care measures for comatose patients should pay attention to these points
- 2025-07-01
- Dr. Xiao
- 83

nursing measures for comatose patients include the following aspects:
1. position the patient. the patient must be using a bed with the head of the bed that can be raised. it can be manual or electric. the head of the bed is raised at an angle of 15-30 degrees. the patient's head is tilted to one side. this can be done. it prevents the tongue from falling backward and blocking the airway, and also prevents food from refluxing and aspiration. strictly speaking, you need to turn over and buckle your back every 2 hours to prevent bedsores and pneumonia. you can use an electric air mattress, which is more convenient. use pillows to cushion the bottoms of your feet to prevent ischemic necrosis of the soles of your feet from long-term compression.
2. comatose patients need an indwelling gastric tube, nasogastric feeding, and a 24-hour fluid intake of 2,000-2,500 ml. however, this is an estimate based on the patient's weight gain or loss. in terms of dietary care, pay attention to eating more fruits and vegetables, and eat more foods rich in dietary fiber. to prevent constipation, a urinary catheter is required. adequate intake can also be judged by observing urine volume and color.
3. comatose patients should receive oral care at least twice a day, once in the morning and once in the evening. patients with oral ulcers should be given timely medication, such as hydrogen peroxide or sodium bicarbonate, etc.
4. to prevent deep vein thrombosis of the lower limbs, pneumatic therapy can be given.
(warm reminder: medical science sharing. this content does not represent face-to-face consultation. if you feel unwell, please seek medical treatment as soon as possible.)
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