What should I do if I have a bedsore?
Hello, the treatment of cerebral infarction complicated with bedsore: 1. General nursing: ① First, keep quiet and don't move the patient. ② Skin care: put the patient on an air cushion bed, turn over every 2 hours 1 time, and regularly massage the skin of the compressed part with 50% ethanol to prevent bedsores. ③ Eye care: those with limited binocular or monocular closure should be covered with vaseline gauze to prevent foreign bodies from falling in; Regular eye drops to prevent corneal ulcer. ④ Keep the respiratory tract unobstructed: Try to take a lateral position, and tilt your head to one side when lying down to prevent the tongue from falling back and secretions from blocking the respiratory tract; When there are secretions and vomit, you should immediately suck the afternoon net with an aspirator to prevent suffocation by aspiration. ⑤ Prevention of urinary system infection: Patients with urinary incontinence or urinary retention should be given balloon indwelling catheter once every 4 hours; Use1every day; Rinse bladder 1 ~ 2 times with 5000 furacilin powder 250ml. ⑥ Treatment of defecation: For patients who still can't defecate after applying the sustained-release agent, Kaisailu is given every other day to promote defecation, and those who still can't defecate can be given a small dose of low-pressure enema. ⑦ Prevention and treatment of bedsore: The most effective measures to prevent bedsore are to turn over the patient at the above time, change the pressing point and intermittently decompress. When assisting the patient to turn over, hold the patient's shoulder with one hand and the patient's arm with the other hand, and move gently to avoid dragging and scratching the skin; The movable air cushion bed with pressure points can also be used to disperse the patient's weight, replace the pressure points, reduce the pressure and prevent the occurrence of bedsores; Keep the patient nutritious and encourage him to eat more. If he can't eat, he can insert a stomach tube to supplement enough nutrition, especially high-quality protein, to enhance the body's resistance, which is also the main measure to prevent bedsores. Treatment of bedsore: According to different stages of bedsore development, different treatment measures are taken. Blood stasis and ruddy stage: also known as stage I bedsore: it is necessary to change the body position so that the part is suspended. After changing the body position, the bloodshot part will generally subside within 30 ~ 40 minutes, and bedsore will not be formed. Inflammatory infiltration stage: also known as stage ⅱ bedsore: once iodine is exposed, it can form a film and dry the sore surface. If there are many secretions, according to whether there is infection, wet compress method is adopted, and physiological saline or antibiotic solution is selected. Superficial ulcer stage: also known as stage ⅲ bedsore: blister rupture infection, ulcer formation, invasion of subcutaneous fat, pus overflow and foul smell. First of all, the insect fire valley cleaned the dressing change, and carried out bacterial culture and drug sensitivity test on the wound pus, using wet compress method. Necrotic ulcer stage: also known as stage ⅳ bedsore: necrotic tissue reaches fascia, bone is exposed, necrotic tissue is black, smelly, and pus is sticky, which can cause sepsis in severe cases and threaten patients' lives. Before cleaning and dressing change, the black necrotic tissue was removed by aseptic operation. Small scissors, because the nerve tissue in the black tissue is also necrotic, so the patient will not feel pain when cutting. When the patient has pain or bright red blood, he should stop, then use infrared radiation, and then sprinkle a thin layer of white sugar sterilized by ultraviolet light on the sore surface, cover it with sterile gauze, and change the medicine once a day. 2. Adjust blood pressure: Adjust blood pressure to a slightly higher level than before illness or a slightly higher level than age. 3. Control of brain edema and intracranial pressure increase: 20% mannitol 250ml can be used for intravenous drip every 6 ~ 12 hours; 20 ~ 60 nml intravenous injection of furosemide can be used alternately with mannitol. 4. Brain protection therapy: cerebrolysin 10 ~ 30 ml, 5% glucose 250ml, intravenous drip; Cytochrome C30mg, A 100u, adenosine triphosphate 40mg, vitamin C2.0g, vitamin B6200mg, potassium chloride 10ml and 500ml of 5% glucose or physiological saline were added for intravenous drip. If you agree with my answer, please click adopt as the answer. If you have any questions, please come to my clinic to ask them. I will pay attention to you and wish the patient a speedy recovery.