英文护理查房
食管癌护理查房范文模板
食管癌护理查房范文模板英文回答：Good morning everyone, my name is [Your Name] and Iwill be conducting the ward round today for our patient with esophageal cancer. Let's begin by discussing the patient's current condition and any updates regarding their treatment plan.Firstly, the patient has been experiencing some difficulty in swallowing, which is a common symptom of esophageal cancer. We have been closely monitoring their nutritional intake and have made appropriate modifications to their diet to ensure they are receiving adequate nutrition. Additionally, we have been providing them with regular oral care to prevent any complications such as oral thrush.In terms of their treatment plan, the patient has undergone a series of chemotherapy sessions. They have beenexperiencing some side effects such as nausea and fatigue, which we have been managing with medication and supportive care. It is important to monitor their response to chemotherapy and adjust the treatment plan accordingly.Furthermore, the patient has been receiving regular physiotherapy sessions to prevent complications such as pneumonia and to improve their overall physical strength. We have also been providing them with emotional support and counseling to help them cope with the challenges of their diagnosis.In terms of pain management, we have been using a combination of medications to control any discomfort the patient may be experiencing. It is important to regularly assess their pain levels and adjust the medication dosage as needed. We have also been encouraging the patient to use relaxation techniques and distraction methods to help manage their pain.Additionally, we have been closely monitoring the patient for any signs of infection, as they are at anincreased risk due to their compromised immune system. We have been following strict infection control protocols and providing the patient with appropriate vaccinations to minimize the risk of infection.To summarize, our patient with esophageal cancer is currently undergoing chemotherapy and receiving supportive care to manage their symptoms and side effects. We are closely monitoring their nutritional intake, pain levels, and overall well-being. We are also providing them with emotional support and counseling to help them navigate this challenging time.中文回答：大家早上好，我是[你的名字]，今天将负责我们食管癌患者的查房工作。
手术室护理查房模板范文
手术室护理查房模板范文英文回答：I would like to start by saying that the purpose of my rounds in the operating room is to ensure the well-being and safety of our patients. During my rounds, I pay close attention to the patient's vital signs, pain levels, and overall comfort. I also assess the condition of thesurgical site and check for any signs of infection or complications.In addition, I make sure that all necessary equipment and supplies are readily available in the operating room. This includes checking the functioning of the anesthesia machine, monitoring devices, and surgical instruments. I also ensure that the operating room is clean and sterile, following proper infection control protocols.During my rounds, I communicate with the surgical team, including the surgeon, anesthesiologist, and scrub nurse,to address any concerns or questions they may have. I also provide updates on the patient's condition and any changesin the surgical plan.Furthermore, I take the time to educate the patient and their family members about the post-operative care and what to expect during the recovery process. I answer any questions they may have and provide reassurance and support.Overall, my goal during my rounds in the operating room is to provide comprehensive and compassionate care to our patients, ensuring their safety and well-being throughout their surgical journey.中文回答：我首先想说的是，我在手术室查房的目的是确保患者的健康和安全。
脑出血术后护理查房范文
脑出血术后护理查房范文英文回答：Postoperative care after cerebral hemorrhage includes close monitoring of vital signs, neurological assessments, pain management, and prevention of complications. Regular nursing rounds are essential to ensure the patient's safety and well-being.During the nursing rounds, the nurse should assess the patient's level of consciousness, pupil size and reaction, motor function, and vital signs. Any changes in these parameters should be promptly reported to the healthcare team. In addition, the nurse should monitor the patient's respiratory status, ensuring adequate oxygenation and ventilation.Pain management is an important aspect of postoperative care. The nurse should assess the patient's pain level using a pain scale and administer appropriate painmedication as prescribed. It is crucial to regularly reassess the patient's pain level and adjust the medication accordingly.Prevention of complications is another vital aspect of postoperative care. The nurse should ensure that thepatient is repositioned regularly to prevent pressure ulcers and deep vein thrombosis. Adequate hydration and nutrition should also be maintained to support thepatient's recovery.Furthermore, the nurse should educate the patient and their family members about the signs and symptoms of complications to watch out for. This includes signs of infection, such as fever and increased redness or drainage at the surgical site, as well as signs of increased intracranial pressure, such as severe headache, vomiting, and changes in consciousness.中文回答：脑出血术后的护理包括密切监测生命体征、神经评估、疼痛管理和预防并发症。
医学英语查房(详细)参考
E. 小结 summary：主治医师对主任查房作应答， 提出整改措施
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5. procedures
A. 交班 morning meeting：住院总医师；外称 Senior Resident’s Morning Report
B. 引言 introduction：主治医师；提出重点查房病 例，简述棘手问题
C. 病史报告 case presentation：实习医生，可有 无诊断，诊治计划须系统
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Misdeal 治疗不当
• Resident: I assume that you blocked the neurogenic phase with atropine. How did you block the hormonal phase?
