【英语护理查房】
护理查房NursingroundsPPT课件
诊断
diagnose
诊断
①慢性阻塞性肺疾病急性加重期 2型呼吸衰竭
③陈旧性肺结核并左肺不张
②慢性肺源性心脏病 心功能4级
④肺部感染
护理问题
Nursing problems
护理问题
1.清理呼吸道无效：与呼吸道分泌物过多、痰液粘稠有关
2.气体交换受损：与呼吸衰竭有关
3.体温过高：与感染有关
2月20日患者肾功能进一步恶化，今停用去甲万古霉素2月21日患者颜面部及四肢水肿，考虑低蛋白血症2月22日患者生命体征平稳，神志好转，尝试脱机数分钟，血氧持续下降至30%，心率降至50次/分，连接呼吸机后血氧升至99%2月24日复查血象较前好转，血钾偏低，予以补钾利尿
病情摘要
患者近日神志清楚、呼之能应，无发 热，双侧瞳孔等大等圆，直径约3mm，对光反射存在，球结膜水肿，颜面部及四肢水肿，经查为低蛋白血症，继续予以呼吸机辅助呼吸、营养支持、抗感染等治疗，并加强护理
2、机械通气的护理
护理措施
护理措施
护理措施
注药、注食后注入少量清水保持胃管内清洁，防止食物长时间滞留胃管内发生变质注食时，保证食物温度适宜，每次量约200ml，以免引起患者不适、呕吐
护理措施
护理措施
护理措施
护理措施
护理措施
护理措施
呼吸消化内科住院伤病员压疮风险评估表Braden评分
评价值：15-18=低危 13-14=中危 ≤12=高危评估得分：9分 （高危）
护理措施
护理措施
护理措施
知识链接
Knowledge link
知识链接
01慢性阻塞性肺疾病（COPD） 是一种以气流受限为特征的肺部疾病，其气流受限不完全可逆，呈进行性发展。
英语查房
Preparation for Patient Rounds It's 8: 30 AM, time to begin patient rounds. Today we'll make patient rounds with the pulmonary team. In room 1107, we find 65yr. old Mr. Smith who was admitted yesterday afternoon. The pulmonary team includes the attending physician, senior pulmonary fellow, junior resident, and 3 medical students. The admitting junior resident who admitted the patient the previous day begins the case presentation. Mr. Smith presents with a sore throat, productive cough and shortness of breath; he's been febrile for 5 days; his illness failed to respond to IV Annkacin given during his hospitalization at a small local hospital so he was transferred to our hospital with the diagnosis of pneumonia. His family brought his medical records including a Chest X- ray and lab reports performed in the local hospital, but the junior resident left them in his on-call sleeping room. One of the medical students quickly retrieves the nursing chart from the nursing station. Review of the vitals is noteworthy for a progressive increasing pulse and respiratory rate during the night. The junior resident now briefly reexamines the patient, lung auscultation, and then the pharynx. After completing the physical exam, he notes the patient has "crackles" in the right lung base and purulent pharyngeal exudate. No results of yesterday's Chest X-ray, CBC, and ABG were provided. An ABG or pulse oximetry forgotten. Further examination notes bilateral diffuse crackles, BP 90/60,pulse 120, resp.32/min. He orders a stat ABG and Chest X- ray and while waiting we request the nurse check the patient's O2 saturation using pulse oximetry and discover the O2 saturation is only 80%. Urgent arrangements are made to transfer the patient to ICU.查房准备早晨8点30分，开始查房。
心肺复苏护理查房范文
心肺复苏护理查房范文英文回答：Heart and lung resuscitation (CPR) is a critical nursing intervention performed to revive patients who have experienced cardiac arrest or respiratory failure. It involves a series of steps aimed at restoring blood flow and oxygenation to vital organs. Let's discuss the nursing assessment and care for a patient post-CPR.Firstly, after CPR, it is crucial to assess thepatient's level of consciousness and vital signs. This includes monitoring their heart rate, blood pressure, respiratory rate, and oxygen saturation levels. Additionally, the nurse should assess the patient's neurological status, including their level of responsiveness and pupillary response.Secondly, it is important to ensure adequate oxygenation and ventilation. The nurse should assess thepatient's breathing pattern and administer supplemental oxygen as needed. The patient may require endotracheal intubation and mechanical ventilation to maintain adequate oxygenation and ventilation.Thirdly, the nurse should monitor the patient's cardiac rhythm using a cardiac monitor. This allows for early detection of any dysrhythmias or changes in the patient's heart rate. If necessary, the nurse should be prepared to