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Intraoperative intravenous urography examination of nursing support

Reaction, I} J2 cases of severe symptoms, end imaging; 7 cases of minor symptoms. After appropriate treatment, symptoms disappeared complete contrast: the successful completion of the remaining 518 cases suddenly imaging examination. . Care for a patient preoperative preparation to explain the purpose of this inspection, preparation methods, processes, IT and anomalies that can occur and treatment methods to relieve the tension in patients with fear, human care, while doing abdominal preparation. Note that in patients with informed consent, protection of the rights of patients to achieve self-determination L2J, choose a good iodine. And in the patient consent form,[link widoczny dla zalogowanych], effectively put an end to the occurrence of medical disputes. Prepare rescue drugs, and make nursing assessment before angiography. Second, intraoperative nursing support 1. Attention to patient safety, to prevent falling bed. Check, accompanied by family members need to help patients gracefully position. Zhu Huanzhe upright on the pedals, the body close to the examination bed, his hands were clutching the handle on both sides of bed check, and then check the bed flat. Remove the belt, remove the metal ornaments. Falling in this group no case of bed phenomenon. 2. Note the location and speed of injection. Because the contrast agent (76% diatrizoate sea barrier tube amine or iodine) with a high concentration, high permeability, the stimulation of blood big break. And I used the wrong Jing large, so generally choose the larger diameter veins glance, the use of median cubital vein,[link widoczny dla zalogowanych], to reduce injection site pain sense. L heart for the general adult leaves Xingshe f: 43A020 Chinese Science and Technology Human {I l Ill】 economic state hospital with heart J s l . Asked again before the injection in patients with a history of allergies, check iodine allergy test results. Is indeed negative before vaccination. When the rate of injection of contrast medium began to slow, close observation and careful inquiry, especially in patients with adverse reactions, such as no adverse reactions to injection of town square. Injected charge of about 2-3min infants retain the complete end of the injection intravenous access, to prevent the occurrence of delayed allergic reactions for timely rescue. The umbrella group in the Department of intravenous use of the elbow, with no patients complained of injection site pain. 3. The injection process, we should closely observe the patient's response. (1) contrast agent for allergic reactions. 3 patients in this group, injection of contrast agent in the process of burning sensation in the nose and mouth secretions increase, nausea, vomiting, palpitation and chest tightness. Mild symptoms are given to slow down or pause the injection speed injection, loose abdominal pressure, intravenous dexamethasone Hey l0, l0 symptoms disappeared after a l5rain continue angiography completed. And 1 patient in the injection of contrast agent after l0 『rd appeared pale, thin pulse rate, blood pressure, breathing difficulty symptoms of anaphylactic shock, immediately stop angiography. Give oxygen, subcutaneous injection of 0.1% epinephrine 1ng, intravenous dexamethasone 10 Hey, intravenous fluids and other anti-shock treatment. After a positive rescue,[link widoczny dla zalogowanych], the patient improved rapidly, sending ridicule ward will continue to monitor treatment. (2) contrast agent toxicity. Patients on the heart and kidney function will not. Contrast agent concentration and agent are careful. Left foot D reported in the literature. Whetstone contrast agent drug dissolution reaction time to 20h Ma limited 2h angiography in this group I patients with impaired renal function after short-term, f} j is rl cylinder f = j {,[link widoczny dla zalogowanych], protein ball, the symptoms of impaired renal function. After symptomatic treatment. Blood, crab pigwash fire (3) plus one jI instigate the Department of the vagus nerve from the pressure should be. 4 patients in this group t, ff3 cases mild symptoms, the transfer hub Rights 『J. Post Good explanation. 1: for, to comfort the heart drum le 1I Sim. -Like ease. Complete contrast elm book, I cases, like more, turn color appears drunk! |. An agitated. Fine pulse rate. Cold sweats and other pocket-like off-the removal of abdominal compression, stop 【L angiography, subcutaneous injection of atropine 0.5nag, and to take active measures against shock, the patient rapidly improved. Third, health education of patients after completion of urinary tract after intravenous contrast, continue to observe lO20min,[link widoczny dla zalogowanych], no adverse reactions before leaving the examination room, and has asked the more water, to accelerate the body's excretion of contrast Jing, cut to reduce toxic reaction. Moist heat intravenous injection site to prevent phlebitis.
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