肋骨骨折病人急救（Rib fracture, patient, first aid）.docVIP

肋骨骨折病人急救（Rib fracture, patient, first aid） 2.1 emergency care To save the patients life. For patients with abnormal breathing, a thick cotton pad can be used to pressure the bandage to relieve or prevent abnormal breathing movements of the chest wall. Clean up the respiratory tract, maintain airway patency, encourage patients to cough and deep breath; for patients with tracheal intubation or tracheotomy, strengthen the nursing of respiratory tract, necessary sputum suction and ultrasonic atomizing inhalation; tracheal intubation should be more than 72 hours, tracheotomy, to avoid tracheal mucous membrane compression ischemic necrosis. Inhalation of oxygen, relieve dyspnea, maintain oxygen saturation of 93% ~ 100%, and ensure the oxygen supply of important organs. Anti shock therapy. Multiple rib fractures, loss of 1000 mL ~ 4000 mL, should be established quickly intravenous infusion channels, expansion. But patients with severe pulmonary contusion should pay attention to control the speed of infusion, in order to prevent pulmonary edema and induce acute respiratory distress syndrome. 2.2 observe the vital signs closely, observe vital signs every 30 minutes, especially the changes of blood pressure and respiration. Mental changes, chest breathing and abdominal breathing and no shortness of breath, cyanosis, breathing difficulties, if abnormal, timely report and assist the doctor. There is no close observation of the combined open pneumothorax and tension pneumothorax; there is no bleeding, with particular attention to whether hemathorax, abnormal timely reporting medical treatment. Observe your body temperature carefully. If your body temperature is over 38.5 degrees, you should report it to the doctor in time. 2.2 life nursing stable vital signs, semi supine, to improve the patients respiratory and circulation, but also conducive to maintaining patency; if the coma or blood pressure fluctuation, supine position. The nurse should be patient to explain in detail the i