Abstract:

To summarize the emergency nursing care of a patient diagnosed with hyponatremic encephalopathy who had hematemesis complicated with unconsciousness. In response to the nursing difficulties of the patient with sudden onset，unknown etiology，irritability and lack of cooperation，emergency nurses traced the patient’s medical history in detail and found that the patient had excessive compliance with medical treatment，quickly providing differential diagnosis basis for the medical team. Combining symptomatic treatments such as sodium supplementation，hemostasis and gastric protection，reasonable use of protective constraints，targeted quantitative drinking water guidance were provided. After 4 days，the patient’s condition improved and was discharged. Follow up of 3 months showed stable condition and good compliance with medical treatment.

Key words: Compliance with Medical Treatment, Excessive Adherence to Medical Treatment, Hyponatremic Encephalopathy, Water Intoxication, Emergency Nursing