(1) After the Occurrence of Vomiting, the Immediate

1.Nausea / Vomiting

(1) after the occurrence of vomiting, the immediate

implementation of oral cleaning can remove the odor to

enhance patient comfort.

(2) before meals, before going to bed to perform oral cleaning

to reduce the feeling of vomiting caused by the patient.

(3) half sitting position, to help the head to the side to

prevent vomiting when inhalation pneumonia.

(4) high calorie, high nutrition, a small amount of meals,

chewy, to avoid gas production; a small amount of cold

drinks or broth can be Relieve stomach discomfort.

(5) to give antiemetic use.

(6) to avoid drinking in the water, fruit juice, soup, soft

drinks and other liquids, this can reduce the feeling of

fullness,

It is best to avoid eating and drinking within one hour

before and after the liquid food.

(7) the temperature of the food should be moderate, not too

cold or too hot.

(8) When you feel sick, you can try to divert attention to the

way to ease.

2.Oral mucosal ulcers

(1) oral hygiene

1-1 After meals and before going to bed, brush your teeth

with soft hair to reduce oral tissue injury.

1-2 every 24 hours with a waxy dental floss gently clear

the teeth, bleeding situation is disabled.

1-3 Remove the dentures or braces and wear them when eating.

1-4 feel lips dry, you can use lip balm.

1-5 often use physiological salt water mouthwash.

1-6 A lot of drinking water or often mouthwash to keep the

mouth moist.

(2) diet

2-1 avoid eating rough and hard food, encourage the intake

of mild soft food.

2-2 avoid acidic and stimulate food.

2-3 to avoid too much seasoning.

2-4 can be eaten food after eating, to facilitate swallowing.

2-5 can eat soft, ice food.

3.Bone marrow suppression

(1) infection: high-dose chemotherapy can cause leukopenia,

reduced immunity.

1-1 to maintain a protective environment, (protection of

isolation by the unit and different, may be A single

protective isolation unit or air sterilized room).

1-2 patients out of the ward, give masks, gloves and robe

wear.

1-3 limit the number of visitors, and pay attention to

whether the infected case.

1-4 daily monitoring of white blood cells and absolute

particles of the ball.

1-5 to check the presence or absence of fever.

1-6 Maintain oral hygiene and personal hygiene.

(2) bleeding: high-dose chemotherapy is easy to cause

thrombocytopenia, poor blood clotting.

2-1 daily view of the skin and mucous membranes, pay

attention to whether the presence of ecchymosis or

bleeding, such as subcutaneous out

Blood spots, purpura, intestinal bleeding, bleeding gums,

nosebleeds and so on.

2-2 to encourage more intake of water to soften the stool,

to avoid constipation and forced solution.

2-3 action when the action gently to avoid collision.

2-4 Use soft hair toothbrush, avoid using dental floss,

toothpick.

2-5 Avoid blowing your nose hard.

Reference:

癌症護理學(2012)

準備療程的化療藥物治療之原理及處理原則(1994)

libir.tmu.edu.tw/ir/bitstream/987654321/53279/2/化學治療副作用

護理.pdf (2013)

_id=6(2009)

造血幹細胞移植病人併發症護理(2013)

造血幹細胞移植病患的照顧 (2005)

造血幹細胞移植後急性移植物抗宿主疾病及護理(2013)