摘要
目的探讨应对糖尿病伴心力衰竭患者使用5%葡萄糖溶液+血管扩张剂硝普钠+胰岛素泵入治疗时给予连接三通管新方法护理干预的作用及效果。方法对12例糖尿病伴心力衰竭患者进行三通管连接新输液方法,将原来硝普钠和胰岛素同时加入葡萄糖溶液内泵入输液方法改为将葡萄糖溶液内加入硝普钠;将胰岛素加入0.9%生理盐水中,用三通管连接两种药物同时泵入。当改变或停用硝普钠和胰岛素其中一种药物是,无需更换两种药物。结果改变以往因硝普钠泵入慢导致血糖调控困难,中途需要改变胰岛素用量时,重新更换两种药液给患者带来经济上的浪费。减轻硝普钠泵入时药物对血管的刺激,减少输液过程中针头堵塞的几率。结论 12例患者均达到随时根据病情分别调节胰岛素和硝普钠的泵入速度,不必重新两种药物一起更换,减轻经济支出的同时利于病情治疗,减少了因针头堵塞导致重新穿刺带来的痛苦。给临床治疗和护理带来方便,受到患者及家属的认可和好评。
Objectiveto study the response To the patients with heart failure with diabetes using 5% glucose solution ＋ vasodilator, sodium nitrate, insulin pump into the new ways to treat tee to give connection function and effect of nursing intervention. Methods 12 cases of patients with heart failure with diabetes for tee connection new infusion method, the original nitrate, sodium and insulin pump at the same time adding glucose solution into the infusion method instead of adding glucose solution, sodium nitrate;Adding insulin to 0.9% saline, with two drugs colleagues pumping tee connection. When change nitrate, sodium drug measurement or discontinued, sodium nitrate, only need to change, change or stop using a drug. If insulin measurement change or stop, also need to change or stop using a drug. Results the change in the past because of nitrate, sodium pump into the slow lead to blood sugar control difficult, midway need to change the dosage of insulin, to replace two kind of liquid medicine bring patients economic waste. Reduce nitrate, sodium pumps drugs to the stimulation of blood vessels, reduce the rate of infusion needle in the process of congestion. Conclusion12 patients achieved at any time according to the illness, regulate insulin and sodium nitrate tome and pumping speed, don＇t have to change the two drugs together, reduce the economic costs at the same time conducive to disease treatment, reduced to puncture the pain as a result of needle blocking. Brings to the clinical treatment and nursing is convenient, recognition and high praise by the patient and family.
出处
《糖尿病新世界》
2015年第10期83-84,共2页
Diabetes New World Magazine
关键词
三通管
糖尿病伴心力衰竭
硝普钠和胰岛素
泵入
输液
护理
Three way pipe
Diabetes with heart failure
Sodium nitroprusside and insulin
Pump
Infusion
Nursing
