Pomosch patients with nausea and vomiting

40% of cancer patients occasionally suffer from nausea, regurgitation (leaking of stomach contents into the mouth), vomiting.

nausea cause may be:

  • delay the evacuation of food from the stomach, accompanied­nied by heartburn, hiccups, feeling perepol­nennosti;
  • stomach and intestinal tumor or indirect pressure adjacent the tumor;
  • medications that provoke gastrointestinal irritation (nonsteroidal protivovos­-inflammatory agents, such as diclofenac, The cylinder
    totoksicheskie, antibiotics – at length­Tel’nykh their use);
  • fear, anxiety;

vomiting cause may be:

  • increased intracranial pressure after­Corollary cerebral tumor;
  • gastric compartment syndrome; stimulation of vagal pathways
    nerve resulting pharyngeal irritation (kandidos, sputum);
  • ileus (delayed stool, neoplasms, creating direct or indirect pressure on the intestines and cause vomiting with a small amount of fecal fluid);
  • the body’s response during chemotherapy.
    regurgitation reason may be:
  • obstruction of the esophagus as a result of swelling­Whether esophageal tumor or indirect pressure in the lungs and bronchi. The patient regurgitates enough
    copious amounts of viscous substance.

First of all, it is necessary to conduct a thorough analysis of the situation, think and plan dei­Corollary to eliminate symptoms.

There are a number of drugs on­significant physician individually to facilitate the symptoms of nausea and vomiting.

But it is known and a number of non-pharmacological measures to combat nausea and vomiting.

  1. Create patient calm and tranquil Obst­posing the, reduce the influence of factors that mayprovoke unpleasant symptoms.
  2. Release the patient from all household duties (cooking, cleaning premises­scheniya etc.).
  3. Avoid exposing a patient to him sharp and unpleasant odors (food, cosmetics, my­means boiling).
  4. Assure the patient of the need to eat and drink little and often.
  5. Eliminate foods from the menu, the use of which increases the nausea and vomiting.
  6. Prevents the appearance of retching, prepare a special container for the collection of vomiting­GOVERNMENTAL wt.
  7. Allow the patient to take antiemetic pre-­Paraty prescribed by your doctor, check up the efficiency of their actions.

If vomiting in a patient who is put in­SRI lying, you must:

  • turn the patient’s head to one side, remove the pillow;
  • enclose oilcloth and capacity for gathering vomiting­GOVERNMENTAL mass;
  • hold the patient’s head during vomiting;
  • prepare a glass of water to rinse polo­STI mouth after emesis napkin wiping mouth;
  • reassure the patient and create the maximumcomfort;
  • Change soiled bedding and underwear.

If vomiting in a patient who is put in­SRI sitting, you must:

  • put the container for collecting vomit between­Do aching legs;
  • tie patient tissue covering the chest;
  • become the left of the patient, clutching his head with his right hand back and holding his head with his left hand on the forehead;
  • to give a glass of water for rinsing the mouth and vomiting after napkin;
  • reassure the patient, to create him a relaxed environment.

By vomiting in patients undergoing in bessozna­tion status, you must:

  • as far as possible, in order to avoid aspiration
    (Vomitus inhalation) of­return the patient to one side, or turn it on its side of­catching;
  • remove the pillow;
  • remove dentures (if any);
  • put a rubber sheet and bring the mouth emkostdlya collecting vomit;
  • to support the patient’s head during vomiting;
  • carry oral care after each act of vomiting;
  • wrap the index finger of the right hand of fats­fetkoy;
  • hold open the mouth by means of the index finger and thumb of his left hand;
  • try to remove remnants of vomit from the oral cavity;
  • right index finger rinse the mouth with the help of the pear-shaped balloon with the patient lying on her side, holding races­
    covered the mouth;
  • monitor the patient’s condition constantly;
  • to inform the physician about the amount and frequency of retching patient.