• Director: I put down a Levin tube, and the patient on constant gastric suction.
• Resident: This will keep the gastric contents from entering the duodenum and the production of secretin, which, in turn, would increase the liberation of pancreatic enzymes, thus adding to the insult.
骨折术后的护理查房范文
骨折术后的护理查房范文英文回答：After a patient undergoes surgery for a fracture, it is important to provide proper post-operative care to ensure proper healing and recovery. As a nurse, my role includes conducting regular bedside assessments to monitor the patient's condition and progress. Here is an example of a nursing check-up after a fracture surgery:First, I would introduce myself to the patient and explain the purpose of my visit. I would then proceed to assess the patient's vital signs, such as heart rate, blood pressure, and respiratory rate, to ensure they are within normal ranges. I would also check the patient's temperature and oxygen saturation levels.Next, I would inspect the surgical site for any signs of infection or complications. I would assess the incision site for redness, swelling, or drainage. I would also checkfor any signs of increased pain or discomfort, which could indicate a problem with the healing process.Moving on, I would evaluate the patient's mobility and range of motion. I would ask the patient if they are experiencing any difficulty in moving the affected limb or if they are experiencing any pain or stiffness. It is important to encourage the patient to perform regular exercises and physical therapy to promote healing and prevent complications such as muscle atrophy or joint stiffness.Furthermore, I would assess the patient's pain level using a pain scale and provide appropriate pain management interventions if necessary. This could include administering pain medication or applying ice or heat therapy to the affected area.In addition to the physical assessment, I would also assess the patient's emotional well-being. I would ask the patient about their mood, any concerns or fears they may have, and provide emotional support and reassurance. It isimportant to address any psychological or emotional issues that may arise during the recovery process.To conclude the check-up, I would document my findings in the patient's medical record and communicate any concerns or changes in the patient's condition to the healthcare team. I would also provide the patient with education on self-care and follow-up appointments.中文回答：骨折术后，为了确保正确愈合和恢复，提供适当的术后护理非常重要。
腔隙性脑梗塞护理查房范文
腔隙性脑梗塞护理查房范文(中英文版)English:Lacunar infarction, a type of stroke, occurs when a small blood vessel in the brain supplying blood to a small area becomes blocked.This results in the death of brain tissue in that area.The symptoms of lacunar infarction can vary depending on the location of the blockage, but common symptoms include weakness or numbness in the face, arm, or leg on one side of the body, difficulty speaking or understanding speech, and problems with vision.中文：腔隙性脑梗塞是一种中风类型，发生在向大脑小区域供血的微小血管阻塞时。
这导致该区域的大脑组织死亡。
腔隙性脑梗塞的症状取决于阻塞位置，但常见症状包括身体一侧的面部、手臂或腿无力或麻木，言语困难或理解言语问题，以及视力问题。
English:In terms of nursing care for lacunar infarction patients, it is important to closely monitor the patient"s vital signs, including blood pressure, heart rate, and temperature, and to assess the severity of the stroke and the patient"s level of consciousness.Nurses should also be vigilant for signs of complications such as aspiration pneumonia or deep vein thrombosis.中文：在腔隙性脑梗塞患者的护理方面，密切监测患者的生命体征，包括血压、心率和体温，评估中风的严重程度和患者的意识水平非常重要。
脑外伤护理查房英文版本
CDC 2006
Anatomy and physiology review
Skull Anatomy
The skull is a rounded layer of bone designed to protect the brain from penetrating injuries
The base of the skull is rough, with many bony protuberances These ridges can result in injury to the temporal and frontal lobes of the brain during rapid 颅底 acceleration
Case report 1
Name: Tim Sex: male Age: 17 Date: 2011-10-12 6pm
Medical history: While riding a bicycle without a helmet
on a busy street and was struck by a car
Increased Intracranial Pressure
剧烈头痛
喷射性呕吐 视神经 乳头水肿
Etiology and Pathophysiology of Intracranial Hypertension
颅腔占位性 病变 脑组织增加
脑血流量增加
脑脊液增加
Cerebral Herniation
Nursing care of patient with TBI
Zhan Yu xin Neurosurgery Department 0109-kitty@
输尿管结石的护理查房范文
