Nursing care of 25-G transconjunctival sutureless minimally invasive vitrectomy

Momentum and movement. After the exercise volume is determined, the general situation should not be changed arbitrarily. If a large amount of exercise is performed, the amount of food should be increased or the amount of hypoglycemic agent should be appropriately reduced before exercise. Elderly diabetic patients should pay attention to the temporary hypoglycemia caused by oral hypoglycemic agents or insulin injections.

Momentum and movement. After the exercise volume is determined, the general situation should not be changed arbitrarily. If a large amount of exercise is performed, the amount of food should be increased or the amount of hypoglycemic agent should be appropriately reduced before exercise. Elderly patients with diabetes should pay attention to the temporary hypoglycemia caused by oral hypoglycemic agents or insulin injections. Therefore, exercise should be selected from 1 to 151 after meals. When carrying out activities, you should carry sugary foods with you in case of hypoglycemia.

334 drug treatment precautions Because elderly patients with diabetes are complicated or accompanied by many other diseases, they must pay attention to the interaction and interference with other diseases when taking drugs, and master drugs that can enhance hypoglycemia: allopurinol, sulfa drugs, Butaloxone, salicylic acid preparation, (3 - adrenergic antagonist, etc.) drugs that can inhibit hypoglycemia: corticosteroids, diuretic acid, furosemide, adrenaline and the like.

335 instruct patients to identify the symptoms of hypoglycemia and master the first-aid methods Common symptoms of hypoglycemia are palpitations, sweating, fatigue, pale, hunger, severe irritability, unresponsiveness, blurred vision, lethargy, and even coma which performed.

First-aid method: Immediately, the conscious person will take oral carbohydrates such as sugar water and fruit juice, which are easily absorbed by sugar, and if necessary, intravenously inject 50% glucose and closely monitor blood sugar.

Li Yibai. Clinical analysis of 32 elderly patients with hypoglycemia misdiagnosed as cerebrovascular disease. The visual acuity of the patients in this group was improved to different extents. There were no obvious eyelids and conjunctival edema and congestion. The intraocular inflammation was lighter and recovered quickly. No postoperative complications were found. We believe that correct psychological care before surgery, close observation of changes in the condition, correct postural care, health guidance and discharge guidance provide a guarantee for the success of minimally invasive vitrectomy.

Tao Hai, Wu Haiyang, Hou Baojie, and so on. Preliminary report on clinical application of 25-G transconjunctival seamless vitrectomy system J. Chinese Journal of Fundus Diseases, 200420 (3) 139 Huang Cuiping. Nursing of 88 patients with vitrectomy J. Liberation Army Nursing Journal, (Editor: Chen Xiaoying) Nursing care for patients with diabetes mellitus Zuo Siqin (Department of Burn and Plastic Surgery, Jiangsu Subei People's Hospital, Yangzhou 225001, China), poor healing ability, etc. Unfavorable factors; comprehensive care for 16 patients with diabetes during burn treatment. Results 13 cases were treated with conservative treatment and 3 cases were cured. The effective control measures for strict control of blood sugar and infection during the treatment period were 2 weeks. The blood sugar control was at 812mmlL. It is the basis for preventing infection, promoting early wound healing and whole-course treatment. (hot) injuries are rarely seen clinically, mostly elderly patients. Due to long-term skin microvascular and peripheral neuropathy in pre-injury diabetic patients, skin dystrophy, decreased immune function, increased sugar content in wound exudate after burn stress, and the chance of burn wound infection is earlier than that of normal burn wound infection. serious. From January 1998 to June 2005, our department strictly controlled blood sugar, prevent infection and comprehensive nursing measures for 16 such patients, which effectively improved the clinical treatment and nursing effect. The nursing experience is reported as follows: 1 clinical data Yan-16 cases 5 years old 2 cases, 60-72 years old 14 cases; this group had a history of diabetes 5-16 years before injury; 2h postprandial blood glucose 11-18mol / L cause of injury There were 14 cases of hot fluid burns, including 8 cases of hot water bag burns, 6 cases of boiling water burns, 2 cases of flame burns, and burns: lower abdomen. 7 cases of perineum, face. 4 cases of chest and back and upper limbs, 5 cases of lower limbs; depth of burn: 9 cases of shallow U degree, 4 cases of deep U degree, 3 cases of 111 degree; burn area: 1%), female, Yangzhou, Jiangsu, chief nurse, undergraduate, Mainly from the burn plastic care female 4*7 Shi Yu ml oil incident burn care management work reserved

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