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toilet, the average portion of urine passes to a clean dry jar for analysis and the

remains of urine – in the toilet.

3. Analysis by Zimnitsky.

This analysis is used to study excretory and concentration functions of the

kidneys. The patient urinates to the toilet at 6.00, then every 3 hours during the

day – to the jars prepared and signed by nurse (at 9.00, 12.00, 15.00, etc., only

8 cans). It is also necessary to count the amount of fluid and inform the nurse.

The test is carried out in a normal drinking regime, the patient does not take

diuretic on this day.

THEME 12:

THE TERMINAL STATE. RULES THE TREATMENT

WITH THE CORPSE

Purpose

: to form ideas about peculiarities of care for agonizing patients,

parameters of clinical and biological death;

As a result of studying the topic, the student must know:

1. The process of dying and its periods.

2. Rules of care for agonizing patients.

3. The concept of resuscitation.

4. Constatation of death and treatment with the corpse.

the student must be able to do:

1. To take care of the agonizing patient.

2. Steady indulge in the lateral position of the patient.

Content of training material

The terminal state

is the processes of the body dying, the transition from

death to life, it’s irreversible changes in the brain tissue, due to hypoxia and

disorders of acid – alkaline balance in the body.

The functions of the body do not fade at the same time, but gradually, that

makes it possible to restore them with intervention in time.

In the process of dying there are several stages:

Predagonal state

is characterized by the fading of the activity of the

organism, when biochemical reactions, physical changes and electrical

processes so changed that they are not able to ensure the maintenance of normal

body vitality. At this stage consciousness presents but confused, blood pressure

decreases till, pulse is thready, breathing is often, deep, skin is pale.