Tuberculosis peritonitis patient's standard attends to _'s prevention and health care of the plan

Tuberculosis peritonitis patient's standard attends to _'s prevention and health care of the plan
Tuberculosis peritonitis is caused by tubercle bacillus and chronic and filling the chronic peritoneum to infect, clinical manifestation is varied, the common one has tuberculosis poisonous blood disease, abdominal pain, diarrhoea and belly lump. The therapeutic key to this disease insists on carrying on early, unites, right amount of, the rule and chemical drug therapy of tuberculosis of whole Hangzhou, in order to achieve the goal of recovering, avoiding recuring and preventing complication as soon as possible. Should take a good rest while treating as the important auxiliary measure with nutrition, in order to adjust the whole body situation, strengthen the resistance against diseases. The common nursing question is as follows, the body temperature is too high; Malnutrition: Lower than organism requirement; Abdominal pain; Diarrhoea; Humoral and too many ' Ascites) ; There are humoral and insufficient dangers.
The body temperature is too high
[Relevant factor ]
Tuberculosis and virus blood disease.
[Mainly behave ]
It is often afternoon low-heat, the face is flush.
It is most to be hot type with the low-heat with medium-sized and hot, about 1/3 of the patients have remittent fever, a few can present continued fever.
The hyperpyrexia person, with obvious poisonous blood symptom.
[Attend to the goal ]
Patient's body temperature returns to normal.
Can describe out the way to lower the temperature.
[Attend to the measure ]
Advise, stay in bed at the time of the hyperpyrexia, reduce the activity, in order to keep physical power.
Offer diet and supplementary appropriate beverage lightly.
Offer appropriate ambient temperature and suitable clothes lid.
Assess the type of generating heat and follow symptom.
When the body temperature is too high, should be chosen the suitable drop in the temperature way according to the detailed conditions, such as warm water bath, the alcohol bath, ice are applied, ice saline enema and medicine and lower the temperature etc..
Sweat a long more time, change clothes, bedding and clothing in time, pay attention to keeping hot, and assist to stand up, pay attention to skin and buccal cleaning and nursing.
Hyperpyrexia patient, sweat more and eat the little ones and follow the doctor's advice and supplement the heat, moisture and electrolyte.
Monitor the change in indexes such as body temperature, blood pressure, pulse and serum electrolyte,etc..
[Comment on especially ]
Turbid intensity that drops of body.
Whether the body temperature returns to normal.
Whether the physical sign of the life is steady, the electrolytic value of serum is normal.
Malnutrition: Lower than organism requirement
[Relevant factor ]
Chronic consuming disease.
It is difficult for glossitis, angular stomatitis to take food.
Diarrhoea.
[Mainly behave ]
Become thin, the weight drops.
Edema, complexions, nails are pale.
Deficiency disease of vitamin A.
[Attend to the goal ]
Nutrition is taken in sufficiently, the patient is shown as the weight increases, not lower than the basic weight.
Anaemia symptom is improved.
[Attend to the measure ]
Encourage patients to try hard to take food, offer high heat, high protein, high vitamin diet, such as milk, soya-bean milk, bean curd, fish, plain meat, turtle, yellow eel, vegetables, fruit,etc..
Assist patients to gargle since morning, after the meal, before sleeping, strengthen the oral cavity to attend to, the dry one of lip applies liquid paraffin to protect, treat and prevent angular stomatitis, glossitis and oral cavity ulcer actively.
Eat getting difficult to follow the doctor's advice the intersection of vein and supplementary high nutrition, amino acid, fat emulsion, albumin,etc..
Follow the doctor's advice if necessary and stop cathartic.
Monitor the levels of weight, hemoglobin.
[Comment on especially ]
Change of the weight.
Whether the nutritional status is improved.
Abdominal pain
[Relevant factor ]
Peritonitis.
Active tuberculosis of intestine, mesenterium lymphocytic tuberculosis or pelvis tuberculosis.
Intestinal obstruction of incompleteness.
Tuberculosis of intestine is acute to punch.
[Mainly behave ]
Present the secret anguish or dull pain of continuation in umbilicus week, lower abdomen or the whole belly.
Erupt intestinal obstruction of incompleteness simultaneously, it is a popping abdominal pain.
Erupt simultaneously acutely and punch, is shown as acute abdomen.
[Attend to the goal ]
Patient's main suit is pained and lightened or relieved.
