一例安痛定致全身大疱性表皮松解坏死型药疹的护理

安痛定为解热镇痛药。内含氨基比林、安替比林和巴比妥的复方制剂。常见不良反应有:皮疹和剥脱性皮炎,严重者可致过敏性休克。罗田县人民医院于2005年10月18日收治1例“水痘”因肌注安痛定引起全身大疱性表皮松解坏死型药疹的患者。现将该病例的护理报告如下。1病例介患者女,10     

大疱性表皮松解坏死型药疹1例护理

药疹是药物反应的一种表现形式。大疱性表皮松解坏死型药疹1958年首次报道，是药疹中最严重的一种变应性药疹，病死率达47％，至1993年由于治疗手段的改进，病死率降至25％。该病起病急骤，发展迅速，全身中毒症状严重，以鲜红或紫红斑片，其上有大小不等的水疱及表皮松解为特征，常遍布全身，表皮稍擦即破，呈现红色糜烂面，糜烂面大量渗液，像烫伤样表现，多伴有眼、鼻、口腔、外阴粘膜损害。     

药物过敏致表皮坏死松解型药疹的护理

药疹是药物过敏反应中最常见的类型，药物过敏引起表皮坏死性松解型药疹的病例在临床上较为罕见。表现为广泛皮肤红斑，大小不一水泡，疼痛，皮肤易于剥脱而露出鲜红糜烂面，口腔、眼睛、鼻、胃肠道粘膜及外生殖器可受累，伴高热及严重的并发感染。我科收治两例患者，在住院期间疑药物过敏反应引起表皮坏死性松解型药疹。经过抗感染、抗过敏及对症处理，一例抢救成功，一例死亡。护理重点在于预防感染，除做好无菌及消毒隔离外，还要加强皮肤粘膜保护，促进上皮生长，同时做好患者及家属的心理护理，使病人治愈出院。     

大疱性表皮松解型药疹的护理

1 病历摘要患者,女,32岁。因头痛、发热,自用安乃近及氨苄青霉素治疗3天,出现皮肤搔痒,全身丘疹2天入院。体检:T36.4℃,P78次/min,Bp14/9Kpa,R24次/min,神清,精神萎,痛苦面容。全身紫红丘疹,且大片融合,胸、腹、背部紫红斑上可见少数大疱,尼氏征阳性。第2日,双眼红肿,口周大     

大疱性表皮松解型药疹患者的临床护理体会

目的:探讨大疱性表皮松解型药疹患者的临床护理方法.方法:选取60例大疱性表皮松解型药疹患者作为研究对象,根据入院先后顺序分为两组(每组30例),对照组患者实施常规护理,研究组患者在常规护理基础上增加针对性护理干预措施,观察两组患者的护理效果.结果:研究组的平均住院时间为(20.3±6.2)d,显著短于对照组的(32.2±3.6)d,差异具有统计学意义(P＜0.05).研究组患者的并发症总发生率为3.33％,对照组为26.67％,差异具有统计学意义(P＜0.05);研究组患者的护理总满意率为96.67％,对照组为70.00％,差异具有统计学意义(P＜0.05).结论:对大疱性表皮松解型药疹患者实施针对性护理干预,能够有效提高治疗效果,减少并发症发生风险,加快患者康复进程.     

大疱性表皮坏死松解型药疹患者的护理

目的总结大疱性表皮坏死松解型药疹患者的护理要点。方法主要护理措施包括对患者进行保护性隔离,做好皮肤粘膜护理和导管护理;严密观察病情、治疗效果、并发症;保持呼吸道通畅,促进排痰,防止肺部感染;提供充足的热量,为组织修复提供足够的原料。结果对病人关心、体贴,耐心细致做好心理护理及家属的解释教育工作,使大疱性表皮坏死松解型药疹患者度过难关。结论加强医疗科的监测护理将更有助于重症患者的康复。     

大疱性表皮坏死松解型药疹患者的护理

目的总结大疱性表皮坏死松解型药疹患者的护理要点。方法主要护理措施包括对患者进行保护性隔离,做好皮肤粘膜护理和导管护理;严密观察病情、治疗效果、并发症;保持呼吸道通畅,促进排痰,防止肺部感染;提供充足的热量,为组织修复提供足够的原料。结果对病人关心、体贴,耐心细致做好心理护理及家属的解释教育工作,使大疱性表皮坏死松解型药疹患者度过难关。结论加强医疗科的监测护理将更有助于重症患者的康复。     

大疱性表皮松解型药疹5例的护理体会

大疱性表皮松解型药疹系一种少见而严重的药物反应,发病时来势凶猛,高热,全身起大疱,表皮松解,酷似大面积Ⅱ度烧伤.严重者常伴有粘膜及内脏损害,预后差.我科自1993年以来共收治本型药疹5例,其中服退热止痛药3例,磺胺类药1例,氯喹1例,现将5例本型药疹的护理体会总结如下.     

