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铁剂治疗的护理措施有哪些

01月04日 编辑 39baobao.com

[写一篇英语作文作为一名护士如何护理病人]When asked my reason as to why I want to be a nurse ,I find myself discussing more than one .This is because my answer has three facets :empathetic compassion f...+阅读

(1) 口服铁剂的护理措施:给予口服铁剂时,首先向病人及家 属说明服用铁剂的注意事项:①铁剂宜小剂量开始,且在饭后服 用;②避免与牛奶、茶、咖啡同服,含钙类食物如豆腐及高磷酸盐食 品如牛奶能与铁剂络合而成沉淀,也应避免合用;③注意药物对铁 剂吸收的不良影响:避免同时服用抗酸药(碳酸钙和硫酸镁)以及 H2受体拮抗药等;④口服铁剂期间,大便呈褐黑色,停药后可以 消失;⑤口服液体铁剂时须用吸管,避免牙齿染黑,影响美观,给患 者带来心理压力;⑥严格遵医用药,不可自作主张,加大剂量,以免 铁中毒;⑦铁剂治疗后自觉症状可很快减轻。

(2) 注射铁剂的护理:注射铁剂采用深部肌内注射并经常更换 注射部位,以促进吸收,避免硬结形成。由于药液溢出可引起皮肤 染色,故注射铁剂应注意:①不在皮肤暴露部位注射;②抽取药液 入空针后,更换针头再注射;③可采取留空气注射法,以免药液溢 出;④注射铁剂不良反应除局部肿痛外,尚可发生面部潮红、恶心、 头痛、肌肉关节痛,淋巴结炎及荨麻疹,严重者尚可发生过敏性休 克,所以注射铁剂应备肾上腺素。

(3) 观察用药后的身体反应,判断药物疗效。

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