输尿管结石的护理查房范文【中英文版】English:The patient we are discussing today is a 45-year-old male who was admitted to our hospital due to severe pain in the lower abdomen and blood in urine.After examination, he was diagnosed with ureteral calculi.In this case, we will focus on the nursing rounds for ureteral calculi.中文：今天我们要讨论的病人是一位45岁的男性，因下腹部剧烈疼痛和血尿而入住我们医院。
检查后，他被诊断为输尿管结石。
在此案例中，我们将重点讨论输尿管结石的护理查房。
English:Firstly, it is important to monitor the patient"s vital signs, including blood pressure, heart rate, and respiratory rate, regularly.Additionally, assess the severity of the pain, its location, radiation, and associated symptoms such as nausea and vomiting.This information will help in determining the effectiveness of the treatment and the need for pain management.中文：首先，定期监测病人的生命体征，包括血压、心率和呼吸率，是非常重要的。
此外，评估疼痛的严重程度、部位、放射性和伴随症状，如恶心和呕吐。
急性支气管炎的护理查房范文
急性支气管炎的护理查房范文英文回答：Nursing Ward Round Report for Acute Bronchitis.Patient Name: [Patient's Name]Date: [Date]Chief Complaint:The patient presents with symptoms of cough, sputum production, and shortness of breath.Assessment:Upon assessment, the patient appears to be in moderate distress, with increased work of breathing and use of accessory muscles. Auscultation reveals coarse crackles and wheezing in both lung fields. Vital signs are as follows:temperat ure 38.5°C, heart rate 100 bpm, respiratory rate24 bpm, and oxygen saturation 92% on room air.Nursing Interventions:1. Oxygen Therapy: Administer supplemental oxygen via nasal cannula at 2 liters per minute to maintain oxygen saturation above 94%.2. Positioning: Assist the patient in a semi-Fowler's position to facilitate breathing and improve lung expansion.3. Medication Administration:Bronchodilators: Administer prescribed bronchodilators, such as albuterol, to relieve bronchospasm and improve airflow.Mucolytics: Administer prescribed mucolytic agents, such as acetylcysteine, to help loosen and thin secretions.Antibiotics: Administer prescribed antibiotics ifthe etiology of the acute bronchitis is bacterial.4. Fluid Intake: Encourage the patient to increasefluid intake to promote hydration and thin secretions.5. Cough and Deep Breathing Exercises: Teach and assist the patient in performing cough and deep breathing exercises to promote airway clearance and lung expansion.6. Infection Control: Emphasize the importance of hand hygiene and respiratory etiquette to prevent the spread of infection.7. Health Education: Provide the patient with information about acute bronchitis, its causes, and preventive measures to avoid future episodes.中文回答：急性支气管炎的护理查房范文。
腹腔镜阑尾护理查房范文
腹腔镜阑尾护理查房范文英文回答：Patient Name: [Patient's Name]Date: [Date]1. General Condition:The patient is currently in a stable condition. Vital signs are within normal limits. The patient is conscious and oriented to time, place, and person.中文回答：患者姓名，[患者姓名]日期，[日期]1. 总体情况：患者目前情况稳定。
生命体征正常。
患者神志清醒，对时间、地点和人物有清晰的认知。
2. Incision Site:The incision site is clean, dry, and intact. There are no signs of infection, such as redness, swelling, or discharge. The dressing is secure and in place.中文回答：2. 切口部位：切口部位干燥、清洁、完整。
没有感染迹象，如红肿或分泌物。
敷料牢固并保持在原位。
3. Pain Management:The patient reports mild to moderate pain at theincision site. Analgesics have been administered as prescribed, and the pain is well-controlled. The patient isable to move comfortably and perform activities of daily living without significant discomfort.中文回答：3. 疼痛管理：患者报告切口部位轻度到中度疼痛。
高血压糖尿病护理查房范文
高血压糖尿病护理查房范文英文回答：High blood pressure and diabetes are two common chronic diseases that require regular monitoring and care. As a nurse, conducting a thorough and comprehensive ward roundis crucial in providing effective care for patients with these conditions.During the ward round, I would first assess thepatient's vital signs, including blood pressure, heart rate, and blood glucose levels. This helps me understand the current status of their conditions and whether any immediate interventions are required. For example, if the patient's blood pressure is elevated, I would ensure they are taking their prescribed antihypertensive medication and inquire about any recent lifestyle changes that may have contributed to the increase.Next, I would review the patient's medication regimento ensure they are taking their medications as prescribed. It is important to educate the patient on the importance