32 cases of skin graft surgery nursing experience

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32 cases of skin graft surgery nursing experience

Staining, according to the thickness of the skin after taking 3 to 4 weeks replacement dressings, such as Vaseline gauze and adhesive surface plane, do not force mortgage in addition, should wait for their own separation, otherwise, the neonatal epithelium, can form a prolonged refractory ulcers. To reduce and prevent the occurrence of skin graft contraction, should wear elastic sleeve, therapeutic massage, functional training and the application of elastic traction device, adhere to more than 6 months, pay attention to prevent frostbite, burns. After transplantation of skin graft survival, the initial feeling of slow recovery and reconstruction, the skin glands function also need to recover. Autumn and winter should be coated with grease (Vaseline, glycerine, etc.), moist crack. Summer to avoid sun exposure to prevent excessive proliferation of the pigment to the skin was dark black change. (Fan Series: Yan Yong-Ha) * 29 * thick and so the body can be pressurized input pressure of patients during the nurses not to leave, to avoid accidents. Enter the attention vasopressor infusion speed, regular measurement of blood pressure. 2.2 to maintain airway patency, adequate oxygen: whether serious or not shock patients who should be timely oxygen to increase oxygen content. Oxygen by nasal catheter method, the light of oxygen flow rate 2 ~ eL / rain, moderate to severe oxygen flow 46L/rain. 2.3 Preoperative preparation: These patients need more exploration-line blood vessels and nerves, so the active anti-shock therapy, it should also do a good job in a short time before surgery to prepare. The rescue process, including vital signs should be closely monitored after surgery, in order to facilitate the rescue in time to take appropriate measures. 2.4 hemostatic wound dressings: control of bleeding was the most effective way is to place pressure bandage or Taigaohuanzhi bleeding, rupture of large vessels such patients may be temporary tourniquet limb ligation, packing to stop bleeding, and Yan Geqing plane wrapped . 2.5 t psychological care of these patients are mostly accidental injury, a sudden blow to patients without mental preparation, manifested as anxiety, fear, etc, should be based on the psychological characteristics of patients with comfort care, and quality care technology, busy the work style of chaos made the trust of patients and their families, to establish the confidence to overcome the disease. (Fan Series: Yan Yong Xia) femoral artery rupture of hydrogen peroxide treatment of the patient's care and nursing of patients with bedsores Ling Ji Xin Chen Ying Jinhua Yang Guizhi Armed Police Corps Hospital of Jilin Province, Jilin City Central Hospital in Shaojie hospital from 1994 to 1999 were treated in the femoral artery rupture 12 cases of patients after emergency treatment and intensive care in a timely manner to save the patient's life, Nursing described below: 1 clinical data of patients in this group of 12 patients, 8 males and 4 females, aged 18 ~ 5O years old, to more common in young adults. Causes of injury to stab wounds, gunshot wounds are more people 1O cases surgical hospital, rescue 1O patients survived, 2 died. 2 care points admissions, the pre-diagnosis history of trauma nurses first asked to find the shock causes an immediate measure the condition of patients blood pressure, pulse, breathing, sense of observation, pupil, skin color and temperature and humidity, the correct level of estimated shock, the establishment of intensive care records, and further examination with a doctor. 2.1 't create the rapid establishment of venous access venous access or use more than two additional blood volume trocar is the most important sin of rescue measures. T ① infusion site should be selected on the arm or back area of the vein lumen, such as the median cubital vein, jugular vein, both for rehydration, but also make bleeding site, the bleeding is not due to rehydration increased. ② fluid content: the compound sodium chloride, dextran, whole blood and so on. ③ infusion rate of mild shock to 100 drops / min speed is appropriate for moderate shock input in half an hour. Small needle, the liquid 1 clinical data from 1998 to 2001 we treated 38 patients with pressure ulcers with hydrogen peroxide in patients aged 22 to 84 years, mean 52 years. Most of the sacrococcygeal, 5 cases of multiple parts, which I in 3 cases of pressure ulcers, shallow I 2O cases of pressure ulcers, deep I in 3 cases, I in 5 cases of bed sores, Ⅳ 2 cases of pressure sores, bedsores maximum range 8.5cm × 7cm. T of early treatment of pressure ulcers 2 times a day skin care, turning over once every 2 hours, massage pressure areas, wash the wound with hydrogen peroxide if ulceration, severe debridement disinfection, a blister under aseptic techniques are required to extract the pus liquid, then rinse with hydrogen peroxide, washed sterile Vaseline gauze dressing, 2 times a day. 2 ① nursing ambulatory patients with pressure ulcers, we must first turn over on time, massage pressure areas, and promote blood circulation and local pressure to keep beds clean and dry, no residue debris, the bed mattress to cushion gas. ② The local skin redness Department, can the direction of the ring to the heart 5O alcohol massage, and then coated with petroleum jelly, 2 times a day. Returned to normal after 24 hours the color of skin, local inflammation of skin and ulceration, can be thrown hydrogen peroxide rinse after disinfection, wound 2 times a day after the exposure. Such as the planing surface is larger, heavier infection,[link widoczny dla zalogowanych], the first high-pressure washing with hydrogen peroxide, then with sterile Vaseline gauze after mulching, 2 times a day. 3 to 5

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