篇名 | 一位肝臟撕裂傷患麻醉期間發生惡性高溫之護理經驗 |
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卷期 | 22:1=73 |
並列篇名 | The Nursing Experience of a Liver Laceration Surgery Patient who Suffered from Malignant Hyperthermia during General Anesthesia |
作者 | 張慧芩 、 梁文倩 、 陳志豪 、 林秀燕 、 李長光 |
頁次 | 142-151 |
關鍵字 | 惡性高溫 、 單挫林 、 特異體質 、 malignant hyperthermia 、 dantrolene 、 idiosyncrasy |
出刊日期 | 201103 |
This case report describes the nursing experience of a teenager who was injured in a car accident.He suffered from malignant hyperthermia during general anesthesia period when accepting the second exploratory laparotomy surgery and then transferred to the ICU after the operation. The author, who was an anesthetic nurse, coordinated with an ICU nurse to look after this case from Nov. 13th to 25th, 2008.The patient had ineffective airway clearance, hyperthermia, acute pain, and anxiety. Therefore, the author has established therapeutical relationship with the patient through empathy, concern, and listening, accompanying with the patient during the nursing process. Furthermore, the author encouraged
the patient to face idiosyncrasy, led him to express the negative emotion, offered professional knowledge about malignant hyperthermia. After two weeks, the patient’s breathing and body temperature has
returned to a normal range, acute pain and anxiety had been released. Physical, psychological and social ability were eventually adapted. It is hoped that this report can provide nursing profession with experiences of caring malignant hyperthermia patients.