For a patient experiencing nausea and vomiting, it is of great importance of oral hygiene. Ezhed­watch-today the state of the mouth, tongue, inte­resuytes whether the patient’s mouth discomfort. In the presence of mucosal dryness language need daily, 2 – 3 times a day, at Pomo­cabbage soft toothbrush and a 4-percent solution of sodium hydrogencarbonate to conduct purification language. When dry mouth is recommended drink hour­then, in small sips, 1/3 cup, sucking small pieces of ice, candy, eat a slice of fresh pineapple, which contains special enzymes that help clean the mouth. Smearing Vaseline lip weakens the feeling­of dry mouth.

An important part of palliative care is to educate the patient and his family keeping a diary, where fixed the cause of the pain, nausea and vomiting, and their duration. This blog will help to plan for medical­power, to make recommendations.

To reduce symptoms of nausea, vomiting, when decreased appetite, you must go to the health food for preventing constipation. Meals patients in the later stages of Cancer­bolevaniya has a number of features. there CNI­voltage patient’s need for food, water. In some cases, food intake is poorly tolerated, PA­cient is suffering from lack of appetite (anorexia). Persistent nausea and vomiting, forcing the patient to abandon the eating and drinking. If WHO­Nicla problem of choosing between water and food before­deference is given to fluid intake. It is necessary to pv­kovodstvovatsya the following principles:

  • not force the patient to take by force
  • feed only when the patient who searches­Vaeth hunger, give food in small portions;
  • offering the patient his favorite dishes;
  • eliminate painful force-feeding­of provoking strengthening of nausea, vomiting and pain.

The patient can change the taste sensing­Nia. Familiar foods can seem gor­Kimi, sour, sweet. In this case, you need to give up eating meat, acidic juices, tomatoes, coffee, tea, chocolate. including The recommended­chit eating poultry, fish, dairy produk­you eggs. If the food is the patient seems too sweet, cloying in the diet include acidic juices. When you prepare food using lemon­ny juice, vinegar, spices, mint, marinated or pickled vegetables. If the food does not seem sick­delicious, as a snack (in the absence protivopokazany) can advise salted and pickled vegetables, salted fish, herring. 

Feeding critically ill patients

  • Help the patient to take Half-upright, comfortable position in bed, placing additional­hydrochloric pillow. Wash the hands. prepare a cover up­cotton nightstand. Give the patient time for prepara­Preparations for eating.
  • Neck and chest of the patient to cover salfetkoy.Blyuda with hot food should be checked cap­IBA currently on the wrist a few drops.
  • Feeding the seriously ill, often stradayusche­of lack of appetite, it is not easy. Wanted in on­Daubney cases skill and patience.
  • For liquid meal are spe­cial feeding cup (you can use a small amount of the teapot).
  • Semi-solid food given to a patient with a spoon.
  • Since the patient is necessary before the feeding of­judge, in what order it will be at­Nima food. Ask the patient not to talkduring the meal, as when talking food
    can get into the respiratory tract.
  • We should not insist that the patient has eaten the entire volume of vegan food. After a short break, heating the food to continue feeding.

Feeding critically ill patients with a spoon and with the help of a feeder cup.

  • Caution patient within 15 minutes of priemepischi, to obtain his consent.
  • Ventilate the area. prepare a cover up­cotton table.
  • Raise the head end of the bed (to put under his head and back an extra pillow)
  • Help the patient to wash his hands.
  • Cover the patient’s breast tissue.
  • Wash the hands. Bring the food to a patient (especially­perature hot dishes – 50 ° C).
  • Feed slowly called each dish offered to the patient; fill spoon 2/3 soft food; spoon to touch the lower lip, the patient to open his mouth; touch lodges­Coy to the language, leaving food in the mouth; of­involve an empty spoon; give time to chew and
    swallow food; offer a drink after a few spoonfuls of soft food; attach “but­sik “feeder cup to the lower lip; pouring a drink
    small portions.
  • Wipe (if necessary) the lips of the patient tissue.
  • Offer the patient to rinse the mouth with water from the feeder cup postprandial.
  • Remove food from the room after the patient’s dishes and food remnants.
  • Remove extra pillow and give pa­cient comfortable position.

For the patient, it is desirable to allocate individual utensils that after feeding purified from food residues and washed with a degreasing agent, and then disinfect (see. The following table for disinfection).

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