of adherence to their medication regimen and the potential consequences of non-compliance. For instance, I might explain to the patient that skipping doses of their antidiabetic medication can lead to uncontrolled blood sugar levels and increase the risk of complications such as diabetic ketoacidosis.In addition to medication management, I would also assess the patient's dietary habits and provide guidance on healthy eating for both hypertension and diabetes. I might recommend a low-sodium diet for hypertension and a balanced diet with controlled carbohydrate intake for diabetes. Itis important to explain to the patient the rationale behind these dietary recommendations and provide practical tips on meal planning and portion control.Furthermore, I would assess the patient's physical activity level and encourage regular exercise as part of their management plan. Exercise has numerous benefits for both hypertension and diabetes, such as improving bloodpressure control and insulin sensitivity. I might suggest activities such as brisk walking, swimming, or cycling, and emphasize the importance of finding an exercise routinethat the patient enjoys and can sustain in the long term.Lastly, I would address any concerns or questions the patient may have regarding their conditions. It isessential to create a supportive and open environment where the patient feels comfortable discussing their fears, challenges, and goals. By actively listening and providing empathetic responses, I can help the patient develop self-management skills and empower them to take control of their health.中文回答：高血压和糖尿病是两种常见的慢性疾病，需要定期监测和护理。
肺炎患者的护理查房范文
肺炎患者的护理查房范文（中英文实用版）Title: Nursing Round Example for Pneumonia PatientsTitle: 肺炎患者护理查房范文During the nursing rounds for pneumonia patients, it is crucial to assess their condition thoroughly and provide appropriate care.Here is an example of a nursing round form for pneumonia patients, presented in both English and Chinese.在肺炎患者的护理查房中，全面评估患者状况并提供适当护理至关重要。
以下是针对肺炎患者的护理查房范例，采用中英双语呈现。
Patient Information:ame: John SmithAge: 45Gender: MaleAdmission Date: March 1stDiagnosis: Pneumonia病人信息：姓名：约翰·史密斯年龄：45岁性别：男入院日期：3月1日诊断：肺炎Physical Assessment:- Vital signs: Temperature 37.5°C, Heart rate 110 bpm, Blood pressure 120/80 mmHg, Respiratory rate 24 breaths/min- Oxygen saturation: 92%- Chest pain present, located in the left upper quadrant- Cough with yellowish sputum- labs: White blood cell count 12,000/L, C-reactive protein 10 mg/L 体格检查：- 生命体征：体温37.5°C，心率110次/分钟，血压120/80毫米汞柱，呼吸率24次/分钟- 血氧饱和度：92%- 胸部有疼痛，位于左上象限- 咳嗽伴有黄色痰液- 实验室检查：白细胞计数12,000/L，C反应蛋白10毫克/升ursing Interventions:1.Monitor vital signs and oxygen saturation regularly.2.Administer prescribed antibiotics and respiratory medications as ordered.3.Provide comfort measures, such as positioning the patient in an upright position and using a humidifier.4.Encourage the patient to drink plenty of fluids to keep the respiratory tract hydrated.cate the patient on the importance of hand hygiene and infection control measures.护理干预：1.定期监测生命体征和血氧饱和度。
颈椎病护理查房范文模板
颈椎病护理查房范文模板英文回答：Nursing Care Plan for Cervical Spondylosis. Assessment.Pain and stiffness in the neck.Headache.Numbness or tingling in the arms or legs. Weakness in the arms or legs.Dizziness or balance problems.Diagnosis.Cervical spondylosis.Goals.Relieve pain and stiffness.Improve range of motion.Prevent further damage to the spine.Improve quality of life.Interventions.Pain management: Over-the-counter pain relievers, prescription medications, physical therapy, acupuncture.Range of motion exercises: Neck stretches, chin tucks, shoulder rolls.Strengthening exercises: Neck strengthening exercises, shoulder blade squeezes.Posture correction: Use of a cervical collar, ergonomic workstation, proper sleeping position.Heat or cold therapy: Application of heat or cold to the neck.Massage therapy: Gentle massage of the neck and shoulders.Education: Patient education on the condition, treatment options, and prevention strategies.Evaluation.Patient reports reduced pain and stiffness.Patient demonstrates improved range of motion.Patient has no further damage to the spine.Patient's quality of life has improved.中文回答：颈椎病护理查房范文。
护理查房pio范文
