英夫利昔单抗治疗银屑病不良反应的护理
Nursing of the adverse reactions during inflixmab treatment of psoriasis
目的 总结英夫利昔单抗静脉滴注治疗中重度银屑病患者致不良反应的护理要点.方法 根据34例英夫利昔单抗治疗银屑病患者在治疗过程中遇到的问题,通过统计学方法,分析出现问题的应对策略.结果 34例患者治疗效果理想,用药期间未见银屑病的复发情况出现,其中中重度银屑病患者使用英夫利昔单抗治疗期间出现乏力、心率增快、皮疹、发热、体质量增加、肌肉疼痛、腹痛腹泻等不良反应,通过正确使用药物,加强不良反应观察,并根据轻重程度给予个体化的对症护理,保证了治疗的顺利进行,除2例患者因不能耐受不良反应中断治疗外,其他患者均按疗程顺利完成治疗.结论 护理人员应熟练掌握该药的保存、药液配制、输注流程、输注过程的每个环节,并做好患者的随访,减少问题的出现.
更多Objective To summary the nursing points of adverse reactions of infliximab during treatment in patients with moderate-severe psoriasis. Methods According to the problems of 34 patients with psoriasis treated with infliximab, through statistical Methods to analyze the problem of coping strategies. Results Thirty-four patients with the best results,no recurrence of psoriasis happened during treatment. Fatigue, heart rate increasing, skin rash, fever, weight gain, muscle pain, abdominal pain, diarrhea and other adverse reactions occurred. Through the proper drug administration, strengthening observation of adverse reactions, and providing individualized nursing care to patients according to the severity to ensure the smooth progress of the treatment. Except 2 patients interrupting treatment for intolerance to the adverse reactions, other patients had accomplished the course of treatment smoothly. Conclusions Nursing staff should be familiar with the preservation of the drug, liquid preparation, infusion process,infusion process of each link,and do the patient's follow-up,reduce the problem.
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