initiate appropriate interventions, such as defibrillation or administration of antiarrhythmic medications.Furthermore, the nurse should closely monitor the patient's fluid and electrolyte balance. This includes assessing the patient's urine output, serum electrolyte levels, and fluid intake and output. Intravenous fluids may be administered to maintain adequate hydration and electrolyte balance.Additionally, the nurse should provide emotional support and reassurance to the patient and their family. CPR can be a traumatic experience, and patients and theirloved ones may need guidance and counseling to cope withthe aftermath.In conclusion, post-CPR care involves a comprehensive nursing assessment and interventions to ensure thepatient's stability and recovery. Close monitoring of vital signs, oxygenation, cardiac rhythm, fluid balance, and emotional support are essential components of this care.中文回答：心肺复苏（CPR）是一种紧急的护理干预措施，用于挽救心脏骤停或呼吸衰竭的患者。
护理教学查房流程英文版及顺序
护理教学查房流程英文版及顺序As a nurse, conducting regular nursing rounds is an essential part of providing quality patient care and ensuring that all patients' needs are met. The nursing rounds process involves several steps to be followed in a systematic orderto ensure that all aspects of patient care are thoroughly reviewed and addressed.The first step in the nursing rounds process is to gather all necessary information about the patients assigned to you. This includes reviewing their medical history, current diagnosis, treatment plan, and any specific care requirements. It is important to be well-prepared before starting the rounds.The next step is to introduce yourself to the patientsand their families. Building a rapport with the patients is essential for gaining their trust and cooperation during therounds. It is also an opportunity to address any immediate concerns or questions they may have.During the rounds, it is important to assess thepatient's vital signs, pain levels, and overall condition. This includes checking their blood pressure, pulse, temperature, and oxygen saturation. Any changes or abnormalities should be noted and addressed accordingly.The nursing rounds also involve a thorough examination of the patient's physical and emotional well-being. This includes assessing their level of comfort, mobility, and any signs of distress or anxiety. It is important to address any issues related to the patient's psychological and emotional state.In addition to the patient's condition, the nursing rounds also involve reviewing and updating the patient's care plan. This includes evaluating the effectiveness of thecurrent treatment and making any necessary adjustments, such as medication changes or additional interventions.Finally, it is important to communicate with the rest of the healthcare team, including physicians, therapists, and other nurses, regarding the patient's progress and any changes to their care plan. Collaboration and effective communication are essential for providing comprehensive care to the patients.In conclusion, conducting nursing rounds is a crucial component of providing high-quality patient care. By following a systematic and comprehensive process, nurses can ensure that all aspects of the patient's well-being are addressed and that they receive the best possible care.。
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。
护士培训课件：护理查房Nursingrounds(一)
护士培训课件：护理查房Nursingrounds(一)护士培训课件：护理查房Nursingrounds随着医疗技术的不断发展和医疗体制的改革，护理人员扮演着越来越重要的角色。
而护理查房作为病人每天的重要环节之一，是评估病情、指导治疗、观察护理效果和沟通交流的重要途径。
因此，护士培训课件中的护理查房已经成为现代护理教育中不可或缺的一部分。
护理查房是护理工作中的核心环节。
护理查房不仅仅包括对患者的身体状况的观察，还包括了对社交、心理以及健康教育等方面的关注。
因此，护理人员需要通过专业的培训，学会如何开展护理查房的流程和方法。
针对护理查房的培训，护士培训课件“护理查房Nursingrounds”应运而生。
