Nursing and preventing _'s prevention and health care of lung abscess

Nursing and preventing _'s prevention and health care of lung abscess
Employ antibiotic to guide, shorten the course of treatment and improve the effective method of the cure rate the effective bronchus in early days.
(1)Generally treat and attend to:The urgent and sudden hyperpyrexia patient of disease should stay in bed, should keep airiness in the ward for getting up, get rid of the stench smell of the phlegm liquid in time. You had better divide the room to live or place and get with other number patients near the window in the ward corner, in order to reduce the harmful effects to other patients. Do oral cavity well, attend to, can cough mouth with physiological saline or pieces of the intersection of Bell and liquid, remove halitosis, pour out the phlegm liquid in time, the phlegm cup adds a cover and washes and sterilizes once every day, can put antiseptic in the phlegm cup, in order to achieve the goal of sterilizing and removing the stink. To the patient that the body temperature does not lower continuously, offer the physics temperature-dropping or medicine to lower the temperature, prevent that because sweats and results in collapsing too much. It pay attention to not keeping not changing by clothing often the cleanings of skin,in order to keeping by comfortable recuperation environment, it change clothing when if you can't want, close by doors and windows,prevent whether last cold, can't last condition.
(2)Diet treatment:Because of the lung tissue of abscess, in cases it is serious to consume in whole body, repair the difficulty, the organism needs stronger support treatment, besides offering necessary blood transfusion, fluid infusion, should rely on patient to strengthen nutrition mainly, offer high protein, high vitamin, high heat, food apt to digest, much meal of small quantity of the not good enough one of appetite.
(3)Resist infection and attend to:It is early to employ heavy dose of effective antibiotic all over, penicillin is first-selected antibiotic. There are conditions that can train selecting antibiotic for use with the sensitive test result of medicine according to the phlegm liquid bacterium. Some application antibiotic of focus, can adopt and put into the trachea through the bronchus or nose conduit, walk antibiotic drip, enter, can improve medicine in the intersection of focus and some density, control and is able to bear the intersection of medicine and fungus to grow.
(4)The phlegm liquid is guided:
The bronchus mirror is guided. The fasting of 4 hours, offer atropine 0.5mg hypodermic injection in 30 minutes before the skill before making bronchus mirror, oral the intersection of codeine and 0.03g, in order to reduce secretion, avoid, cough, then walk the intersection of bronchus and mirror attract and observation guide quantity, property, of liquid. Like having difficulty in breathing in the skill, the situation of feeling suffocated or can't tolerate seriously etc. should stop attracting. Spit blood, should deal with to the ill, should have difficulty in breathing oxygen intake while being postoperative. Because throat local anaesthesia, can enter the warm liquid food postoperative 2 hours later in the skill, by reducing the stimulus to throat department, prevent chocking and coughing sucking by mistake.
The drainage of body posture arranges the phlegm.
(5)The psychology is attended to:The patient expectorates a large amount of suppuration discredited phlegm, there is a kind of bad stimulus no matter to me or other people, medical personnel should be imbued with sympathy, display the high-level sense of duty, find a room for the good patient's berth properly, sterilize various containers, reduce the unusual smell in the air. When the patient guides the body posture, assist to knock and carry, and encourage the patient to insist on guiding in the body posture, in order to get the thorough treatment.
(6)Surgery treatment:Chronic the intersection of lung and abscess, because fiber organize a large number of hyperplasia, suppuration of wall take place upper skin take, erupt bronchiectasis simultaneously, internal medicine department is not effective in treatment, more than pathological changes of 2 months of course of treatment do not absorb or break out repeatedly yet; Jeopardize the big hemoptysis of the life; Bronchus block, make, infect difficult control, highly, need conduct surgery to treat.
Prevent
Preventing lung abscess should instruct the patient how to keep the good oral cavity hygienic habit first, must treat disease in the oral cavity in time, should try hard to exhaust the secretion in the oral cavity while doing surgery of oral cavity, and offer antibiotic and prevent the bacterium from growing. Patient want, finish, attend to especially, clear up, attract secretion in the mouth in time to anaesthetize or go into a coma, prevent the patient from sucking by mistake, prevent the lung from infecting, prevent lung abscess from happening. Take exercises, improve the body resistance against diseases, make sure not to overwork, forbid getting drunk etc..
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