护理查房pio范文英文回答:Nursing rounds are an essential part of my dailyroutine as a nurse. They provide an opportunity for me to assess the condition of my patients, address their concerns, and ensure that they are receiving the appropriate care. During nursing rounds, I visit each patient's room, check their vital signs, review their medical charts, and askthem about any discomfort or pain they may be experiencing. This helps me to identify any changes in their conditionand take appropriate actions.For example, during one of my recent nursing rounds, I visited Mr. Smith, who had undergone surgery the previous day. As I entered his room, I noticed that he seemed quite restless and was grimacing in pain. I immediately asked him about his pain level and he rated it as a 9 out of 10. I quickly assessed his vital signs and noticed an elevated heart rate and blood pressure. Based on this information, Ipromptly administered pain medication and informed the doctor about the situation. This prompt action helped to alleviate Mr. Smith's pain and prevent any potential complications.In addition to assessing the physical condition of my patients, nursing rounds also provide an opportunity for me to address their emotional and psychological needs. For instance, during another nursing round, I visited Mrs. Johnson, who had been feeling quite anxious and lonely during her hospital stay. I took the time to sit with her, listen to her concerns, and offer words of comfort and reassurance. This simple act of kindness made her feel supported and helped to alleviate her anxiety.中文回答：护理查房是我作为护士日常工作中的重要部分。
胃癌术后护理查房范文
胃癌术后护理查房范文英文回答：After gastric cancer surgery, the nursing care involves closely monitoring the patient's condition, providing pain management, promoting wound healing, preventing complications, and assisting with the patient's recovery. During my rounds, I would focus on the following aspects:1. Vital signs: I would check the patient's blood pressure, heart rate, respiratory rate, and temperature. Any abnormality in these vital signs could indicate complications such as infection or hemorrhage.2. Pain management: I would assess the patient's pain level using a pain scale and administer pain medications as prescribed. It is important to ensure that the patient is comfortable and able to rest.3. Wound care: I would inspect the surgical incisionsite for any signs of infection, such as redness, swelling, or discharge. I would also ensure that the wound is clean and dry, and change the dressing if necessary.4. Nutrition and hydration: I would assess thepatient's ability to tolerate oral intake and monitor their fluid balance. It is important to encourage the patient to eat small, frequent meals and provide them with a balanced diet to promote healing and prevent malnutrition.5. Ambulation and activity: I would assist the patient in getting out of bed and encourage them to walk and perform gentle exercises to prevent complications such as blood clots and muscle weakness.6. Emotional support: I would provide emotional support to the patient and their family, as undergoing surgery for gastric cancer can be a stressful experience. I wouldlisten to their concerns, answer their questions, and provide reassurance.中文回答：胃癌术后护理需要密切监测患者的病情，提供疼痛管理，促进伤口愈合，预防并发症，并协助患者康复。
手术室护理查房记录范文
手术室护理查房记录范文英文回答：Morning Round in the Operating Room.As a nurse in the operating room, my morning rounds involve checking on the patients who underwent surgery the previous day. This is an important part of my job as it allows me to assess their recovery progress and address any concerns or issues they may have.First, I check the patient's vital signs, including their blood pressure, heart rate, and temperature. This gives me an indication of their overall health and helps me determine if there are any signs of infection or complications. For example, if a patient's temperature is elevated, it could be a sign of an underlying infection.Next, I assess the patient's pain level and provide appropriate pain management. This is crucial for theircomfort and well-being. I ask them to rate their pain on a scale of 0 to 10, with 0 being no pain and 10 being the worst pain imaginable. Based on their response, I administer pain medication or make adjustments to their existing pain management plan.I also inspect the surgical incision site for any signs of infection or abnormal healing. This includes