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1、CASESTUDYEco601235802Paula601235815Vicky601235812CONTENTSBasicinformationofthepatientTreatmentNursingcareplanBasicinformationofthepatientName:AunlamoolGender:MaleAge:48Maritalstatus:MarriedDateofhospitaladmission:15/6/2018Diagnosis：lungcancerandhemoptysisPasthistoryillness:IIIlungcancer（NSCLC
2、T3N0M1a），SLPchemotherapyOnJune14,patienthadanintermittentlyhemoptysismorethan20timesandthevolumeofhemoptysisabout200ml.Aftercontactingtheemergencydepartment,thepatientwastakenfromthestretchertotheemergencydepartmentfortreatment.ThedoctororderedIVdropsNSS1000ml，vitalsigns:T=36.9℃,P=116bpm;R=20
3、bpm,BP=125/82mmHg，O2saturation=94%.Pasthistory:CBC,Hb12g/Dl,Hct37.3%,WBC7780/cu.mm,Neutrophil88.4%Eosinophil1.7%Lympocyte7.8%Monocyte3.6%Basophil0%Platelet272000APTT27.80TT0.89MCV79,RDW14.8Totalprotein8.0gm/dLAlbumin4.37gm/dLGlobulin:8.7gm/dLCholesterol:173mmol/LTotalBil:0.33μmol/LDirectBil:0
4、.15μmol/L.Laboratoryresult（EmergencyDepartment）InJune15afternoon,thepatientwastransferredtomaleward3fromtheemergencydepartmentwithgoodconsciousness.Nochestpainbuthewasworriedabouthiscondition.Patienthascoughduringnight,sleepsnotverywell.Givethepatientcontinuousoxygeninhalation.Onadmission,his
5、vitalsigns:T=36.7℃,P=120bpm;R=20bpm,BP=123/80mmHg，O2saturation=95%.Pasthistory:AboutNSCLCThereare2maintypesoflungcancernon-smallcelllungcancer(NSCLC)(80%-85%)smallcelllungcancer (SCLC)(80%-85%)Lungcancerisoneofthemostcommontypesofcancer，duetocancer-causingsubstances(carcinogens)intheairareinh
6、aledandcausecelldamagethatlaterbecomescancer.Themostcommoncauseoflungcancer,byfar,issmoking.isadiseaseinwhichmalignant(cancer)cellsforminthetissuesofthelung.SquamouscellcarcinomaLargecellcarcinomaAdenocarcinomaComplications：Thecancerspreadingtootherareasofpatient'sbodyAsideeffectoftreatmentpl
7、an，likeChemotherapyHemoptysisHemoptysisistheexpectorationofbloodorblood-tingedsputumfromthelungsortracheobronchialtree.Duringtheclinicalcourseofnonsmallcelllungcancer(NSCLC),20–60%ofpatientswilldevelophaemoptysis,with5–10%ofcasesconsideredsev
