Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会)
This paper summarized the prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection. Key issues of nursing included: a comprehensive nursing assessment before prone position ventilation, and c...
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Journal of International Translational Medicine Limited
2023-07-01
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| Series: | 中西医结合护理 |
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| Online Access: | http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202304067 |
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| author | WEI Xian (魏娴) WANG Huiping (王慧萍) LIU Lu (刘璐) LI Zhen (李祯) ZHANG Zhishu (张智舒) |
| author_facet | WEI Xian (魏娴) WANG Huiping (王慧萍) LIU Lu (刘璐) LI Zhen (李祯) ZHANG Zhishu (张智舒) |
| author_sort | WEI Xian (魏娴) |
| collection | DOAJ |
| description | This paper summarized the prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection. Key issues of nursing included: a comprehensive nursing assessment before prone position ventilation, and considering the beginning and ending points of ventilation to ensure the safety of the treatment; Appropriate patient turning, catheter maintenance and skin care during treatment period; The analgesic management by using Richmond Agitation and Sedation Scale (RASS) and Sedation-Agitation scale (SAS) to improve patient comfort and effective ventilation; enhancing the airbag pressure management to prevent the ventilator-associated Pneumonia (VAP); observation on reflux, aspiration and gastric residual volume and ensuring nutrition support; monitoring on infection indexes to prevent catheter-related infection. (总结1例甲型H1N1流感病毒感染合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会。护理要点: 做好患者的评估, 正确掌握俯卧位通气开始及结束的时机, 保证治疗的安全有效; 根据患者病情, 选择合适的翻身方式, 保护各管路, 做好皮肤护理; 运用Richmond躁动-镇静量表(RASS)和镇静-躁动评分(SAS)评分, 做好镇痛镇静管理, 提高患者的舒适度, 保障有效通气。做好气囊管理, 预防呼吸机相关性肺炎(VAP)的发生。观察患者有无反流及误吸, 做好胃残余量的监测, 保证营养供给。监测感染指标, 预防导管相关感染。) |
| format | Article |
| id | doaj-art-d1a246982c8c4e0eb394a45b05f07657 |
| institution | Kabale University |
| issn | 2709-1961 |
| language | zho |
| publishDate | 2023-07-01 |
| publisher | Journal of International Translational Medicine Limited |
| record_format | Article |
| series | 中西医结合护理 |
| spelling | doaj-art-d1a246982c8c4e0eb394a45b05f076572025-01-02T21:39:50ZzhoJournal of International Translational Medicine Limited中西医结合护理2709-19612023-07-019722923310.55111/j.issn2709-1961.202304067T202304067Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会)WEI Xian (魏娴)0WANG Huiping (王慧萍)1LIU Lu (刘璐)2LI Zhen (李祯)3ZHANG Zhishu (张智舒)4Department of Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029 (中日友好医院 重症医学科, 北京, 100029)Department of Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029 (中日友好医院 重症医学科, 北京, 100029)Department of Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029 (中日友好医院 重症医学科, 北京, 100029)Department of Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029 (中日友好医院 重症医学科, 北京, 100029)Department of Critical Care Medicine, China-Japan Friendship Hospital, Beijing, 100029 (中日友好医院 重症医学科, 北京, 100029)This paper summarized the prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection. Key issues of nursing included: a comprehensive nursing assessment before prone position ventilation, and considering the beginning and ending points of ventilation to ensure the safety of the treatment; Appropriate patient turning, catheter maintenance and skin care during treatment period; The analgesic management by using Richmond Agitation and Sedation Scale (RASS) and Sedation-Agitation scale (SAS) to improve patient comfort and effective ventilation; enhancing the airbag pressure management to prevent the ventilator-associated Pneumonia (VAP); observation on reflux, aspiration and gastric residual volume and ensuring nutrition support; monitoring on infection indexes to prevent catheter-related infection. (总结1例甲型H1N1流感病毒感染合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会。护理要点: 做好患者的评估, 正确掌握俯卧位通气开始及结束的时机, 保证治疗的安全有效; 根据患者病情, 选择合适的翻身方式, 保护各管路, 做好皮肤护理; 运用Richmond躁动-镇静量表(RASS)和镇静-躁动评分(SAS)评分, 做好镇痛镇静管理, 提高患者的舒适度, 保障有效通气。做好气囊管理, 预防呼吸机相关性肺炎(VAP)的发生。观察患者有无反流及误吸, 做好胃残余量的监测, 保证营养供给。监测感染指标, 预防导管相关感染。)http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202304067prone positioninfluenza a (h1n1) virushypermucoviscous klebsiella pneumoniaacute respiratory distress syndromenursing俯卧位甲型流感病毒h1n1亚型高黏液型肺炎克雷伯菌急性呼吸窘迫综合征护理 |
| spellingShingle | WEI Xian (魏娴) WANG Huiping (王慧萍) LIU Lu (刘璐) LI Zhen (李祯) ZHANG Zhishu (张智舒) Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会) 中西医结合护理 prone position influenza a (h1n1) virus hypermucoviscous klebsiella pneumonia acute respiratory distress syndrome nursing 俯卧位 甲型流感病毒h1n1亚型 高黏液型肺炎克雷伯菌 急性呼吸窘迫综合征 护理 |
| title | Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会) |
| title_full | Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会) |
| title_fullStr | Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会) |
| title_full_unstemmed | Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会) |
| title_short | Prone position ventilation and nursing management for a patient with influenza A (H1N1)virus infection combined with hypermucoviscous Klebsiella pneumoniae infection (1例甲型H1N1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会) |
| title_sort | prone position ventilation and nursing management for a patient with influenza a h1n1 virus infection combined with hypermucoviscous klebsiella pneumoniae infection 1例甲型h1n1流感病毒合并高黏液型肺炎克雷伯菌感染患者俯卧位通气的护理体会 |
| topic | prone position influenza a (h1n1) virus hypermucoviscous klebsiella pneumonia acute respiratory distress syndrome nursing 俯卧位 甲型流感病毒h1n1亚型 高黏液型肺炎克雷伯菌 急性呼吸窘迫综合征 护理 |
| url | http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202304067 |
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