Objective To assess the risk factors for the occurrence of hypokalemia in patients with hepatic cancer after transcatheter arterial chemoembolizaion (TACE) therapy,and to discuss the corresponding nursing countermeasures.Methods The clinical data of 214 patients with hepatic cancer,who received TACE during the period from August 2014 to February 2015,were retrospectively analyzed.The risk factors causing hypokalemia were analyzed.Results Among the 214 patients,post-TACE hypokalemia occurred in 23 (10.7％).The main risk factors that could cause hypokalemia included anorexia,hydration,vomiting,ascites drainage,sweating.After actively symptomatic treatment,the serum potassium level returned to normal in 22 patients.One patient developed hepatic encephalopathy coma complicated by hepatorenal syndrome,the patient's family members gave up treatment and,according to family members' will the patient left hospital.Conclusion anorexia,vomiting,hydration,ascites drainage,sweating are the risk factors that can cause hypokalemia in patients with hepatic cancer after TACE therapy.The use of low potassium risk scale is helpful for the formulation of nursing countermeasures.

Objective To analyze risk factors related to nosocomial infection in severe drug rash patients, in order to take nursing countermeasures to reduce the incidence of nosocomial infection in the future during nursing work. Methods A total of 158 severe drug rash patients hospitalized in Dermatological Department the First Affiliated Hospital of Wenzhou Medical University from January 2012 to March 2014 and were selected for the retrospection of general information, clinical treatments condition and analyzed with statistical methods. Results A total 18 of 158 severe drug rash patients were infected during hospitalized with infection rate of 11. 4%. Albumin levels, ulcer of skin mucous membrane, invasive operation, and diabetes were related risk factors to cause hospital infection (P<0. 05), but age, gender and hemoglobin levels were not (P > 0. 05). With logistic regression analysis, albumin levels less than 30g/L, ulcer of skin mucous membrane, invasive operation, and diabetes were severe drug rash patients′independent risk factors to hospital infection (P<0. 01). Conclusions Severe drug rash patients have multiple risk factors to hospital infection, so the countermeasures should be taking in clinical in order to decline the incidence of hospital infections.

Objective To introduce admission-discharging distributed management characteristics and practice in nurse station, to analyze the new process value in improving nurse-patient friendliness. Methods The method of admission-discharging distributed management had been re-engineering which based on internet technology in nursing station, and been compared patients satisfaction with the status before. We explored the utilization of new process. Results The patients′satisfaction were 96. 0%, 97. 0%, 94. 0%, 98. 0%, 90. 0%for admission process, discharging process, payment method, service attitude, and medical information acquirement after re-engineering that all were better than before (P<0. 01). 7 months after re-engineering, the rate of admission and discharging by new process reached 47. 50% and 57. 26%. Conclusions After carrying out the admission-discharging distributed management in nurse station, the section of admission and discharging are reduced, and the nurse-patient friendliness have been improved.