Care of maintenance hemodialysis patients with severe subcutaneous hematoma（照顾维护血液透析患者严重的皮下血肿）.doc

Care of maintenance hemodialysis patients with severe subcutaneous hematoma Vascular access is the “lifeline” of the hemodialysis patients deal with in a timely manner to subcutaneous hematoma, fistula obstruction and infection can cause serious complications, increase in pain to the patient due to all causes, but in the dialysis department in March 2010 treated 1 case of maintenance hemodialysis patients with severe subcutaneous hematoma occurred, by using ice NOx Powder for the cure, now nursing report is as follows. 1 The clinical data Patients 65 years of age, serum creatinine increased to five years for “maintenance hemodialysis for three years, left upper arm hematoma in four days’ admission. Activities puncture in hemodialysis patients five days ago after the arm, causing the dislocation of the needle caused by subcutaneous hematoma. Division into the burning sensation of the left upper arm large areas stasis swelling, touch, pain refused to press, the skin was purple, the congestion area of #8203;#8203;approximately 6cm x 10cm, the swelling ecchymosis machine of the formation of lumps, lumps area of #8203;#8203;4cm x 7cm . 2 care 2.1 Care guidance in patients with eating high-protein, vitamin-rich foods, and promote tissue repair. Introduce the cases of treatment success, to eliminate the concerns of patients, to alleviate the psychological pressure. Patient supine Taigaohuanzhi, keep warm, and enhance blood circulation, which will help hematoma absorption and dissipation. 2.2 nitrate in ice scattered wet dressing to take the Glauber’s salt 30g, borneol 10g and put it into the bag of homemade TCM herbs, soaked with cold water to drip appropriate, spreads in the body bleeding swelling at, and then the heat about 50 ℃ overlying water towel on external use plastic wrap to keep moist. treated six times daily, until the congestion lumps dissipated. the patient ice nitrate scattered wet compress after 3 days, skin, do not touch the hot,