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The nursing of cor pulmonale required reflection from many aspects: ** 1. Basic nursing care ** 1. ** Postures and Skin Care ** - For patients with cor pulmonale who have been bedridden for a long time, it is necessary to consider whether to pay enough attention to the prevention of bedsores. For example, whether it was guaranteed that the patient would be massaged every four hours or that the patient would be given an air mattress in time. Whether the operation of applying cotton pads or balloons to the bony process was in place, whether the buttocks were washed with warm water every morning and evening, and whether the work of turning over and changing clothes was completed as required. If the patient developed bedsores, they would need to reflect on which part of the surgery was not done well. 2. ** oral care and nutrition supply ** - In terms of oral care, it was important to reflect on whether the patient's oral cavity was clean, which was very important to prevent complications such as infection. In terms of nutrition supply, they had to consider whether they had provided sufficient nutrition to the patient, whether they had followed the principle of moderate intake of high calories, high protein, high vitamins, and easy digestion according to the patient's specific conditions. If the patient was malnourished, it was necessary to consider whether the food selection was inappropriate or the patient's special diet needs were not paid attention to, such as whether the intake of salt and liquid was not reasonably controlled (such as limiting the intake of salt to less than 5 grams and controlling the intake of liquid according to the doctor's advice). ** 2. Treatment of symptoms ** 1. ** Dyspnoea and Hypoxia Care ** - When the patient had symptoms of breathing difficulties and oxygen deficiency, they should reflect on whether the low-flow oxygen intake was timely and whether the flow rate was appropriate. If the patient still feels that the difficulty of breathing is worsening, it may be necessary to re-evaluate the oxygen supply method, flow rate, and whether there are other factors that affect breathing, such as whether there is phlegm blocking the respiratory tract. 2. ** Cough and expectoration care ** - For patients with cough and expectoration, they should reflect on whether the supplementary measures provided in the diet are effective, such as recommending apples, grapes, kiwifruit, grapefruit, and other fruits, boiling water with rock sugar, or inhaling treatment. At the same time, whether the operation of turning over and patting the back regularly to promote phlegm discharge was standard and the frequency was sufficient. If the patient has difficulty expectorating or the phlegm is sticky and difficult to cough out, he may need to improve his nursing measures, such as adjusting the inhaled medicine or increasing the number of times he turns over and pats his back. ** 3. Mental care ** - Patients with cor pulmonale often needed psychological support due to physical limitations and a decline in their quality of life. He had to reflect on whether he had given the patient enough psychological care, whether he had understood the patient's psychological state, and whether he had discovered the patient's anxiety, depression, and other negative emotions in time and effectively guided them. If the patient's poor mental state affected the recovery process, it was necessary to strengthen the psychological care work, such as increasing the communication time with the patient and providing more psychological support methods. ** 4. Health Promotion Care ** 1. ** Health and Lifestyle Care ** - In terms of health promotion for lung nourishing, it was necessary to reflect on whether the knowledge of drinking more plain water and eating light food to maintain the warmth of the lungs and respiratory tract was fully publicized to patients. Whether to give the patient the correct guidance on how to take deep breaths and smile often to keep the respiratory tract open. If the patient did not follow these healthy lifestyle practices, one had to consider whether it was due to insufficient publicity and education, or whether the patient was not supervised. 2. ** Physical training and nursing ** - In terms of physical exercise, it was necessary to reflect on whether a suitable physical exercise plan was formulated according to the patient's physical condition to increase lung capacity and improve lung function. If the patient did not do proper physical exercise, it was necessary to consider whether it was because the patient did not provide suitable exercise suggestions or because the patient had fear and other factors. 3. ** Smoking and Drinking Abstinence Care ** - If the patient is still smoking or is exposed to second-hand smoke, reflect on whether the patient has been effectively educated on quitting smoking and whether sufficient smoking quitting support measures have been provided, such as whether the patient has been informed of the importance of quitting smoking and alcohol for the recovery of cor pulmonale. <a href="/?from=ask_words" style="color:red" target="_blank">Read more exciting novels for free</a>

There was little information about the Bloody Ghost ES9. It was known that its reference price was 89 - 139 yuan. It had a macro programming function and was an esports mouse. Some users reported that they couldn't change the macro or settings after buying it. It could only be used as an ordinary mouse. Moreover, there were some problems with the mouse, which was not suitable for gamers. The novel " Underworld Commander-in-Chief's Bloody World " is equally exciting. Everyone is welcome to click and read it!

