What should be paid attention to in periodic paralysis?

summary

Periodic paralysis can be divided into hypokalemia, hyperkalemia and normal blood scapula. Hypokalemia is the most common periodic paralysis. The concentration of potassium ion in blood decreases during laboratory test. Most of the patients are young men, and their condition is more serious. After 30 years old, the attack decreases and stops gradually. The most common attack can be several times a day, and the less one or two times in a lifetime. So what are the precautions for periodic paralysis? Come and study with me.

What should be paid attention to in periodic paralysis?

First, rest guidance; Provide a quiet and comfortable environment, put patients in the ward with few beds and mild illness, keep the appropriate temperature and humidity, have good ventilation, fresh air, and avoid strong light stimulation. Avoid strenuous exercise and infection, so as not to increase the stress of patients, increase the secretion of epinephrine and decrease the blood potassium. At the same time, avoid cold and emotional excitement. Patients should be accompanied when they go out to prevent accidents.

Secondly, dietary guidance; According to the characteristics of hyperthyroidism combined with hypokalemic periodic paralysis, patients should not only eat low iodine, high protein, high vitamin diet, but also eat more beans, fruits, red dates, peanuts, animal viscera and other foods with high potassium content, such as 200 mg of potassium per 100 g. No strong tea, coffee, wine and other stimulant drinks, so as not to cause excitement.

Finally, medication guidance; During the period of intravenous potassium supplement, because potassium salt has strong stimulation to the vascular wall, patients have resistance, so the importance and necessity of potassium supplement should be explained to patients patiently. Before hyperthyroidism operation, Lugol's iodine should be taken orally, and the dosage and precautions should be explained in detail, so that patients can oral.

matters needing attention

Hyperthyroidism patients have large emotional fluctuation and irritability. When they are combined with hypokalemic periodic paralysis, the severe ones will have soft paralysis and lose the ability of movement. At this time, the patients are more anxious and afraid. The nursing staff should tell the patients that the prognosis is good and the recovery is fast after potassium supplement, encourage the patients to express their concerns, eliminate their negative psychological state, help them establish confidence and actively cooperate with the treatment.