looking for redness, swelling, or drainage. If I notice any concerning signs, I notify the surgeon immediately so that appropriate interventions can be implemented.Furthermore, I ensure that the patient's post-operative orders are being followed. This includes monitoring their fluid intake and output, ensuring they are on the appropriate diet, and administering any prescribed medications. For example, if a patient is on a restricted fluid intake, I make sure they are not receiving excessive fluids from IV fluids or oral intake.Lastly, I address any questions or concerns the patient may have. It is important to provide them with clear andconcise explanations, using language that they can understand. For instance, if a patient asks about the recovery timeline, I explain that it varies depending on the type of surgery and individual factors, but generally takes a few weeks to a few months.In conclusion, my morning rounds in the operating room involve assessing the patient's vital signs, managing their pain, inspecting the surgical site, ensuring post-operative orders are followed, and addressing any questions or concerns. It is a crucial aspect of providing quality care and promoting the patient's recovery.中文回答：手术室护理查房记录范文。
颅骨修补护理查房范文
颅骨修补护理查房范文英文回答：Preoperative.History and Physical Exam:Review patient's medical history, including any previous surgeries or trauma to the head.Perform a thorough physical examination, including a neurological assessment.Imaging:Obtain preoperative CT or MRI scans to assess the extent of the skull defect and plan the appropriate repair technique.Intraoperative.Positioning:The patient is placed in the supine position with the head elevated and turned to the side opposite the defect.Incision and Exposure:A scalp incision is made, and the skin and soft tissue are carefully dissected to expose the skull defect.Defect Preparation:The edges of the defect are trimmed and smoothed to ensure a good fit for the repair material.Repair Technique:Depending on the size and location of the defect, various repair techniques can be used, such as:Cranioplasty with autologous bone or alloplastic materials.Calvarial bone grafting.Dural repair.Postoperative.Wound Care:The wound is closed and dressed with sterile bandages.Antibiotics are typically prescribed to prevent infection.Pain Management:Pain medications are administered as needed to control pain.Activity Restrictions:The patient is instructed to avoid strenuous activity and protect the surgical site until it is fully healed.Follow-up:Regular follow-up appointments are scheduled to monitor healing and assess the success of the repair.中文回答：术前。
心内科护理查房模板范文
心内科护理查房模板范文英文回答：Good morning everyone, it's time for our daily ward round in the cardiology department. Let's start by checking in on our patients and reviewing their progress.Patient 1: Mr. Smith, how are you feeling today? Have you been experiencing any chest pain or shortness of breath?Patient 2: Mrs. Johnson, how is your blood pressure today? Have you been taking your medications as prescribed?Patient 3: Mr. Lee, have you been following your diet and exercise plan? How is your weight and fluid intake?Now let's review the vital signs and lab results for each patient to ensure they are stable and progressing as expected.中文回答：大家早上好，现在是我们心内科的每日查房时间。
让我们开始检查我们的病人，并回顾他们的进展情况。
病人1，史密斯先生，你今天感觉怎么样？你有没有出现胸痛或气短的情况？病人2，约翰逊女士，你今天的血压怎么样？你有按照处方服药吗？病人3，李先生，你有按照饮食和运动计划吗？你的体重和液体摄入情况如何？现在让我们回顾每位病人的生命体征和实验室结果，确保他们的情况稳定，并按预期进展。
血栓性偏瘫护理查房范文
血栓性偏瘫护理查房范文英文回答：Assessment:Vital signs: Check for fever, tachycardia, and hypotension.Neurological examination: Assess level of consciousness, pupillary response, and motor function.Vascular examination: Palpate for pulses in all extremities, check for edema, and auscultate for bruits.Skin assessment: Inspect for skin breakdown, ulceration, and infection.Nutritional assessment: Evaluate for malnutrition and dehydration.Psychosocial assessment: Assess for anxiety, depression, and coping mechanisms.Interventions:Positioning: Keep the patient in a semi-Fowler's position with the affected limbs elevated to reduce edema.Range of motion exercises: Perform passive or assisted range of motion exercises to prevent contractures.Skin care: Keep the skin clean and dry, and apply emollients to prevent pressure