How Do I Use a Paper Bag for Hyperventilation?

Hysterical hyperventilation syndrome is common in young women, and it is usually caused by emotional, anger, anxiety, anxiety, and other psychological stimuli.

Hysteric hyperventilation syndrome

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Hysterical hyperventilation syndrome is common in young women, and it is usually caused by emotional, anger, anxiety, anxiety, and other psychological stimuli.

Western Medicine Name

Hysteric hyperventilation syndrome

The main symptoms

Breathe fast, chest tightness

Main cause

Nervous, anxious, emotional

Multiple groups

Young women

Contagious

Non-contagious

Due to the rapid breathing of the patient, a large amount of carbon dioxide is exhaled, causing respiratory alkalosis, and a series of clinical symptoms such as chest tightness, chest pain, dyspnea, palpitations, sweating, paleness, facial lip numbness, hands and feet, and systemic convulsions.

First, psychological counseling:

This type of patients often have incentives such as mental stimulation, or because of love, family discord, husband and wife quarrel and other reasons. Nurses should sympathize and care for patients, talk more with them, actively communicate, strive to find the cause of their illness, and patiently conduct psychological counseling and comfort.

Second, suggestive therapy:

1. First of all, let the family members, friends, or colleagues who are sent to the hospital not panic, do not talk about how serious the disease is in front of the patient, do not show tension, anxiety, etc., because of bad stimulation will aggravate the attack.

2. Instruct patients to relax throughout the body, breathe uniformly, and consciously slow down the breathing rate or hold your breath to reduce CO2 exhalation, improve alkalosis, and relieve symptoms.

3 In severe cases, a hard paper sheet can be used to surround the patient's mouth and nose with a horn-like mask, and the exhaled CO2 can be re-inhaled to improve the symptoms of alkalosis.

4 Stabilize the patient's mood and give sedatives orally or intramuscularly as necessary.

5. Intramuscular injection of vitamin B drugs, and told patients that this is a specific medicine for the disease, the effect is quite good. Many patients can stop the attack when prompted. ^[1]

1. Clinical data

34 patients, aged 14 to 67 years, with an average age of 29.4 years. All are women. There are mental factors such as anger and tension. Among them, 28 cases had numbness in the extremities and lips, 21 cases had twitching of hands, 29 cases of palpitation, and 31 cases of dizziness. By comforting the patient and family, explaining the condition, applying suggestive psychotherapy and covering the mouth and nose with carbon paper or plastic bags to breathe back exhaled carbon dioxide, the symptoms quickly resolved. Those who are over-excited are given intramuscular injection of 10 mg of diazepam.

2. Discussion

Hysterical hyperventilation syndrome causes increased breathing frequency, excessive ventilation, excessive exhaled carbon dioxide, reduced carbon dioxide concentration in the blood, decreased partial pressure of carbon dioxide, and increased pH, which causes respiratory alkalosis. Respiratory alkalosis stimulates increased excitability of neuromuscular muscles, numbness of hands, feet, and face, tremors and convulsions of hands and feet, and muscle spasms. There may be dizziness due to cerebral vasospasm caused by hypocapnia.

Onset is closely related to mental factors, and the diagnosis is not difficult. Accompanying convulsions should be distinguished from rickets, convulsions, calcium-deficient convulsions, and blood gas analysis if necessary. Treatment must first stabilize the mood. Patients and family members are frightened of sudden symptoms and emotional instability. Sometimes the admissions scene is very confusing. Medical staff should be very calm, handle it properly, speak softly and suggestively, and comfort patients and their families to cooperate with treatment.

The disease is focused on prevention. In view of the increasing social pressure and the increasing number of the disease, medical staff in social hospitals and outpatient clinics should raise awareness of the disease. Can give full play to the role of general practitioners, using patients as the center and using interpretive psychotherapy to guide patients to correctly understand and treat the mental factors that cause disease, recognize the nature of the disease, help patients analyze their personality defects, and guide patients to learn new Coping skills to enhance adaptability. ^[2]