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360 cases of neonatal jaundice blue light therapy care

Horizontal ventilation should pay attention to your nose and mouth to prevent choking. Double therapy may not stand up, but should observe the bone protrusion and partial pressure conditions. 2.3 During the life of all nursing care and operation of light therapy should be centralized in the box, open the door as little as possible; timely adjust the ventilation ring tension, to keep warm; breast-feeding and care of hand washing with soap before and after. 2.3.1 reasonable feeding: light therapy should ensure that water and nutrients during the supply-demand adjustment of feeding patterns nurses to ensure the milk intake. After feeding for children side, around the same time nurses to patients, anti-aspiration caused by suffocation. Children to supplement the body of water is lost due to blue light, to prevent electrolyte imbalance, feeding in the 2 1 between the fed water, summer, children crying a lot because of the need to prevent dehydration caused by sweating, fever,[link widoczny dla zalogowanych], and acidosis. For children who can not be oral, intravenous rehydration by your doctor. 2.3.2 Skin Care: light therapy may be due to overheating during the period, bile, or exposure to ultraviolet decomposition products, and skin rash or blood spots there, so need to do skin care, observe the children at any time with or without wet diapers and stool contamination timely replacement of the hip with warm water and perineal skin, and keep air fresh and to keep children with the skin clean and dry, cut to the children who painted powder and oil, so as not to affect the optical effect of fruit to observe whether the damaged skin, but do Good umbilical care, prevention of skin infections. 2.3.3 step up inspections to prevent the goggles fall off or loose diapers, particularly large age children; attention to the local infusion site skin conditions, there is the phenomenon of extravasation or needle slip to the timely replacement of the injection site. 2.4.1 Effect of 2.4 observed disease: close observation and record body temperature, heart rate, respiration, and whether the bleeding tendency, jaundice attention to location, extent and change. Before and after light therapy attention to monitoring the process of change in bilirubin in the blood to determine efficacy. Children should also observe the color of skin, sclera change, to help doctors understand the time in children with jaundice, timely adjustment of treatment. 2.4.2 Complications of observation: observation of children with mental state, changes in vital signs, observation of children crying, sucking strength, muscle tone changes, to determine whether the incidence of bilirubin encephalopathy; observation of children with skin with or without sweating, dry, skin rash, with or without apnea, lethargy, diarrhea, vomiting, shock Que, as well as urine of children with character, color, frequency and volume; if there are any doctors make appropriate treatment should be reported. 2.5 light after-care in a timely manner to the children dressed in the black eye when the application of disinfection to remove a small towel covering the eye 3 ~ 5min, in order to help the eyes adapt to light, bathing the whole body to the children or brush, and check the whole body for damage and inflammation, the body will continue to monitor the situation of skin jaundice. 2.6 Blu-ray box to maintain temperature sterilization and processing 2.6.1 box clean. Thermostat with temperature during the application of disinfectant wipe inside and outside the box, and then with water and then wipe it again, in case traces of milk, glucose and other contamination should be kept to wipe stains, replace the temperature boxes once a week for cleaning, disinfection, and use temperature inside the sterilizer disinfecting 15min. Bacterial culture on a regular basis to check the quality of cleaning and disinfection to prevent cross infection. Humidifier water tank replaced once a day to prevent bacterial growth. Chassis air cleaning pad below should be cleaned once a month, if the damage shall be replaced. Children out of the box, the thermostat should be terminally sterilized. 2.6.2 maintain the lamp and reflector clean, and regularly replace the lamp, if the dust will affect the radiation effect should be cleaned every day and the reflector lamp, the lamp with its light energy output after 300h reduced 20%, 900h decreased after 35%, so the lamp must be replaced with 1000h. Light therapy boxes should be placed in a clean, temperature and humidity changed little, no direct sunlight. 3 to discuss because of the deepening of understanding of neonatal diseases, the emergence of many new diseases, new technologies,[link widoczny dla zalogowanych], new application of the method, which requires nurses must constantly update their knowledge, and continuously improve their professional quality,[link widoczny dla zalogowanych], and better improve the quality of care standards. Cause of neonatal jaundice is not only the special and complex care requirements on continuous, systematic,[link widoczny dla zalogowanych], comprehensive manner, beginning from the human hospital, who boxes out of the box of uninterrupted, which requires nurses to have a high sense of responsibility, rich professional knowledge in order to effectively implement the overall care, make care more on a new level. The process of neonatal phototherapy box set to be the body exposed, 95% of the families of psychological stress insecurity, worry about their children frightened cold, so do the interpretation of family concerns and the elimination of mind is also very important.
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