appear for duty
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Will nurse now the introduction is as follows. 1 clinical data this group patient of 58 tuberculosis big haemoptysis, male 38, female 20; age 20 years old of ~75 year old; haemoptysis all exceeds 500mL inside quantity 24h, 10 when exceed 800mL among them, 5 of shock of amalgamative and exsanguine sex, 3 when amalgamative haemoptysis chokes. 58 ill average per capita live in the rescue room of my division, rescue is indoor set major to protect personnel especially, 24h is on duty, did not accompany protect, via be treated actively and nursing, all ill average per capita gets controlling in the 1 haemoptysis inside week. 2 nurse 2.1 after doing good rescue to prepare be in hospital of patient of phthisical big haemoptysis, all arrange in rescue room, interior equipment good oxygen, attract implement, appearance of custody of report of bag of tracheal spile, tracheal incision, heart, synchronous lung ventilator, except quiver the rescue equipment such as appearance and relevant rescue medicines and chemical reagents, if appear,choke wait for critical condition, in order to facilitate rescue. Rescue of 2.2 environments requirement is indoor should maintain air fresh, temperature is appropriate, keep quiet and eliminate all sorts of undesirable stimulation, avoid family member visit, reduce air pollution and alternate infection.
现将护理介绍如下。1临床资料本组58例肺结核大咯血病人,男38例,女20例;年龄20岁~75岁;咯血量24h内均超过500mL,其中超过800mL的10例,合并失血性休克的5例,合并咯血窒息的3例。58例病人均住在我科的抢救室,抢救室内设有专业特护人员,24h值班,没有陪护,经积极治疗和护理,全部病人均在1周内咯血得到控制。2护理2.1做好抢救预备肺结核大咯血病人住院后均布置在抢救室,室内备好氧气、吸引器、气管插管、气管切开包、心电监护仪、同步呼吸机、除颤仪等抢救器材及相关抢救药品,若出现窒息等危急情况,以便于抢救。2.2环境要求抢救室内要保持空气新鲜,温度适宜,保持恬静和消除各种不良刺激,避免家属探视,减少空气污染和交叉感染。2.3。。。
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Be at family members occupied in make arrangements for funeral these days of, drum building the hospital be victory to the swift-footed take back this analyze reportmake what person angry is at patient's condition appear urgent, have on duty doctor, have no nurse, have no other doctor, only have an on duty doctor, at that time of on duty the doctor frighten into inaction, at salvage of the best time but flower is make a phone call to ask for help lord cure a doctor, and salvage in but see chest outside press to press, disappear to do artificial respiration(more have no the windpipe put tube, breath machine assistance breath), afraid have infectious disease.
在家属忙于料理后事这些天,鼓楼医院捷足先登取回这化验报告)令人气愤的是在病人病情出现危急时,有值班医生,无护士,无其他医生,只有一个值班医生,当时的值班医生不知所措,在抢救的最佳时间却花在打电话求助主治医生,以及抢救中却只看到胸外按压,不见做人工呼吸(更无气管插管,呼吸机辅助呼吸),怕有传染病。