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Patients after lung resection effective method of expectoration

When combined with your doctor to give intravenous fluids,[link widoczny dla zalogowanych], the amount of water in the 25oo a 3000ml / d (edema, heart failure exception). Add enough water to prevent airway drying, is conducive to dilute sputum, easy to cough up. ② used to reduce inhalation of sputum viscoelastic fluid, normal saline 20ral plus chymotrypsin 400,011, 80,000 U of gentamicin and dexamethasone for inhalation 5mg,[link widoczny dla zalogowanych], 3 times a day, every l5 ~ 20rain . Nurses should closely observe the patient after inhalation and expectoration of sputum viscoelasticity to improve the situation, if necessary, increase the number of aerosol inhalation. ③ the temperature of the oxygen and wet, we found that prolonged exposure to oxygen conventional wet, dry and prone to airway, mucus thickens, and even the formation of sputum airway obstruction, while weakness in the absorption of oxygen by heating 4O a 6o ℃ wet, wet in patients with inhalation to the airway, mucus purposes. 2.4 The forced expiratory technique and patient guidance of an effective cough expectoration: Patients were comfortable position, nurses guide patients with forced expiratory deep inspiration, and then relax with diaphragmatic breathing, repeated until the mucus eliminated. Lung resection, patients with forced expiratory technique guide, until the patient fully grasp. Especially after inhalation, sputum viscoelastic drop, combined with stand, knock back and other pulmonary physical therapy, so attached to the wall in the small bronchial sputum loose, the implementation of forced expiratory technique, will cough up sputum. 2.5 Breathing Exercises guide patients: preoperative patients started teaching calls 5d Article ID :1006-6233 (2006) 03-0279-02 suction Exercises, including ① abdominal breathing: Patients were supine, place one hand in the chest, one hand placed on the abdomen, chest, remain intact as far as possible, exhale a little with the beat the abdomen, the abdomen as far as possible retraction, inspiratory pressure of the hand against the abdomen swelled, with attention to deep breathing with nasal inspiratory , a 28 l breath, exhale shrinking lips, as slow as the whistling breath 4-68, inspiratory and expiratory time ratio of l: 2; ② diaphragmatic breathing: the nurse put his hands under the costal arch in patients with abdominal while Zhu Huanzhe nasal breathing, swelling out from the abdomen when inhaling, withstood nurses hands, breath-hold 1 ~ 2s to make the alveolar fully open, Zhu Huanzhe mouth slowly exhale breath. Guidance above methods were completed by nurses, patients should be repeated after the control exercise, 3 times a day, every movement exercises 10min / times. 3 Results of lung resection in patients with varying degrees of difficulty in expectoration, through our implementation of effective nursing intervention were sputum expectoration well, the whole bundle of pneumonia patients were complications such as atelectasis, all cured. 4 Discussion effective expectoration is critical care after lung resection. Inhalation is commonly used wet airway mucus, reduce sputum viscoelasticity of care measures, but the use of aerosolized agents to reduce sputum viscoelasticity of different effects of a difference. Studies have shown that application of saline plus chymotrypsin and gentamicin, dexamethasone can produce a better role in reducing sputum viscoelasticity of lung resection as the preferred liquid over several inhalation solution. ... Patients with lung resection of airway ciliary beat frequency slow down,[link widoczny dla zalogowanych], respiratory muscle function, and reduced lung volume and lung capacity and other factors, resulting in impaired clearance of airway cilia. Forced expiratory technique is a chest physiotherapy and cough the same treatments,[link widoczny dla zalogowanych], so that the chest transmural pressure and airway pressure on smaller diameter, the local air velocity increases, at the beginning of the 0.1s to generate high shear rate to help clear the airway cilia. Patients with breathing exercises can enhance physical strength and activity, improve breathing efficiency, and promote expectoration.
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