Chronic Bronchitis

Usually refers to the year of sustained coughing for more than 3 months, has been consecutively in two years, and chronic bronchitis. More patients over the age of 50. Most of the slow onset, a number of bubble-shaped present phlegm, in the early morning, evening and the cold season when more. Chronic Cough Buyu, and often can lead to complicated by emphysema and asthma, dyspnea, not supine, chest tightness, lips and limbs, the end of cyanosis.

Nursing points

◆ fever, shortness of breath, cough drama, told its proper bed rest. Smoking patients to quit smoking, to avoid dust and harmful gases.

◆ winter on wearing masks and scarves to prevent cold air stimulate and common cold.

◆ Tanche help poor patients and expectoration Reiner. Encourage patients cough, care-givers simply tapping his chest, back, the sputum movement; advised patients to drink water, so that sputum dilution; aerosol can tracheal secretions wetlands, easy Kachu. Simple household aerosol devices can be used in a Cup insulation heaped with hot water, a cup at the site of inverted funnel, let Rezhengqi small leakage from the bottom of the funnel, to escape, the patients inhaled slowly, but attention should be paid to prevent scalding.

◆ means to encourage patients to participate in physical exercise, to enhance immunity and the ability to take the initiative from the expectoration.

◆ long expectoration lot more to protein consumption, to give to protein, high-calorie, multi-vitamins, Yixiaohua drink shop, the control of salt and avoid irritating foods.

◆ if patients have significant shortness of breath, and cyanosis, and even drowsiness phenomenon should be taken into account there is a change in condition, it is necessary to quickly taken to the hospital.

Asthmatic children on the correct care

Child asthma prevention and treatment is mainly to the “four back” as early as possible discovery, early diagnosis and treatment, early prevention. Approximately 70 children with asthma before the age of 3 per cent in the onset, of which 50% in the first year after birth within breathing symptoms. Most of adult onset asthma in childhood, because it was not reasonable treatment, the recurrent disease, caused by the protracted Buyu. Therefore, the prevention and treatment of asthma early detection. Second is to early diagnosis, infant breathing once symptoms appear, early diagnosis to the hospital, in order to give reasonable, and is
Do treatment. Prevention is the home care children with asthma problems.

Asthmatic children home care is a very deep knowledge. Care properly, on the resumption of the disease faster, or even cure, and care properly, will lead to illness or disease recurrence increase. How like to be a law? Experts suggested that the parents of the children must first establish a “medical records,” and through careful observation, the child asthma attack every time, location, severity and incidence day weather changes, such as the surrounding environment record, pay attention to the children at that time emotional, had any contacts with the chemical substances, whether or severe fatigue, as well as other special events, thereby gradually accumulate experience in order to identify and asthma-related factors, and take measures to be avoided. The second is for the children to create a good living environment, as far as possible, to avoid contact with allergens. Babies are specific physical contact allergens. Belong to specific physical contact allergen babies sooner, the longer, the incidence may be as early as both again. Room to clean up, ventilation and no-smoking; furniture do not put too early; not as fur, cotton, made of feather bedding, etc.; table, the dust under the bed, etc. should be cleaned regularly; home from the cat to grow into, dogs, rabbits, and other animals; pollen dust in the season, to reduce outdoor activities in the children’s lives not to place display paints, chemicals, gasoline, a strong smell of cosmetics; not face in front of the children shaking bag to beat the dust, demolition such as sweaters. Another is to pay attention to lifestyle. Milk, eggs, soybeans is easily cause of allergic asthma in children’s food, once found a certain food can trigger asthma, we should immediately stop eating and other food-allergic reactions are caused fish, shrimp, crab, onions, leek, etc. , we must eat or do not eat. However, high-protein food fasting not conducive to long-term growth and development of children, as the majority of food allergies can be 2 to 3 years, deduction gradually disappear, so that children allergic to certain foods, Tingyi 6-12 months, could also be Try eating again, if not allergic to not fasting. To cultivate the time sleeping, eating, defecation habits. Not too sweet preferable, Guoxian food.

In addition, children with asthma are often threatened before, such as continuous sneezing, streaming tears, irritable, sleepiness, such as accelerated respiration. Parents should carefully observe, control asthma attack before the performance, so that timely treatment to prevent the onset of asthma physical harm.

In addition, the method can also be used massage, Tuirou Okay, rub days sudden, rubbing Mount Xianjin, kneading Feishu have to stay down the gas Huatan antiasthmatic effects.

