There are five ways to treat bronchiectasis and hemoptysis

Bronchiectasis is a very common respiratory disease, but not every patient with bronchiectasis will experience coughing up blood. Therefore, when a patient has bronchiectasis and coughs up blood, the first thing that comes to mind is how to treat it. So how should patients with bronchiectasis be treated when they have symptoms of coughing up blood? Let's take a closer look!

1. Give oxygen

Give oxygen appropriately according to the patient's condition.

2. Postural drainage

Postural drainage was performed according to the different locations of the lesions. The drainage time was 15 minutes each time, and the patient was encouraged to cough. Rinse your mouth after drainage is complete. Drainage should be performed before meals and should be assisted by back patting.

3. Clearing phlegm

Keep the airway open and assist with expectoration. Instruct the patient to sit up and lean forward when coughing to cough up as much phlegm as possible. When the sputum is thick, drink more water, at least 1500 ml of fluid per day, or use steam inhalation, or give expectorants as prescribed by the doctor, and regularly turn the patient over and pat the back to promote the discharge of sputum.

4. Eliminate tension

Stay with the patient, explain the condition, and relieve tension. If necessary, give sedatives as directed by the doctor. Note that morphine and large amounts of sedatives are prohibited.) Closely observe the color and amount of hemoptysis and record them. Patients with severe hemoptysis should be placed in the supine position with the head tilted to one side. Have salvage items and suction ready. Observe closely for signs of apnea.

5. Rest and diet

Ask the patient to rest in bed, give him a nutritious, high-vitamin light liquid or semi-liquid diet, eat more fruits and vegetables, and avoid eating foods that may induce asthma. Dietary care encourages patients to eat more high-protein, high-vitamin foods.

Nursing of bronchiectasis and hemoptysis

1. Pay attention to the precursor symptoms of hemoptysis, such as chest tightness, burning sensation in the precordial area, palpitations, dizziness, itchy throat, fishy taste in the mouth, or blood in the sputum. Notify the doctor if the above symptoms occur. Treat promptly to prevent severe hemoptysis.

2. Keep the patient calm and give him/her spiritual comfort to eliminate his/her fear and worries and prevent emotional fluctuations from causing hemoptysis again.

3. For patients with bronchiectasis and hemoptysis, the patient needs to lie flat, and when lying flat, an ice pack can be placed on one side of the patient.

4. Ask the patient to cough up phlegm or blood clots as much as possible, breathe gently and do not hold the breath. Keep the airway open to prevent suffocation.

5. Pay attention to the state of consciousness, blood pressure, pulse, respiration, and body temperature. Pay close attention to the occurrence of hemorrhagic shock, notify the doctor promptly, and provide shock care.