口服药物致大疱性表皮松解坏死型药疹患者的临床护理

目的:研究分析口服药物致大疱性表皮松解坏死型药疹患者的临床护理.方法:选取我院2015年07月15日收治的1例大疱性表皮松解坏死型药疹患者作为研究对象,入院后给予患者足量皮质类固醇激素,并维持水、电解质平衡,对应加强相关护理、支持疗法,从而对继发感染的发生进行有效防止.结果:经我院对患者进行具有针对性的护理,患者治愈.结论:经我院研究得出,大疱性表皮松解坏死型药疹发病急,应当有效实施眼部护理、口腔护理、会阴部及全身皮肤等护理措施,从而有效提高此病患者的治愈率.     

1例新冠肺炎患者的护理体会

报告1例新冠病毒感染的肺炎的护理心得.认为密切观察患者病情变化,定时巡视患者,警惕病情恶化;加强心理干预,消除患者的恐惧、惊慌;加强序贯氧疗,维持一定的血氧浓度,避免机体缺氧;中西医结合护理,以坐式八段锦作为康复训练操;做好饮食护理,补充足量蛋白质、维生素、叶酸;胃肠减压以及做好出院指导等护理措施,以促进疾病更快康复....     

Nursing assistance to a patient with diabetes mellitus

It's a case study, developed in a Health Center, of the Federal District, with the purpose of describing the Nursing Attendance to a patient with Diabetes Mellitus. To develop this study the Nursing Process was applied, in the stages: Data Collection; Nursing Diagnoses; Planning; Interventions and Evaluation of the given assistance. It were found the following Diagnoses: Ineffective control of the therapeutic regimen; prejudiced Adaptation; disturbed image Corporal and Risk for the Integrity of Harmed Skin. The nursing assistance Planning sought mainly to contribute for the adhesion to the treatment and to reduce potential risks, making use of the health education. With the interaction and the use of the therapeutic communication, a small change was observed in the habits of the patient's life.     

Saccharomyces cerevisiae oesophagitis in a patient with oesophageal carcinoma

Saccharomyces species are emerging opportunistic fungal pathogens that can cause bloodstream infections in humans. These infections have often been associated with the ingestion of probiotics. Saccharomyces oesophagitis is a rare condition which has been described so far in only two publications. Here we report the case of a patient who was diagnosed with Saccharomyces oesophagitis. The clinical picture was indistinguishable from that of Candida oesophagitis. The Saccharomyces isolate was shown to be susceptible to fluconazole by both CLSI M27-A and disk diffusion methods. In contrast to cases of fungaemia, Saccharomyces oesophagitis does not seem to follow probiotic use. Due to the potential for antifungal resistance among emerging fungal pathogens, proper mycological identification at the species level is essential.     

经直肠前列腺穿刺活检术并发失血性休克1例的护理

探讨1例经直肠前列腺穿刺活检术并发失血性休克的护理.前列腺穿刺前做好充足准备,减少术后出血的发生,术中及术后密切观察病情,给予止血相应处理.结果显示经直肠前列腺穿刺活检术并发失血性休克患者在医护人员精心治疗护理后痊愈.前列腺穿刺活检术可能发生出血,做好出血并发症的防治和护理才可以确保前列腺穿刺的安全.     

Nursing diagnoses for the patient with toxic epidermal necrolysis: a case study

This is a retrospective case study of a patient affected by toxic epidermal necrolysis in the intensive care unit of a public hospital, with the goal to apprehend, starting from the clinical judgments of the nurses, theirs nursing diagnoses. Thirteen nursing diagnoses were evidenced and, also, it was evidenced the necessity of the theoretical improvement of those professionals about the Systematization of Nursing Care, and on the sense of value that this practice may add to nursing in the pursuit of individualized assistance to the patients under their care.