Nowadays, people are more concerned about their health, but there are always some diseases that threaten people's health. Bronchial bleeding is one of them. Sometimes, in serious cases, bleeding may occur. People are very scared about this and are always in a hurry. In fact, as long as you understand what to do about bronchial bleeding, you don’t have to worry too much. 1. Sedation and rest: Small amounts of hemoptysis do not require special treatment, only rest and symptomatic treatment. Patients with moderate or above hemoptysis need to rest in bed, lying on the affected side or supinely. For those who are nervous, fearful and anxious, their concerns should be relieved and a small amount of sedatives can be given if necessary. Patients with severe hemoptysis due to severe coughing may be given appropriate antitussive drugs, but morphine is prohibited to avoid suffocation caused by excessive suppression of cough. 2. Strengthen nursing care and close observation: For patients with moderate or above hemoptysis, blood pressure, pulse and respiration should be measured regularly. Encourage the patient to cough gently to cough out the blood to prevent it from being retained in the respiratory tract. Keep the respiratory tract open and the bowel movements smooth. 3. Patients with severe hemoptysis should have their veins opened, blood prepared, and blood volume replenished if necessary. 4. Application of hemostatic drugs: ⑴ Posterior pituitary hormone: It can constrict pulmonary arterioles, reduce local blood flow, cause thrombosis and stop bleeding. ⑵Phentolamine: Stops bleeding by directly dilating vascular smooth muscle and reducing pulmonary arteriovenous pressure. ⑶Procaine: has vasodilation and sedative effects. ⑷Hemostatic drugs: 6-Aminocaproic acid: inhibits the activation of plasminogen into plasmin, thereby inhibiting fibrinolysis. Ethamdiol (hemostatic): enhances platelet and capillary function. Antenoxin (Anluoxue): Enhances the resistance of capillaries to damage. Vitamin K: Promotes the synthesis of prothrombin in the liver and promotes blood coagulation. Fibrinogen: It can form many fibrin monomers under the action of thrombin, which in turn form fibrin under the action of coagulation factor XII to promote hemostasis. |
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