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46 2. Warm softening drink (alkaline drink: milk with soda, mineral water, alkaline inhalation is not recommended, because they are even more irritate the respiratory tract and cause cough). 5. Oil inhalation, oil endotracheal fill, by the doctor administration use antitussive drug. The sequence of actions of care for the patient with a wet cough. 1. The drain position. 2. Alkaline inhalation, with expectorant herbs, with mineral water. 3. Phytotherapy: decoctions of herbs that liquefy sputum (plantain, oregano, thyme, mint). 4. Abundant alkaline drink. 5. By doctors’ prescription use drugs with expectorant effect. 6. To teach the patient to the culture of cough and to use of spittoon. 7. Distracting procedures – therapeutic physical training, massage (with the normalization of temperature). Hemoptysis  is the releasing of blood or sputum with blood during coughing. Hemoptysis can be complicated by pulmonary bleeding . The sequence of actions in pulmonary bleeding. 1. Call a doctor through a third person. 2. Calm the patient, provide him full physical, mental rest. Forbid the patient to talk, smoke, eat and drink. 3. Give the patient a semi-sitting position in bed (if he is unconscious – turn his head on his side). 4. Apply a tray for spitting sputum. 5. Put a cold on the chest (with the ice). 6. According to the doctor’s prescription to give medicines, cough suppressants, hemostatic agents. 7. Create an individual nursing post, monitor the pulse, blood pressure, RR, perform all doctor’s appointments. 8. After stopping the bleeding, the food should be cold, vitaminized, in a rubbed form, in small portions. Pain in the chest occurs when the pleura is involved in the inflammatory process, in the defeat of the chest muscles, ribs, nerves. For pleural pain it is typical to appear during deep inhalation and exhalation, increasing during coughing and sneezing.

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