Health Worlds

Prevention of acute renal failure, protect the heart, brain, kidney function of vital organs. Bleeding after the blood pressure, even shock, if not corrected in time, can affect the heart, brain, kidney function, such as shock, there may be no urine for a long time, and even renal failure. At this point should be the basis of the positive intravenous infusion of 20% mannitol 100 ml, urine output to less than 30 ml per hour. Treatment of bleeding ulcer is the active principle of conservative treatment, conservative medical treatment fails before considering surgery.
(1) in patients with absolute bed rest, try to allay their concerns and tension and has nothing to do with saving the inspection should be delayed for. Keep warm, if necessary, to head down to increase the brain's blood supply. Anxiety or irritability may be injected sedatives.(2) close observation of the disease, attention to blood pressure, pulse, respiration, body temperature, urine volume and the general situation. More bleeding in patients with blood pressure measurement once every 0.51 hours, every 46 hours check red blood cells, hemoglobin.
(3) low blood pressure or shock should be oxygen.
(4) hemorrhage during the general should not be fasting, the hunger for food can inhibit the contraction of the stomach the blood coagulation, followed can neutralize stomach acid, the supply of nutrition. A small amount of liquid diet should be given repeatedly, such as milk, soy milk, bowl of soup, broth and


so on. If nausea, vomiting, diet may be suspended until the vomiting stops, you can resume eating.
(5) to replenish blood volume, control shock. The indications for blood transfusion: systolic blood pressure less than 12kPa (90 mm Hg): pulse of 120 beats / min or more; 7 grams less hemoglobin; in shock signs. Volume of 300 ml of blood when the body can own the following compensation, generally do not have blood transfusion and infusion; bleeding in 300,600 ml, through the infusion to correct blood pressure, blood transfusion can not; blood loss of 600 ml or more blood volume to be added as soon as possible. Meet the above indications of blood transfusion, blood transfusion sooner rather than later. Blood transfusion according to the specific circumstances of the case, a 300 per 400 ml blood transfusion, such as hemoglobin-free pick-up can be re-transfusion. Blood transfusion can correct the shock, there improved hemostatic effect of hemoglobin.
(6) timely application of hemostatic therapy. Hemostatic measures except blood transfusion, there are applications hemostatic. Commonly used in a variety of hemostatic agents such as vitamin Kl, sensitive bleeding, bleeding and other aromatic acid, cyanide can also be a blind services, ranitidine, famotidine, omeprazole and other acid-suppressing injection to stop bleeding, oral or injection of thrombin clotting zymogen complex bleeding, could also Yunnanbaiyao other traditional Chinese medicine to stop bleeding oral, gastric lavage can be applied to other measures of ice brine.
(7) in the treatment of bleeding ulcer disease process, we must pay attention to check and deal with acidosis and water and electrolyte disturbance. After bleeding, serum potassium, serum sodium can lead to loss of electrolyte imbalance, but also easily lead to acidosis. Therefore, attention should be supplemented and corrected.
(8) to prevent acute renal failure, protect the heart, brain, kidney function of vital organs. Bleeding after the blood pressure, even shock, if not corrected in time, can affect the heart, brain, kidney function, such as shock, there may be no urine for a long time, and even renal failure. At this point should be the basis of the positive intravenous infusion of 20% mannitol 100 ml, urine output to less than 30 ml per hour.
(9) aggressive treatment of ulcer disease, primary prevention.
(10) if conservative treatment can not control the bleeding should be considered in surgical operations.
Tips: bleeding ulcer base because of ulcers caused by ruptured blood vessel is eroded. If the ulcer after the destruction of the capillary is often only a small amount of bleeding, patients may not have any feeling, and some changes in stool color are not obvious; if larger vessels are damaged, then the amount of bleeding is often large, can be expressed as hematemesis and melena, the patient will appear flustered at this time, weak, pale, and even shock and other symptoms. Gastric ulcer bleeding in general the posterior wall of the small bends or duodenum, due to a stomach gastric bend left and right arteries, followed by a splenic artery, gastroduodenal artery behind the duodenum and pancreas second refers to the intestinal artery, penetrating ulcers easily invaded and the last two arteries. Destruction of these arteries occurs when heavy bleeding, even fatal bleeding.[Editor: gogohuang]


Friends Links:Automation Control Blog
Automation Products Order Numbers