Replantation surgery combined with minimally invasive treatment of bleeding from

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Replantation surgery combined with minimally invasive treatment of bleeding from the broken finger distal Nursing Care
 
 
Time after skin thermometer with temperature, normal temperature and the health risk refers to the almost equal level of only a thin 1 ~ 2C, if the risk of health means that the temperature is below 3 ~ 4C. Blood disorder that replanted fingers j. The group of 23 patients (25 fingers) refers to dark red after replantation, referring to the body mild swelling,You are not allowed to view links. Register or Login, skin temperature is about 32C, 4 ~ 5h after the gradual increase in skin temperature, skin temperature close to the healthy side. 3 ~ 7d skin and nail bed after fading to red. 2 (3 fingers), 2 means that the body was swollen after surgery, skin temperature is low, about 3OC, and contralateral difference between the larger, 3d skin color after the turn into the dark purple, dark purple and eventually become necrotic. 2.2.3 Nursing finger incision bleeding: ① aseptic operation, to prevent infection; interval bloodletting, the speed control in 3 ~ 5gtt/min, each 5 ~ 10min, to be continued to control bleeding in 0.1ml / min, if the bleeding is too active, small incision can be sterile cotton soft reduction; ② l small incision gently cover the block and the timely replacement of sterile gauze to prevent the formation of blood crust of blood circulation; ③ children, the infirm, multi-finger finger such as those prone to cause anemia, bleeding continued to be, to be closely observed,You are not allowed to view links. Register or Login, if necessary, blood transfusions. There were 4 cases in this group to lose more blood hemoglobin returned to normal after the red cell suspension. Observation and nursing content should be recorded in detail. 2.2.4 Pain Care: Routine prophylactic analgesic medication. Analgesic effect of intravenous analgesia pump is good. 'At the same time strengthening the psychological persuasion, who are particularly sensitive to pain, a prophylactic 【Tramadol 1, 2 times / d,You are not allowed to view links. Register or Login, increase the time to give Paiti given intramuscular injection of 50mg. 27 * This group is not due to pain caused by vasospasm. 2.2.5 medication care: replantation of severed fingers, commonly used low molecular weight dextran 500 ~ 1000ml 24h infusion maintained strict control of infusion rate, to keep the liquid uniform input '. ,You are not allowed to view links. Register or Login, While close observation of patients with systemic bleeding tendency. Fast hard, rough food. All kinds of puncture or injection, the needle press time> 5min. 2.2.6 Strengthening Night Care: As the patient was asleep the body prone to self-movement, and the night lights of the visual error, coupled with the night vagus nerve. M tube in the small contraction, the tip of finger arteries prone to spasm. Gang here. Night shift workers need to strengthen inspection for every l ~ 2 hours of observation 1 and limb in patients with sleep measured finger skin temperature, check the finger's skin color, tension, capillary reaction time and presence of blisters, especially small incision bleeding time . Sleep in 5 patients in this group after the physical changes in involuntary limb compression, 2 patients are not used to toilet and restless in bed, all to discover, to take measures, intraoperative accidents. 2.2.7 exercise the function of replanted fingers: the rehabilitation of motor function in replanted fingers direct impact on patient quality of life, functional exercise JIF beginning to passive-based. 3 weeks after the beginning of the song Chung finger, fist and other proactive activities. Joint activities to prevent joint stiffness and tendon adhesion, joint flexion and extension training 3 times / d,You are not allowed to view links. Register or Login, in order to feel the fatigue so far; massage the muscle, anti-muscle contraction, helping to restore muscle power, to stimulate nerve growth and restore good shape, massage along the walking direction of the muscles, massage with the pulp, action should be gentle, 3 times / (I, 30 ~ 5O under each massage; training finger grip, grasp and pinch functions, helping to restore their normal life and work. 2 .2 +8 strengthen health education: Early postoperative patients prone to emotional instability, particularly in patients with self-regulation than the swallow, little attention would endanger the replanted fingers. Therefore, the ground to communicate with patients, emphasizing the early bed rest , the importance of injury refers to the warmth. made it clear that the purpose of each nursing intervention for attention. to obtain the cooperation of patients and reduce complications.