Nursing care for a patient with extremely severe obese and multiple myeloma complicated with status epilepticus
10.3761/j.issn.0254-1769.2025.17.016
- VernacularTitle:1例极重度肥胖合并多发性骨髓瘤患者癫痫持续状态的护理
- Author:
Xiaobai CAO
1
;
Pengju WANG
;
Lan GAO
;
Yujiao WANG
Author Information
1. 130021 长春市吉林大学第一医院神经内科
- Publication Type:Journal Article
- Keywords:
Extremely Severe Obese;
Multiple Myeloma;
Status Epilepticus;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(17):2145-2149
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing care for a patient with extremely severe obese and multiple myeloma complicated with status epilepticus.The key points of nursing include:a multidisciplinary rescue team was established to accurately and comprehensively assess the patient's obesity level;based on the degree of obesity,a goal-directed sedation and analgesia strategy was implemented;airway management measures were optimized for difficult intubation,and lung-protective ventilation strategies were strictly followed with adjusted mechanical ventilation parameters;implementing precise fluid management,closely monitoring electrolyte levels,and reducing triggers for seizure episodes;sequential nutrition support combined with trophic feeding was provided,along with personalized enteral nutrition;early mobilization was initiated to prevent deep vein thrombosis;a skin protection strategy was implemented to establish a safe skin barrier.After meticulous treatment and nursing care,the patient's condition improved,and she was discharged.
