肾积水护理查房课件

护理查房
肾积水
第十病区
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
• 5. the risk of inadequate fluid: related to vomiting
• 6. anxiety (family): fear of poor prognosis after surgery
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
Nursing assessment
• Preoperative Assessment (1) physical assessment (2) psychological and social support
• Postoperative evaluation (1) rehabilitation condition (2) Psychological Cognition (3) prognosis
护理措施
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
• 3. physical mobility barriers: related to the drainage tube
• 4. the risk of impaired skin integrity: related to long-term bed rest, limited mobility.
Nursing Diagnosis
• 1. lack of knowledge (family): lack of preoperative preparation knowledge Notes
• 2. the risk of infection: related to postoperative decreased resistance, indwelling drainage tube
Nursing Rounds
is
Ward Ten
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
知识缺乏的护理措施
• 1. 评估家属的文化程度,接受能力 • 2. 患儿排尿或排便后,指导家属及
时清洗会阴部,保持会阴部清洁 • 3. 指导家属给患儿多饮水 • 4. 指导家属为患儿注意保暖,避免
呼吸道感染,以免延误手术
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
病史摘要
• 患儿,女,11月,于2009年03月03日因B超发 现左肾积水二月余而入院。患儿近日来无 发热,大便正常, 肾脏动态显象及GFR测定示： 肾小球滤过率功能正常，左肾中度积水— 因左输尿管上段狭窄所致。入院后完善相 关检查,予2009年3月05日在全麻下行左肾 盂输尿管成形术,术后生命体征平稳,于0307拔除导尿管，当日能自行解小便，无疼 痛。03-10拔除后腹膜负压吸引管，03-15 拔除输尿管支架管，现肾造瘘引流管固定 良好，引流通畅。
预期目标
• 1.术前家属掌握相关注意事项
• 2.患儿留置导尿期间无感染发生
• 3.患儿能适当进行活动
• 4.患儿皮肤完整性得到保护，不发生破 损。
• 5.患儿体液保持平衡，生命体征平 稳
• 6.患儿家属术后能够掌握有关配合治疗 护理的方法
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
护理诊断
• 1. 知识缺乏(家属):缺乏术前准备知识,注意事 项
• 2. 有感染的危险:与术后抵抗力下降，留置引 流管有关
• 3. 躯体移动障碍：与置引流管有关
• 4. 有皮肤完整性受损的危险：与长期卧床， 活动受限有关。
• 5.有体液不足的危险：与呕吐有关
• 6. 焦虑(家属):担心术后预后不良
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
Nursing measures
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
With the improving quality of life as well as the ever-accelerating pace of life, the quality of people's food needs and rate also changing.In order to meet the needs of society
Nursing
measures
of
lack
of
knowledge
• 1.To estimate family education, reception
• 2.To guide the family clean the genitalia in time to keep the perineum clean after children’s urination or defecation
Brief history
Children, female, 10 months old, was found left hydronephrosis by B ultrasonic and was hospitalized on March 3th, 2009 by B-February. Children has no fever, defecate is normal in recent days ,the Kidney dynamic manifestations and GFR determination display: the glomerular filtration rate is normal, renal water moderate – because of the left upper segment ureter was narrow. After admission perfect relevant inspection,angioplasty of left renal pelvis and ureter on under general anesthesia March 5, 2009, with stable vital signs after surgery, catheter was removed on 03-07, it could urinate by itself with no pain, peritoneal suction tube was removed on 03-10, ureteral stent was removed on 03-15, nephrostomy drainage tube is fixed well, drainage is unobstructed.