[Attend to the measure ]
Position, property and duration to observe pain.
Listen to patient's main suit to pain patiently, and care about and understanding.
Offer the quiet, comfortable environment, guarantee the sufficient sleep, lighten pain.
The ones that suffer from abdominal pain deal with the method:
Teach patients how to relax the skill, such as deeply breathe, muscle relaxing, autohypnosis,etc. all over.
Teach patients how to disperse attention, such as talk with people, listen to the music, read newspaper,etc..
Offer spasmolytic, such as atropine, east Hyoscyami alkali,etc. appropriately.
While suffering from abdominal pain terribly, follow the doctor's advice to deal with correspondingly: Amalgamate and obstruct, walk the intestines and stomach reduce pressure; Amalgamate acutely and punch, surgical treatment.
Instruct patients how to report to the medical personnel in time while paining vigorously.
[Comment on especially ]
The patient is painful to relieve the intensity.
The patient, to relieving dealing with the method and mastering of pain.
Diarrhoea
[Relevant factor ]
Peritonitis causes the intestines function to be disorderly.
Ulcer type tuberculosis of intestine.
Extensive mesenterium scrofula.
[Mainly behave ]
Number of times of the stool increases, 3-4 times a day, the stool take the form of pastel more.
[Attend to the goal ]
Patient's main suit defecates the number of times is reduced or defecated and returned to normal.
[Attend to the measure ]
Observe the number of times, quantity, color, property very much of shape of the stool.
Suffer from diarrhoea getting serious to give fasting temporarily, observe, have something to do with, dehydrate, solicit, follow the doctor's advice fluid infusion, stop cathartic,etc..
Persons who it is frequent to defecate, should wipe the rectum with the soft paper after each time, and wash with the warm water, in case the anus week skin mucous membrane is broken routedly, rottenly.
[Comment on especially ]
Intensity suffering from diarrhoea and lightening.
Whether dehydrate and solicit.
Humoral and too many ' Ascites)
[Relevant factor ]
Peritonitis: The peritoneum congests, edema.
The slurry fibrin is oozed out.
[Mainly behave ]
Namely shortness of breath of sense, dyspnea that main suit moves about slightly.
Abdominal distension.
The belly expands grandly.
The voiced sound of the mobility is positive.
[Attend to the measure ]
A large amount of ascites person fetch, lie location by half, make, drop through skin, lighten and have difficulty in breathing.
Limit the absorption of sodium salt, every 3-5g.
Limit the entry amount of the liquid strictly, about about 1000ml every day.
Follow the doctor's advice and offer diuretic, pay attention to observing symptom with low potassium, such as feeling like jelly, abdominal distension of four limbs,etc..
Follow the doctor's advice and resist note medicine of the drug therapy of tuberculosis or abdominal cavity all over; Pay attention to the damage to the liver of observing medicines, such as it dyes, detests the oil, appetite and fails etc. that the skin, sclera are yellow.
Follow the doctor's advice and put the ascites, notice that it should not be too much to put ascites each time and and observe the patient's general situation, such as complexion, blood pressure, pulse,etc..
Monitor the changes of serum electrolyte and liver function.
[Comment on especially ]
The medicine and result of treatment of diet: Intensity that the ascites lightens.
Whether serum electrolyte and liver function are normal.
Have the danger that humoral and insufficient
[Relevant factor ]
Diarrhoea.
Generate heat.
Use of diuretic.
The ascites is put in a large amount.
Fluid infusion amount is insufficient.
[Mainly behave ]
Patient's main suit is thirsty, apt to dehydrate and solicit.
[Attend to the goal ]
It is taken in sufficiently, has not dehydrated and solicited that humoral.
The physical sign of the life is steady.
[Attend to the measure ]
Encourage patients to try hard to take food, take in sufficient nutrition and moisture.
The ascites about about 4000ml is put each time, and observe the patient's blood pressure, change of pulse, and have palpitation, the cold sweat appears etc..
Follow the doctor's advice and use diuretic, and supplement the electrolyte.
Liquid quantity of recording 24h and coming in and going out accurately.
Monitor manifestation with unregulated electrolytic disorder and acid-base balance.
[Comment on especially ]
Whether blood pressure, pulse and serum electrolyte are normal.
Whether dehydrate and solicit.
24h comes in and goes out the liquid amount is balanced.
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