[The,Pulmonary,Embolism,Nursing,Intervention,Implementation] The
Abstract: Objective: Explore the pulmonary embolism nursing intervention implementation.The evaluation of the overall nursing applied to the effect of patients with pulmonary embolism. Methods: A retrospective analysis the data of the nine cases who with pulmonary embolism in our hospital from January 2010 to May 2012, to assess the overall nursing experience. During the period, nurses do a sound basis for nursing, and strengthen the observation close monitoring of adverse reaction and well before discharge health guidance. Results: through the timely diagnosis, standard treatment and careful nursing on a patient of holistic nursing intervention, thus, reducing the recurrence of pulmonary embolism, to promote the rehabilitation of patients with pulmonary embolism, and effectively reduce mortality. Conclusion: The application of the overall care for patients with pulmonary thromboembolism to provide quality care services, reduce the incidence of acute pulmonary thromboembolism, improve the quality of care and patient satisfaction. Effectively improve patients"" quality of life.
Key words: Pulmonary embolism; Nursing intervention
Pulmonary embolism (PE) is a blockage of the main artery of the lung or one of its branches by a substance that has travelled from elsewhere in the body through the bloodstream (embolism). Usually this is due to embolism of a thrombus (blood clot) from the deep veins in the legs, a process termed venous thromboembolism. A small proportion is due to the embolization of air, fat, talc in drugs of intravenous drug abusers or amniotic fluid. The obstruction of the blood flow through the lungs and the resultant pressure on the right ventricle of the heart leads to the symptoms and signs of PE. Pulmonary embolism with a variety of clinical manifestations, the light may be asymptomatic, showed severe hypotension, and even sudden death. Common clinical symptoms of difficulty breathing, chest pain, hemoptysis, syncope, they can occur alone or jointly performance. Clinical nursing improper recurrent disease or lead to complications and death, it should cause a high degree of attention from the clinical nurses. Now retrospect in our hospital pulmonary embolism disease nursing experience,reported as follows:
1 Material
In January 2010 to May 2012,our department has treated nine cases of pulmonary embolism in patients, including 7 males and 2 females, age 54 to 82 years, average 68 years old. Among them being bedridden for five cases, myocardial infarction, two cases of atrial fibrillation in two cases, patients have unexplained symptoms of difficulty breathing, chest pain, hemoptysis, syncope, blood gas analysis showed severe hypoxemia, D-dimerizationbodies were positive, the ECG showed T wave changes. Respectively assigned to a overall nursing intervention, eight cases were discharged, 1 patient died.