Infusion reaction and treatment.
1.Fever reaction
Treatment.
①Infusion utensils are well treated to remove pyrogens.
②Slow down the infusion rate or stop the infusion and notify the doctor of the treatment.
③Give physical cooling to the hyperthermic patient, and if necessary, give anti-allergy drugs or hormone treatment. Chen Hongwei, Department of Neurosurgery, Aviation General Hospital of China Medical University
④Keep the remaining solution and the infusion rubber tube to send to the laboratory for bacterial culture.
2.Circulatory overload (pulmonary edema)
Treatment.
①Stop the infusion immediately and notify the doctor for treatment.
②Patients take a sitting position with legs down to reduce venous reflux and heart burden.
③Oxygen is administered under pressure to increase the intra-alveolar pressure and reduce the production of capillary leakage fluid in the alveoli. At the same time, oxygen is inhaled after being wetted with 20-30% alcohol, which can reduce the surface tension of alveolar foam, make the foam rupture and dissipate, improve lung gas exchange, and rapidly reduce hypoxia.
⑤ Administer sedatives and anti-vascular drugs and cardiac stimulants such as maundyne as prescribed by the doctor.
3.Phlebitis
Treatment.
① Strictly implement aseptic operation, avoid the overflow of drugs irritating to blood vessels outside the medical education|education network, and change the injection site in a planned manner.
② elevate the affected limb, local use 95% alcohol or 50% magnesium sulfate line hot wet compress.
③Ultra-short wave physiotherapy.
④If combined with infection, according to medical advice to antibiotic treatment.
4.Air embolism
Treatment.
①Let the patient lie on the left side immediately to facilitate the gas floating to the left ventricular apex and avoid blocking the pulmonary artery entrance.
②Oxygen inhalation.
③When pressurized infusion and blood transfusion, observe closely and the nurse should not leave the ward.