Ascites reinfusion law point of care
Ascites containing protein and other nutrients, can reduce the ascites reinfusion with the loss of nutrients, reducing symptoms in patients with abdominal distension advantages.
This method is easy, but pay no attention is also apt to cause a series of complications such as infection, DIC, disturbance of consciousness, and even life-threatening, so pay special attention to care.
First of all, for psychological care
Many patients are afraid of this law, fear of adverse consequences. Some patients accept pumping ascites due to abdominal distension can directly alleviate the pain, but right back to lose there is concern that the transfusion would lead to abdominal distension.
In response to these circumstances, their families and nurses should patiently explain to the patient’s work, to actively cooperate with the treatment.
Second, the drainage in the process of care should pay attention to prevention of infection, etc.
Maintain the ascites are not pollution is to reduce adverse reactions after transfusion is an important measure. At the same time the smooth drainage of ascites or not a direct impact on the next step back to lose.
Before the operation, operating room tables and chairs, ground, air must be disinfected. Strict implementation of the process of aseptic operation, so that no pyrogen.
In the drainage process of close observation of changes in vital signs, if any accident, an immediate end to tackle them promptly.
A large number of ascites, Graded carried out a drainage up to no more than 5000ml, to avoid hypovolemic shock, complications such as hepatic coma.
Again, to prevent complications before they occur, will be good measures.
The occurrence of hepatic coma and ascites drainage volume too much more relevant, so drainage should not be too much time, and the drainage process to observe the patient’s awareness of change.
Once high blood pressure, tachycardia should be controlled in time and return back to the input speed of the input volume, and to give oxygen and so on.
Note that the amount of reinfusion not too much, too fast, 24h up to a maximum of not more than 5000ml, Disu no more than 80 drops / min, and in return, when the input to a 2000ml about to give intravenous infusion furosemide 40mg, increased urine output.
Back to the input at any time measurement of blood pressure, pulse, heart rate, breathing, as well as observe the patient’s lips and so on whether or cyanosis.
Asked in detail about patient’s symptoms, if any exception timely processing.
In addition, the back to lose too much too fast could easily cause a sharp rise in portal pressure would lead to rupture of esophageal varices and bleeding, should observe.
Disseminated intravascular coagulation (DIC) for the reinfusion of the most serious complications. Should be lost in the back to observe the patient’s skin and mucous membrane whether purpura, ecchymosis, hematoma, injection site bleeding such as whether the event can be low molecular weight dextran and heparin infusion, oral dipyridamole therapy.
If 1000ml ascites 10mg adding heparin to prevent DIC can occur, but after adding heparin must be monitored closely in patients with bleeding tendency.
When the hot weather, you can buy bottles of ascites retention ice bucket, the prevention of ascites deterioration, reducing post-transfusion adverse events.
Strict inspection before reinfusion of ascites due to infection of ascites high levels of endotoxin could easily cause endotoxin shock.
Ascites containing protein and other nutrients, can reduce the ascites reinfusion with the loss of nutrients, reducing symptoms in patients with abdominal distension advantages.
This method is easy, but pay no attention is also apt to cause a series of complications such as infection, DIC, disturbance of consciousness, and even life-threatening, so pay special attention to care.