Senile Acute Myocardial Infarction Nursing and Its Role. Now, the nursing experience for elderly patients with acute infarction is introduced as follows:
1. Critical Condition Nursing
- Early nursing care focusing on the heart, brain, lungs, and kidney functions of important organs. Monitoring body temperature, pulse, respiration, and blood pressure every 10-15 minutes.
- Observe ECG monitoring for any arrhythmia.
- Record 24-hour intake and output.
1.2 To ensure the quality of care, duty nurses develop a care plan and strictly implement its content. Nurses must possess a higher level of professional knowledge and correctly understand electrocardiograms.
1.3 Pay attention to patient observation and psychological adjustment:
- 1.3.1 Psychological factors play an important role in the occurrence and prognosis of myocardial infarction, directly affecting treatment outcomes. Assign experienced nurses to care for patients, instilling trust and security, eliminating tension and fear by adjusting the patient's mentality, stabilizing thoughts, and improving the patient’s condition.
- 1.3.2 Inform families about the patient’s condition and interpret potential medical and nursing issues so that patients can cooperate with medical staff, ensuring smooth implementation of the treatment and nursing plan.
- 1.3.3 If conditions allow, frequently visit the ward, talk with patients, understand their psychological needs and respective actual situations, give encouragement and comfort. Try to avoid emotional fluctuations and limit visitors.
1.4 Prevent lung infections when the patient is relatively stable by helping them turn over, tapping their back, asking them to take deep breaths, cough to expel phlegm, and aerosolize if sputum is viscous.
1.5 Prevent constipation as most patients are not used to defecating in bed and are prone to constipation. Encourage patients to exercise in bed and establish regular defecation habits. If necessary, use laxatives, avoiding excessive straining or breath-holding which can increase the burden on the heart.
1.6 Other nursing care includes:
- 1.6.1 Oral care by assisting patients with brushing teeth in the morning and evening and using mouthwash after meals.
- 1.6.2 Dietary nursing care promoting a low-salt, low-fat, bland diet. Encourage eating more fresh fruits and vegetables, eat small portions more frequently, and avoid emotional eating.
- 1.6.3 Prevention of bedsores by massaging frequently pressed parts, regularly turning the body, and padding bony protrusions with cotton pads.
- 1.6.4 Rest by informing patients to pay more attention to rest, avoid fatigue, and engage in appropriate activities without affecting cardiac function.
In summary, nursing care for elderly patients with acute myocardial infarction is very important. In nursing, providing family-like care, trust, understanding the patient’s psychological changes, and eliminating any threats to the patient are essential. Accurate and skilled nursing operations, creating a good resting environment for patients, allowing them to rely on medical staff, enhance patient confidence in overcoming the disease, and facilitate a speedy recovery before discharge.
Mudanjiang Second People (157000) Emergency Nursing Experience in Severe Multiple Trauma
Abstract Objective: To study the emergency nursing process for severe multiple injuries.
Methods: A case analysis of 168 cases of severe multiple trauma emergency nursing care was conducted.
Results: Through scientific and standardized procedures, only 10 deaths occurred in the emergency room.
Conclusion: The emergency nursing process for severe multiple trauma should be regulated and skillful nursing operations implemented. Simultaneously, strengthen nurse training quality to hold the emergency gold 1H precious time for later treatment and prognosis, creating favorable conditions.
Keywords: Severe multiple injuries; emergency treatment; nursing CLC number: R472.2 document code: B article ID: 1671-8194 (2009): 17-0142-03
With the rapid development of modern industry and the rapid increase in motor vehicles, there has been a marked increase in the number of patients with severe multiple traumas in recent years. Severe multiple injuries are characterized by serious injuries, complexity, rapid changes, and high fatality rates. Delay can cause immediate death in patients. Emergency care in the field, during transfer, and in the hospital emergency room are particularly important. Timely and effective nursing care can reduce secondary damage from trauma severity, create favorable conditions for further specialist treatment, decrease mortality rates, and reduce disability rates.
Chongqing City Shapingba District Chen Jiaqiao Hospital Emergency Department, as a general hospital emergency department, is responsible for the emergency rescue of severe multiple trauma patients. From December 2006 to June 2009, 168 cases of severe multiple trauma patients were rescued, and the first aid nursing experience is summarized as follows.
1 Clinical Data: This group included 168 cases, 122 males, and 46 females, aged 7 to 82 years old, with an average age of 43 years. There were 64 traffic accident injuries, 76 fall injuries, 26 stab wounds, and 2 crush injuries.