!"#$%&'()*+,-./012. The Nursing Care of a Patient with Acute Pulmonary Edema Weaning Successfully from Ventilator TZU CHI NURSING JOURNAL

Transcription

1 US!"#$%&'()*+,!"#$%&'()*+,-./012 The Nursing Care of a Patient with Acute Pulmonary Edema Weaning Successfully from Ventilator G!!"TR!"# $%&'()* +,-!./ &'789!:;<!"#$%&'()*+,-./0*1234$%&56789:;+<=>*?@ABC!"#$%&'()*+,-./0 VM O OU VM P T!"#$%&'()*!"#$%&'()*+,-./0123L!"#$%&'()*+,$-./012!"#$%&'()*+,-./ (670189:;<=->?@A&'(!"#$%&'()*+,-.+/012"34567%89:;.+<=>?!"!"#$%&'()*+,-./ E!"#I=OMMRX=QWOI=USJVRKF!"#$%&'()*+,-!"#$%&'()*+,-.!"#$%&'()*+,-./01!"#$%&'()*!+,-.$/0!"#$%!&'()*+,-.#(/0!"#$%&'()*+,-./012 Ee~êâáåI=OMMNF!"#$%&'$()*+!"#$%&'"()*+,-./012!"#$%&'()*+,-./0123!"!#$%&'()*+,-./012!"#$%&'()*+,-./012!"#$%&'()*+,# -./01!"#$%&'()*+,-./012!!"#$%&'()*+,-!"#$%&'()*+$,-.&/!"#$%&'()*+",-./0&,!"#$%&'($%&)*+,-./0!"#$% #&'()#*+#,-#!"#$%&'()*+,-./0123!"#$%&'()*+,-,./012!"#$%&'()*+,-+./01 Ee~êâáåI=OMMNF!"#$%&'()*+,!"#$%&'()*+&,-./$012'!"#$%&' G!"VO NM PN ==!"VO NN N ==!"VP NN PM!"#$%&' NNO!"#$%&' OMN! EMOFOUTRTOSM!"#$ Q O! VQ S

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9 VQ!"#$%&'()*+, ENVVVF!"#$%&'()*+,-.!" NSENF SQJSU EOMMMF lêéã!"#$%&'('!"!" QTEQF NMNJNMU ENVVUF!"#$%&'()*+,!"#$%!"#$!"#$!%&'ENVVUF!"#$%&!"#$%&'(%)*+,-!EééK=NMPJNPTF!"#$ _~ÅâÉêI=gK=ENVVRFK=mÉêÅÉáîÉÇ=ëíêÉëëçêë=çÑ=ÑáJ å~ååá~ääó=ëéåìêé=åçããìåáíó=êéëáçáåö=çäçéê ïçãéåk=déêá~íáå=kìêëáåöi=nseqfi=nrrjnrvk e~êâáåi=ek=eommnfk=qê~åüéçëíçãó=é~íáéåí=å~êék kìêëáåö=qáãéëi=vreorfi=pqjpsk!"#$%&'()*+,-.!"#$%&'()*+,-./01234./ :;!"#$%&'()*+,-e F!"#$%&'()*+,-!"#$%&'()*+,-./0123(4567(89:;<#$.!"#$%&E F!"#$%"&'()*+,-.&/012!"#$%&'()*'+,-./ ,./6789NN!"#$%&'()&*+,-. / E F!!"#$%&'(lh!"#$%&EF!"#$%&'(!"#$%&'()*+,-./0123!"#$!"#$ EF!"#$ EF!"#!"#!"#!"!"#$!"#$!"!"#$%&'( lh!"#!"#$%&'()*e!"#!"#$!%&'!()*!+,!"f!"#$ Q O! VQ S

10 !"#$%&'()*+, VR The Nursing Care of a Patient with Acute Pulmonary Edema Weaning Successfully from Ventilator Ruo-Nan Jueng Yu-Chu Pai ABSTRACT The researcher reported a 75-year-old female who suffered from the respiratory failure and conscious disturbance due to chronic heart failure with an episode of acute pulmonary edema and therefore, received endotracheal intubation and mechanical ventilation. After recovering gradually, she was weaned from ventilator successfully. When the life-threatening attack happened, this patient confronted not only physiological but also psychological stress. She was filled with enormous anxiety during the disease course. Performing the systemic evaluation with Orem nursing system during the caring period, from 28th February to 7th March in 2001, we found several problems, such as impaired gas exchange, alteration of nutrition status, lack of self-care ability, and anxiety. We took the complete compensatory nursing measures to help this patient get through the acute stage. After weaning successfully from ventilator, partial compensatory nursing measures were taken. With support and education systems, we evaluated her understanding of the respiratory failure and provided her proper nursing information to improve the self-care ability and to maintain life quality. (Tzu Chi Nursing Journal, 2005; 4:2, ) Key words: acute pulmonary edema, weaning ventilator. Received: October 31, 2004 Revised: November 1, 2004 Accepted: November 30, 2004 Address correspondence to: Rou-Nan Jueng, No.201, Sec. 2, Shih-Pai Rd., Beitou District, Taipei City 112, Taiwan (R.O.C.) Tel: 886(2) !"#$ Q O! VQ S