nursing ward rounds of cerebral hemorrhage 2005-11-8 15:19 [big and small] [I want error correction] Head nurse: today we are going through the nursing rounds of cerebral hemorrhage. We will discuss the knowledge and the nursing of cerebral hemorrhage. First of all, we should ask the responsible nurse to give a brief account of the medical history. Nurse: patients, women, 74 years old, farmers. Admission diagnosis: 1., the left dorsal thalamus hemorrhage; 2. hypertension; 3. high heart disease; heart enlargement; 4. sacral pressure sores. Complaints: due to right limb dysfunction for 1 weeks. A week before the break when suddenly felt right limb movement disorder, accompanied by dizziness, headache, urinary incontinence, conscious, no vomiting, blood pressure was measured by the local doctors to drug treatment for 200/140mmHg. (mannitol and other drugs, the disease is unknown) no significant improvement, then referral to our hospital. Admission: T:36.5 degrees Celsius, P:90 / min, R:20 / min, BP:190/110mmHg. car into the ward, conscious, speech unclear, bilateral pupil circle, a diameter of about 2.5mm, photosensitive. See a sacrococcygeal bedsore size about 5x6cm2, has broken, but dry and no liquid leakage, lower extremity pitting edema, right upper limb muscle strength of grade 0, right lower limb muscle strength 0 ~ 1, CT showed that the dorsal left thalamus cerebral hemorrhage, about 8ml. Hospital admission: order low salt, low fat, light, digestible diet. To reduce intracranial pressure, control cerebral edema, monitor blood pressure, nourish brain cells, maintain water and electrolyte balance, oxygen inhalation, indwelling catheterization and so on. Head nurse: a nurse is invited to talk about the clinical features of the disease. A nurse: the disease occurs in people over the age of 50, the incidence of acute onset, more emotional, increased blood pressure, often unconscious, aggravate, clear consciousness