Bronchial asthma psychological care

1, admission psychological care

Newly admitted patients, and the illness was serious, sit breathing, sweating the hill, feeling tense mood irritability. At the same time we had the treatment, patients should be concerned about caring attitude affable, patiently explained, gentle movements, skilled operation, to minimize the burden on the patient thinking. Just hospitalized patients, hesitates to do so, worried that the treatment ineffective, fear of inspection operations, and the citizens who are not good environment, further arouse the spirit bear
Zhang and feeling uneasy, at a time when we should be careful observation, one by one explained that the lifting of their ideological concerns, and help patients understand the ward environment, the state has somewhat alleviated when asthma, it is necessary to ask the reasons for the attack patients, helping them unpleasant psychological factor.

2, inpatient mental care

This is an important stage of psychological care. Such patients generally stay longer, and with health care workers overnight. We can always found that the patient’s condition changes. During the hospitalization of the mental state of asthma include the following: When can quickly ease the symptoms of asthma, treatment of patients often lose confidence, emotional low and negative. Furthermore patients according to their own experience, whenever an asthma attack, first nervous, then fear is focused on the incidence, morbidity caused so often. Therefore, many patients every night or at noon in asthma attacks. Secondly, some hospitalized patients because of lack of, understanding the role of a number of medicines and adverse reactions, and not medication on time. In view of the above circumstances, find out the status of each patient’s thinking, increase inspections of such patients often continue to approach them, and patiently and carefully explain. Because of the spirit of the cause of asthma patients, we should help them to divert attention, and they talk. Of the drug, the patient should be on the pharmacological action of drugs, and persuade them to drink on time.

3, psychological care when discharged

We should attach importance to patients discharged after the missionary work, guiding patients to develop a reasonable living habits to reduce the number of attacks. ① avoid contact with allergens such as pollen, dust, garlic, milk, fish, shrimp, etc.. Particularly known cause of asthma drugs and should avoid contact with food. ② strengthening exercise, in the circumstances permit conditions, appropriate activities, get up early to fresh air environment to do gymnastics, practicing qigong, voluntary organizations take part in some collective activities. ③ life of a law, to get up on time to sleep, not smoking, alcoholism, early cold water erosion, the influenza epidemic period, and other public places to avoid.

To the above link will enable the patient to maintain good mental state and enhance physical fitness, thereby reducing the frequency of asthma attacks.

Winter family care of children asthma

1, the understanding of asthma induced factors and Threatened: common incentives are: upper respiratory infections, allergies, or stimulate the physical and chemical factors; spirit of factors such as emotional fluctuations, conditioned reflex; and climate change, vigorous exercise, smoking and taking certain , and other drugs such as propranolol. Often before the onset allergic reaction such as nasal mucosa, eyelid itching, sneezing, runny nose, dry cough and other symptoms omen.

2, psychological care: mother-to raise awareness of asthma, not too doting children, asthma should not also do not meet their requirements and the rationale. Elimination of child psychology of fear. Encourage children in the control of disease symptoms protagonists in the process, to understand the occurrence of the disease, development and prognosis, and maintain a happy mood, confidence in conquering disease, asthma treatment reasonable, and adequate and effective.

3, diet guide: asthma infant diet to light, nutrient-rich, and avoid eating foods that are fattier, Guoxian, such as stimulating strong spicy food, eat more fruits and vegetables.

4, the proper use of inhalants: At the beginning of the suction exhaust inhalation mouth, and then deep inspiratory, school-age children can be imported directly to the inhalation of aerosol sprays, after inhalation to mouthwash to reduce the pharyngeal stimulation, prevent infection, and drug overdose.

5, room management: A, easy to clean indoor furniture. B, not linked to indoor tapestry, a scroll, do not use carpet. C, as far as possible with a new production of cotton quilts and mattresses, avoid using Simian, fur, feather bedding or do Zhenxin materials. D, not indoor cat to grow into, dogs, birds and other small animals. E, pay attention to maintaining indoor sunlight and ventilation, regular daily ventilation. F, indoor avoiding smoking, pesticides, cosmetics, odor Camphor Ball, which are volatile items, avoid strong smell flowers. G, cleaning with damp cloth to wipe.

6, asthma nursing care: asthma attack to calm parents, the parents will add to the anxiety in children the spirit of burden and make the illness increase. Let sick child to do abdominal deep breathing, according to the history of drug use, as appropriate, but it is necessary to strictly control dosage, usage, indications and contraindications. Half of children admitted to lying to the sick child massage intercostal muscle, pushing rubbing his chest, please shoot back, guiding sick child feel comfortable so far. Encourage drinking water to prevent dry guitar sputum difficult Gaichu. Not eating reluctantly, if not to eat over-eating, and Jishi may trigger asthma food such as fish, shrimps and prawns. If necessary, sent for medical treatment.