基护高频考点Keytohighfrequencytest.doc

基护高频考点(Key to high frequency test)
The high frequency test points face the sea.
1% ~ 2% of sodium bicarbonate can raisthe use of disinfection and intravenous humidification
Warm prompt: the temperature under different conditions are as follows: nasal feeding liquid is 38 ~ 40 °C, shampoo, bath water temperature on the bed, anal sitz bath for 40 ~ 45 °C, 50 ~ 52 °C warm water to clean bath, hot water bag is 60 ~ 70 °C
the good hair place of pressure sore
Supine position: occipital tuberosity, scapulae, tuberosity, elbow, foot heel, most often in the sacral tail
Lateral position: auricle, shoulder peak, rib, hip, inner and outer ankles of the knee, etc
Prone position: cheeks, auricle, shoulder peak, anterior superior iliac spine, costal margin protruding, knee front, toe, etc
Seating: occurs in the ischial tubercle
stages and clinical manifestations of sores (high frequency test points)
During the period of the red and ruddy period, the localized skin of the pressure is red, swollen, hot, numbness or tenderness, but there is no damage to the surface of the skin, which is a reversible change
Phase 2. Inflammatory infiltrates red parts continue to pressure, the circulation of the blood is still not improve, venous return, compression into purple skin, subcutaneous induration, skin blisters formation. Blisters are prone to breaking, showing moist, ruddy wounds, and the patient feels pain
3. Severe obstruction of venous blood flow in ulcerative stage, local blood clot formation, tissue ischemia and hypoxia. The superficial tissue infection, the pus flow out, the ulcer form; The necrosis tissue is black, and suppurative secretions are increased and stink
nursing of pressure sores (hf test points)
To remove the etiology in time, prevent local pressure and increase the number of turn and avoid the irritation of friction and humidity
Protect the skin from inflammatory infiltration period to avoid infection. In addition to strengthening the above measures, the u