关键词: 极重度肥胖, 多发性骨髓瘤, 癫痫持续状态, 护理

Abstract:

To summarize the nursing care for a patient with extremely severe obese and multiple myeloma complicated with status epilepticus. The key points of nursing include：a multidisciplinary rescue team was established to accurately and comprehensively assess the patient’s obesity level；based on the degree of obesity，a goal-directed sedation and analgesia strategy was implemented；airway management measures were optimized for difficult intubation，and lung-protective ventilation strategies were strictly followed with adjusted mechanical ventilation parameters；implementing precise fluid management，closely monitoring electrolyte levels，and reducing triggers for seizure episodes；sequential nutrition support combined with trophic feeding was provided，along with personalized enteral nutrition；early mobilization was initiated to prevent deep vein thrombosis；a skin protection strategy was implemented to establish a safe skin barrier. After meticulous treatment and nursing care，the patient’s condition improved，and she was discharged.

Key words: Extremely Severe Obese, Multiple Myeloma, Status Epilepticus, Nursing Care