电大毕业论文门诊小儿高热惊厥的急救及护理（emergency treatment and nursing care of children with high fever convulsion in tv university graduation clinic）

电大毕业论文门诊小儿高热惊厥的急救及护理（EMERGENCYTREATMENTANDNURSINGCAREOFCHILDRENWITHHIGHFEVERCONVULSIONINTVUNIVERSITYGRADUATIONCLINIC）EMERGENCYTREATMENTANDNURSINGCAREOFCHILDRENWITHHIGHFEVERCONVULSIONINTVUNIVERSITYGRADUATIONCLINICABSTRACTOBJECTIVETOMASTERTHECORRECTNURSINGSTRATEGYFORCHILDRENWITHHIGHFEVERCONVULSION,SOASTOIMPROVETHECURERATE,REDUCECOMPLICATIONSANDREDUCECRANIOCEREBRALINJURYMETHODSWEREVIEWEDTHEEXPERIENCEOF30CASESOFHIGHFEVERCONVULSIONINOUTPATIENTCLINICANDINFUSIONCOURSEINTHEPASTTWOYEARSRESULTSTHETREATMENTANDNURSINGOF30CHILDRENWITHHIGHFEVERCONVULSIONWEREIMPROVEDINTIME,SHOCK,RESPIRATORYTRACTPATENCY,OXYGENABSORPTION,COOLING,FLUIDREPLACEMENT,ANDMAINTENANCEOFWATERELECTROLYTEBALANCECONCLUSIONPROMPTANDTIMELYCONTROLOFCONVULSION,KEEPINGTHEAIRWAYCLEARANDCOOLING,ANDMAINTAININGTHEBALANCEOFWATERANDMASSARETHEKEYSTOTHETREATMENTOFHIGHFEVERCONVULSIONINCHILDRENKEYWORDSKEYWORDSCHILDRENHIGHFEVERCONVULSIONNURSING10086455201202023901CONVULSIONSCOMMONLYKNOWNASCONVULSIONS,REFERSTOTHEGENERALORLOCALSKELETALMUSCLEGROUPSUDDENLYOCCURINVOLUNTARYCONTRACTION,OFTENACCOMPANIEDBYCONSCIOUSNESSDISORDERSITISTHEMOSTCOMMONEMERGENCYININFANTS,RANGINGINAGEFROM6MONTHSTO6YEARS,ANDRISESTO39INTHEEARLYSTAGESOFFEVERWITHIN612HOURSSEIZURESOCCURATC,WITHSHORTEPISODES,MOSTOFTHEMRANGINGFROMTENSOFSECONDSTOMINUTES,RARELYEXCEEDINGTENMINUTESMANIFESTEDASSUDDENATTACK,BINOCULARGAZE,STRABISMUSORUPTURNED,ACCOMPANIEDBYVARYINGDEGREESOFCONSCIOUSNESSCHANGE,INCONTINENCE,COMAAFTERATTACKNOWOURDEPARTMENTNEARLY2YEARSINOUTPATIENTSERVICEANDINFUSIONPROCESSAPPEARIN30CASESOFHIGHFEVERCONVULSIONCHILDRENRESCUEANDNURSINGCAREEXPERIENCEREPORTASFOLLOWS1GENERALINFORMATIONTHROUGHTHEPAST2YEARS,OURDEPARTMENTFORTREATMENTOF30CASESOFCHILDRENWITHHIGHFEVERCONVULSIONS,INCLUDING20MEN,10WOMEN,THEMAXIMUM6YEARSOLD,MINIMUM9MONTHS,THEDIAGNOSISOFRESPIRATORYTRACTINFECTIONIN20CASES,BRONCHIALPNEUMONIAIN10CASES,BODYTEMPERATUREIN3940C,AFTERRESCUE,NURSING,SYMPTOMRELIEF,EVACUATIONHOSPITAL,ONETREATMENT,THEWHOLEHOSPITALDISCHARGE2FIRSTAIDANDNURSING21TOMAINTAINAIRWAYPATENCYDURINGSEIZURE,LOCALRESCUE,LATERALDECUBITUSORSUPINEPOSITION,HEADTOONESIDE,LOOSENBUTTONED,TIMELYREMOVALOFTHEMOUTHTHENASALPHARYNXSECRETIONTHERE,GLOSSOCOMABYGENTLYPULLTONGUEFORCEPS22QUICKCHECKSURPRISEDPEOPLEANNIMMEDIATELYPRESSINGHEGUACUPOINTSTRONGSTIMULATION,ACCURATEANDTIMELYACCORDINGTOTHEPRESCRIBEDINTRAVENOUSINJECTIONOFDIAZEPAM0305MG/KGMAXIMUMDOSEOF10MGEFFECTWITHIN5MINUTES,BUTTHESHORTACTIONTIME,ANDINTRAMUSCULARINJECTIONOFPHENOBARBITAL23OXYGENOXYGENCANRAPIDLYIMPROVEHYPOXIAANDBRAINDAMAGE,WITHNASALOXYGENTUBE,FLOWTHEBABYIS05L/MIN,10L/MINFORPRESCHOOLCHILDREN,CHILDRENREFUSEDTOUSENASALTUBEAVAILABLEMASKSTOOXYGEN,USUALLY13/MIN24,PREVENTIONOFTRAUMAWHENSEIZURES,GAUZEPLACEDINTHEHANDSOFCHILDREN,ARMPIT,PREVENTSKINFRICTIONDAMAGE,INTHELONGTEETHBETWEENCHILDREN,UPPERANDLOWERMOLARTEETHBETWEENTHEPAD,TOPREVENTTONGUEBITESTRISMUS,DONOTFORCEOPEN,INORDERTOAVOIDTHEDAMAGEOFTHETEETH,THEBEDSIDEBEDSTALLSTOPREVENTFALLINGOUTOFBEDANDBRUISEDDONOTFORCETHECHILDRENTOPULLTHELIMB,SOASNOTTOFRACTUREORDISLOCATIONTHEFREQUENTCONVULSIONSSHOULDCARE,REDUCEUNNECESSARYSTIMULATION,INDOORLIGHTSHOULDBEDARKANDQUIETTHETREATMENTANDNURSINGWORKISCENTRALIZEDANDTHEMOVEMENTSAREGENTLEANDACCURATE225COOLDOWNQUIETANDCOMFORTABLEENVIRONMENTROOMTEMPERATURE2224C,RELATIVEHUMIDITY5060TORYANFORINTRAMUSCULARINJECTION,ATTHESAMETIMETOGIVEPHYSICALCOOLING,WARMWATERBATH,ALCOHOLBATHDISABLEDCHILDREN,SOTHATHIGHFEVERASSOONASPOSSIBLETOCONVULSIONSBELOWTHEVALVE,PROTECTBRAINCELLS,SOTHATOXYGENCANBEIMPROVED26RAPIDESTABLISHMENTOFVENOUSCHANNELSTHEESTABLISHMENTOFVENOUSACCESSTOENSURETIMELYANDCORRECTMEDICATION,ANDMAINTAINWATERELECTROLYTEBALANCETHECONTINUOUSANDFREQUENTSEIZURESWITH20MANNITOL,IN30MININFUSION,TOPREVENTEXTRAVASATION27CLOSEOBSERVATIONOFCHANGESCLOSEOBSERVATIONOFCHANGESINBODYTEMPERATURE,PULSE,RESPIRATION,BLOODPRESSUREANDPUPIL,MEASUREDONCEEVERY30MINUTES,DURATION,INTERVALTIME,DETAILEDRECORDSOFCONVULSIVESEIZURETYPE,THEDEGREEOFSYMPTOMANDAFTERCESSATIONOFCONSCIOUSNESS28,STRENGTHENBASICCAREDOORALCAREANDDIETCARE,ENCOURAGECHILDRENTODRINKPLENTYOFWATER,CHANGECLOTHESANDDIAPERSINTIME29,DOPSYCHOLOGICALCARECHILDRENWITHSUDDENCONVULSIONS,PARENTSAREOFTENVERYANXIOUS,PANIC,MEDICALSTAFFSHOULDCOMFORTTHEIRFAMILIES,PARENTSTOINTRODUCETHEDISEASERELATEDKNOWLEDGE,SOTHATTHEIREASEOFTREATMENT210HEALTHEDUCATIONOFCHILDRENWITHFEBRILECONVULSIONRECURRENCERATEWAS35TOGUIDEPARENTSTOPREPAREEMERGENCYITEMS,SUCHASTHERMOMETERS,SPATULA,ANTIPYRETIC,ANTICONVULSIONMEDICINEFOREXAMPLE,THEBODYTEMPERATUREISOVER38WHENC,GIVETHEANTIPYRETICINTIME,USEWARMWATERTOWIPEBATHORALCOHOLBATHSUCHASTHEOCCURRENCEOFSEIZURESTIMELYRELEASEBUTTON,PLACEDINTHESUPINEPOSITION,HEADTOONESIDE,THEPRESSUREORHEGUUSUALLYEXERCISETOENHANCEPHYSICALFITNESSINCHILDREN,ACCORDINGTOTHEWEATHERCHANGES,TIMELYCHANGEOFCLOTHING,THEEPIDEMICSEASONTOAVOIDCROWDEDPUBLICPLACESDISCUSSION3CHILDRENWITHFEBRILESEIZURESANDSUDDENSEVERESYMPTOMS,HIGHRECURRENCERATENURSESSHOULDHAVEASTRONGSENSEOFRESPONSIBILITYANDSOLIDPROFESSIONALKNOWLEDGEANDLOVE,CLOSEOBSERVATIONOFCONVULSIONINCHILDRENWITHTHEDISEASECHANGE