sores.Venous thromboembolism prophylaxis: Administer anticoagulants as prescribed to prevent blood clots.Physical therapy: Engage in physical therapy to improve mobility, strength, and balance.Occupational therapy: Assist with activities of daily living and adaptive equipment.Speech therapy: Provide support for communication difficulties.Medication management: Administer medications as prescribed to manage pain, prevent complications, and improve neurological function.Emotional support: Provide emotional support and counseling to the patient and family.Education:Teach the patient and family about the condition: Explain the causes, symptoms, and treatment options.Emphasize the importance of following medical instructions: Discuss the importance of adhering to the prescribed medications, exercises, and lifestyle modifications.Provide resources for support: Inform the patient andfamily about support groups and other resources available to them.Monitoring:Monitor vital signs regularly: Track temperature, heart rate, and blood pressure to detect any changes.Assess neurological status: Check for changes in consciousness, pupillary response, and motor function.Inspect the skin: Look for any signs of skin breakdown or infection.Evaluate pain levels: Monitor the patient's painlevels and adjust medications as needed.Observe for complications: Be alert for signs of infection, bleeding, or embolism.中文回答：评估：生命体征，检查发热、心动过速和低血压。
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Lumbar disc herniation in nursing roundsPatient data：Patients with Zheng Baorong, female, 54 years old, a chief complaint of low back pain 8 years, increase with double lower limbs pain numbness and weakness in 2 monthsThe patient is now history：The patient said in 8 years ago five apparent inducement appear gradually lower back pain, lower limb swelling and discomfort, fatigue after the increase of rest after remission, and occasional pain, line of symptomatic treatment, symptoms can be relieved, then still recurring symptoms. 2 months ago the exacerbation of symptoms and gradually appeared in both the lateral lower leg and foot pain, posterolateral, lower extremity weakness, pain like stabbing, burning, was continuing, especially with the double foot is heavy, night is obvious, the intense pain affect sleep, oral pain because of poor efficacy, and double the dorsum of the foot, foot numbness, consciously plantar " on the cotton ". The patients for further treatment to the hospital, outpatient investigation to " lumbar disc herniation " for the diagnosis of wards. In the course of the disease in patients without obvious fever, night sweats, fatigue symptoms, right foot fracture after long time bed double lower limb muscle atrophy, and decreased body weight of about 10kg, poor sleep, diet, two times can be.Characteristics of disease：Lumbar disc herniation is refers to the degeneration of intervertebral disc, fibrous ring rupture, the nuclear organization salient stimuli and compression of the nerve root and cause a syndrome. Traditional Chinese medicine books without lumbar intervertebral disc protrusion in the name of. Lumbar disc corresponds to an amphiarthrosis, is covered by hyaline cartilage plates, annulus fibrosus and nucleus pulposus composition, distribution in the lumbar spine bone room. Lumbar intervertebral disc degenerative changes or trauma induced by fibrous ring rupture, nucleus pulposus prolapse from rupture, compression lumbar nerve, and leg radioactivity pain, so the medical profession that lumbar disc herniation is a " low back and leg pain, rheumatism " category. Here's Bian Tingting to introduce the symptoms of lumbar, lumbar disc herniation patients the most common symptoms are pain, low back pain, sciatica performance, typical sciatica is at the back of the thigh, hip, leg lateral to the heel or foot back pain radiation. According to clinical statistics, about 95% of the lumbar disc herniation patients have varying degrees of pain, 80% patients with lower extremity pain. Especially low back pain, lumbar disc herniation not only is the most common symptom, is also one of the earliest symptoms. The pain occurs mainly due to the prominent, degeneration of nucleus pulposus on adjacent tissues ( mainly for sinus vertebral nerve and spinal nerve