摘要
上消化道出血合并糖尿病病情重,变化大,不利于抢救和护理。在接诊患者后,要遵开放医嘱静脉通路,根据患者实际补充血容量和有效循环血量,合理应用药物进行有效的止血,合理应用胰岛素进行小剂量静脉滴注,达到紧急救治的目的。同时,患者病情稳定后,要做好患者的舒适、体位和两便护理,严密观察患者的病情变化,积极做好饮食护理、心理护理和胰岛素应用护理,做好口腔感染和压疮的预防性护理,做好合并糖尿病酮症酸中毒和高渗性非酮症糖尿病昏迷的护理,做好出院指导工作,使患者尽早康复。
Upper digestive tract bleeding with diabetes mellitus, the change is big, is not conducive to rescue and care. Af-ter the reception of patients to comply with open orders intravenous access, based on actual patient supplement blood ca-pacity and effective circulating blood volume, reasonable application of drugs effective hemostasis, rational application of insulin by intravenous infusion of low dose, to achieve the purpose of emergency treatment. At the same time, the patients in stable condition, to do a good job with the comfortable, posture and dual-purpose nursing, close observation of the patientˊs condition changes, and actively do a good job diet nursing, psychological nursing and the application of insulin nursing, good preventive nursing of oral infection and bedsore, well combined with diabetic ketoacidosis and hyperosmolar non ke-totic diabetic coma care, made the discharge guidance, so that patients can recover as soon as possible.
出处
《糖尿病新世界》
2015年第16期166-168,共3页
Diabetes New World Magazine
关键词
上消化道出血
急救护理
临床护理
Upper digestive tract bleeding diabetes
First aid nursing
Clinical nursing
作者简介
黄东琳（1974-），女，江苏溧水人，本科，主管护师，主要从事临床护理工作。