The Bloody Ghost A91 was a light micro-motion gaming mouse with a reference price of 179 yuan. It had three click modes, eight programmed buttons, and micro-precision adjustment technology. It was rated 8.0 on the ZOL mobile version. The Double Swallow ES9 was an esports mouse with a reference price of 89 - 139 yuan. There were problems with macro programming. Some users complained that they could not change the macro or set it up, so they could only use it as an ordinary mouse. There were also problems with the mouse in use, but there were also users who thought that it had good texture, comfortable and sensitive buttons, and was affordable. The novel " Underworld Commander-in-Chief's Bloody World " is equally exciting. Everyone is welcome to click and read it!

The ES bus simulator was a very interesting mobile game that simulated casual driving. The game was presented using a classic 3D engine, with rich driving scene elements and a pleasant background sound effect, giving players a new driving experience. In the game, the player played the role of a long-distance bus driver, sending customers to their destination. The road environment would gradually become more complicated, and there would be many vehicles that needed to avoid collisions. Players can choose the bus they like to drive. In terms of game controls, players could control the direction by sliding the screen and use the virtual buttons at the bottom of the screen to accelerate and brake. The game provided a mission mode and a free exploration mode. In the mission mode, you need to pick up passengers according to the designated route to complete the challenge. In the free mode, you can explore the game world at will. The game's features included a realistic driving experience, which simulated the various details of driving a bus, such as the dashboard, button layout, and sound feedback; rich game modes; high-quality graphics, both city streets and country roads, with extremely high details; and a diverse weather system. The weather changed with time, with sunny, rainy, foggy, and many other conditions. Version 1.6.4 of the game had an application description for the October 30, 2024 version, and the 1.6.4 version had new buses, new accessories, and traffic lights at night. However, at the start of the game, only English was allowed to enter the name and choose the language. " The Island of Life " is also a wonderful novel. Everyone is welcome to read it!

The commonly used medicines for cor pulmonale were as follows: 1. ** Diuretics **: such as hydrogen thiazide, spironolactone, fluralin, fursemide, etc. It can increase urine output, eliminate edema, and reduce blood volume by suppressing the reabsorption of kidney Na and water, but it is easy to cause hypokalemia and hypochloridic intoxication. 2. ** Positive inotropes **: It is mostly used to relieve the symptoms of right heart incompetence in patients with acute cor pulmonale. Due to chronic oxygen deficiency and infection, patients with chronic cor pulmonale have low tolerance to digoxin drugs, so it is generally not used in patients with chronic cor pulmonale. In principle, one could choose to use fast-acting and fast-excreting drugs such as foxglove, dobutamine, etc., as well as acetoside, digoxin, etc. 3. ** Vasodilators **: Commonly used drugs include prostacyclin drugs such as treprostinil, and other receptor antagonist drugs such as bosentan, ambrisentan, and macitentan, as well as Phosphodiesterases- 5 and s-uridinate cyclinase stimulators such as sildename and tadarava; calcium channel blockade drugs such as nitricol can also be used to dilate blood vessels. Vasodilators were mainly used to treat the lung artery disease itself, which caused the lung artery high pressure. However, the efficacy of vasodilators was not satisfactory for the lung artery high pressure and cor pulmonale secondary to chronic lung disease. It was easy to cause the blood pressure in the body to drop, and the reflex would cause the heart rate to increase and the partial pressure of oxygen to drop. 4. ** Corticosteroid **: For example, Prednisone. 5. ** expectorants **: such as ambroxol and bromhexine. 6. ** Anti-asthma medicine **: For example, theylline. 7. ** Electrolyte adjustment medicine **: For example, 10% KCl2. 8. ** Beta2-receptor Agonists (LABA)**: For example, salbutamol inhalers. 9. ** Anti-infective drugs **: It is best to choose the appropriate antibiotics according to the drug sensitivity test. 10. ** Medicines to dilate bronchi, cough and phlegm **: such as ambroxol, acetoxy-cystine tablets, etc. <a href="/?from=ask_words" style="color:red" target="_blank">Read more exciting novels for free</a>