root stimulation and oppression, and at the same time ) in the nucleus pulposus in glycoprotein and other biological material overflows, the release of histamine and other local chemical inflammation, induced by chemical and mechanical nerve rootcaused by inflammation, cause or light or heavy chronic pain of waist and leg. And the lumbar degeneration also often occurring simultaneously in the waist of the other organizations, such as the lumbar facet joints, ligaments, muscles of waist, causing the local tissue of chronic inflammation, cause pain. Two factor interaction, mutual aggravation, the back and leg pain for sexual development. Protrusion of the lumbar intervertebral disc herniated nucleus pulposus in front of posterior longitudinal ligament called " outstanding ", through the posterior longitudinal ligament into the spinal canal, known as the " prolapse ". According to the nucleus pulposus rearward protrusion part is divided into 3 type:1 after the outer lateral protrusion: fibrous ring of the weakest part of the rear in the intervertebral disc in the midline, this itself is weak, and lack of the posterior longitudinal ligament of the powerful central fiber support, therefore, is the waist intervertebral disc prominent the most common site of. Clinically most common, accounting for about 80%.2 central protrusion: refers to the nucleus pulposus through the annulus posterior central projection, reach the posterior longitudinal ligament under. In addition to cause sciatic nerve symptoms, but also can stimulate or compression of the cauda equina, manifested as perineal paralysis and the size of obstacles.3 prominent within the intervertebral foramen and far lateral: refers to the nucleus pulposus through the rear of the fiber ring back and posterior longitudinal ligament into the spinal canal, into the intervertebral foramen, easily missed, but fortunately, its incidence is low, only about 1%. The following from Wu Junhua to tell you about the etiology.Nursing diagnosis and measure ofPain from a herniated nucleus pulposus pressure edema of nerve root compression and spasm.( 1) the rest: patients in the acute phase of absolute horizontal rigid bed rest, three weeks after illness allows ambulation.( 2): the patient supine posture, head elevation of 30 degrees, knees, the popliteal fossa on a soft pillow.( 3) and pelvic traction( 4): according to the prescribed application drug analgesia analgesics ornon-steroidal drugs.( 5 ): psychological nursing can relieve distractions such as listen to music and chat.Constipation with cauda equina compression and prolonged bed rest on( 1) bowel training: training the patient bed defecation, guide patients to use the potty.( 2) diet and drinking water: to give the patient is rich in fiber digestible diet, encourage patientsMore water to reduce fecal dry.( 3) drugs: severe constipation, according to medicineWill give enema or laxatives.( 4) to create a suitable environment: defecation as mentionedFor the secret of environment and enough time to wait.Somatic dyskinesia and intervertebral disc herniation, traction and operation about( 1) relieve muscle spasm: for pain caused by restricted activities give the pain measures, while the local hot compress to relieve muscle spasm.( 2) position: pelvic traction supine position, postoperative patients for pillow lying on a hard bed, turning over once every 2 hours.( 3) low back muscle exercise1) five point support method2) three point support method3) four point support method4) head of upper limbs and the back back5) lower limbs and waist back6) the whole body backwardThe potential complications of cerebrospinal fluid leakage, urinary retention or infection( 1) for monitoring vital signs: in addition to detection of basic life signs observed sensory and motor.( 2) position: according to the condition and operation of different types of anthropometric, generally slightly raised bed.( 3) strengthen the incision and drainage nursing: Observation of incision and drainage tube is smooth, colour and quantity of liquid, such as abnormal timely report to a doctor.( 4): urinary tract nursing recording intake and output volume, assist the urination and so.( 5 ): strengthening the prevention of infectionVital signs monitoring; cutThe observation and nursing.。