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73 be collected in separate containers, since changes in the qualitative composition and quantity of vomit may have diagnostic significance. Vomit should be stored until the arrival of a doctor who decides to send them for laboratory testing. to decontaminate vomit, fill the containers with a lid with dry bleach (200 g per 1 kg of vomit) and mix. After an hour, the contents of the container must be poured into the sewer. After vomiting, allow the patient to rinse his mouth with warm water. For weakened patients, treat the oral cavity with a spatula with a nap- kin or clean the oral cavity with a cotton swab moistened with water, 2% sodium bicarbonate, 0.01% potassium permanganate, put in bed, cover with a blanket; 1. Before the doctor arrives, you can put an ice pack on the epigastric region, evaluate the pulse, and measure blood pressure; 2. Maintain patient privacy; 3. Provide an electric pump in case of asphyxia; 4. Teach relaxation and breathing techniques to reduce the urge to vomit; 5. Provide comfortable conditions: airing, changing clothes as they become dirty, timely cleaning of vomit, and necessary psychological support. Dependent (as prescribed by a doctor) and interdependent care: 1. Give antiemetic medications; 2. to prevent vomiting, give the patient a drink of mint drops, 0.5% R‑RA cool novocaine, swallow ice cubes; Depending on the reasons that caused the vomiting, the tactics may be changed. 1. if vomiting is caused by poisoning, wash the stomach, because vomiting does not empty the stomach. 2. if the cause of vomiting is stenosis of the pyloric part of the stomach – surgi- cal treatment of the patient, consultation of the surgeon. 3. if vomiting with blood-examination and tactics as with gastric bleeding. 4. if vomiting is persistent, repeated, leading to dehydration, it is necessary to introduce electrolyte solutions (Trisol, ringer’s R‑R, disol, acesol, etc.) in/in drip and perform oral dehydration of 20 g of glucose+3.5 g of sodium chloride +2.5 g of sodium bicarbonate+ 1.5 g of potassium chloride+ 1l of boiled water. The introduc- tion of solutions for 3–5 days can reach 20–60 liters. 5. alcohol intoxication – develops alcohol delirium or withdrawal syndrome, which can lead to brain edema. It is necessary to monitor diuresis, enter seduxen and sodium oxybutyrate as prescribed by a doctor. 6. children with vomiting decompensation occurs faster, neurotic disorders and shock are added. They develop hypokalemia faster (5% R‑R of glucose, 4% R‑R of sodium bicarbonate, reopoliglyukin or gelatin) and convulsions (seduxen 2.0 V/m is prescribed). The nurse should carefully monitor the patient’s condition and not leave him unat- tended, do not allow aspiration of vomit. If there is an admixture of blood in the vom- it, put the patient back to bed, lifting the leg end of the bed, urgently call a doctor.
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