腹膜透析护理查房范文模板
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腹膜透析护理查房范文模板英文回答:
Peritoneal Dialysis Nursing Rounds Note Template. Patient Information:
Name:
Date of Birth:
Medical Record Number:
Diagnosis:
Dialysis Information:
PD modality:
Dialysate solution:
Exchange volume:
Number of exchanges per day: Time of exchanges:
Assessment:
General:
General appearance:
Vital signs:
Skin assessment:
Fluid status:
Bowel sounds:
Peritoneal catheter site:
Dialysate:
Amount and appearance of effluent: Dialysate status:
Laboratory values (if available): Patient Education:
New information provided:
Questions asked by patient:
Understanding of PD therapy:
Nursing Interventions:
Fluid management:
Dialysate exchange:
Peritoneal catheter care:
Medication administration:
Diet and nutrition:
Wound care (if applicable):
Patient Goals:
Short-term goals:
Long-term goals:
Plan:
Follow-up appointments:
Changes to therapy:
Referrals to other healthcare professionals:
Education and support resources:
Evaluation:
Patient response to interventions:
Achievement of patient goals:
Any revisions needed to the plan of care: 中文回答:
腹膜透析护理查房范文模板。
患者信息:
姓名:
出生日期:
病历号:
诊断:
透析信息:
腹透方式:
透析液种类:交换量:
每日交换次数:交换时间:
评估:
一般情况:
一般外观:
生命体征:
皮肤评估:
水钠平衡:
肠鸣音:
腹膜导管部位:
透析液:
引流液量和外观:
透析液状态:
实验室检查(如有):患者宣教:
提供的新信息:
患者提出的问题:
对腹透治疗的理解:护理措施:
水钠平衡管理:
透析液交换:
腹膜导管护理:
药物管理:
饮食营养:
伤口护理(如适用):患者目标:
短期目标:
长期目标:
计划:
随访安排:
治疗调整:
转诊至其他医疗专业人员:教育和支持资源:
评价:
患者对干预措施的反应:患者目标达成情况:
护理计划是否需要修改:。