该课件基于新型医学教育理念，将学生的自主学习、交互式学习和移动学习三者有机地融合起来，使得课件的效果变得更加突出和实用。
护理查房Nursingrounds主要分为以下几个方面：护理查房概述、护理查房目的、护理查房方法及护理查房流程。
其中，护理查房概述包括了护理查房的基本知识，介绍了护理人员在每天检查病人时，需要重点关注的要素。
护理查房目的则主要介绍了护理查房的目标和意义，如病情评估、疗效判断、护理记录等内容，强调护理查房的重要性。
护理查房方法是护理查房教育最重要的部分，这些方法包括了对患者体征数据的分析、对患者资料的记录、护理措施的制定以及医护人员间协同的沟通与互助。
通过对护理查房方法的学习，护理人员可以领悟到性别、年龄、病情、心理及福利等方面的特点，并有效地评估患者的身体健康状况。
最后，护理查房流程展示了护理人员每天如何开展护理查房的完整流程。
通过对护理查房流程的学习，护理人员可以更好地掌握护理查房的方法和步骤，并且深入了解到不同的护理方法对患者的身体健康状况会产生怎样的影响。
护理查房Nursingrounds的课程内容丰富，方法全面，可以帮助护理人员更好地掌握护理查房的技能和方法。
通过学习，护理人员可以更好地了解病情，更好地解决患者的痛苦，并为患者的康复做出积极的贡献。
英文护理查房
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.。
多学科联合护理查房范文
多学科联合护理查房范文英文回答：As a multidisciplinary team, our approach to wardrounds is collaborative and comprehensive. We believe that by combining our expertise and perspectives, we can provide the best possible care for our patients. During ward rounds, we discuss the medical, nursing, and allied health aspectsof each patient's case, ensuring that all aspects of their care are addressed.For example, during a recent ward round, we had apatient who had undergone a complex surgery. The surgeon discussed the surgical procedure and any post-operative complications that may arise. The nurse highlighted the patient's vital signs, pain management, and any concerns regarding wound healing. The physiotherapist discussed the patient's mobility and rehabilitation needs. And the social worker addressed any psychosocial issues that may affectthe patient's recovery.By having these different perspectives and expertise in the room, we were able to identify potential areas of concern and develop a comprehensive care plan for the patient. This collaborative approach ensures that no aspect of the patient's care is overlooked and that all members of the team are aware of the patient's progress and needs.中文回答：作为一个多学科团队，我们对于查房的方法是协作和全面的。
英语查房教学(病例实战)
个人史
Personal History：
Has never been to epidemic area, deny 生于原籍，长期居住新 history of poison 疆，到过全国各地 touching. 否认疫区居住史，否认 化学毒物及放射性物质 Has history of smoking for many years, he has 接触史。有吸烟史数十 already quit smoking. 年，已戒烟，偶尔饮酒， Drinking occasionally. 无明确规律。 已婚，配偶子女均体健 His wife is healthy. The two daughters are also 大学文化程度 healthy. Bachelor degree.
家族史
Family History
父母双亡， 死因不详 家族中无类 似疾病患者 否认家族遗 传病病史
It has not been found similar disease in his family. Deny history of family heritage disease. Hon has not been clear.
Present Health History
2005年6月 动态心电图显示频发 多型室性早搏和阵发 性室速 给予口服胺腆酮治疗 超声心动图提示左室 流出道压力阶差高, ΔPG＝113mmHg
Continuous ECG revels premature ventricular contractions and paroxysmal ventricular tachycardia on June 2006. Oral Amiodarone was given him to control them. Echocardiography shows left ventricle hypertrophy, left ventricle outflow was narrow. ΔPG is 113mmHg.
护理查房的方法及流程
护理查房的方法及流程Nursing rounds are a crucial aspect of patient care in healthcare settings. 护理查房是医疗机构中关键的病人护理环节。
The method and process of nursing rounds are essential in ensuring that patients receive the highest quality of care and attention. 护理查房的方法和流程对于确保患者获得最高质量的护理和关注至关重要。
Nurses play a significant role in conducting rounds, as it allows them to assess the patients' condition, communicate with the medical team, and address any concerns or issues. 护士在进行查房时发挥着重要作用，因为这使他们能够评估病人的病情，与医疗团队沟通，并解决任何关注或问题。
One important aspect of nursing rounds is the process of bedside handover. 护理查房的一个重要环节是床边交班的过程。
This method involves nurses providing updates on the patients' condition, treatment plan, and any specific requirements directly at thepatient's bedside. 这一方法涉及到护士在病人的床边直接提供他们的病情、治疗计划和任何特殊需求的更新。
Bedside handover promotes transparency and ensures that patients are involved in their care plan, promoting patient-centered care. 床边交班促进了透明度，确保患者参与了自己的护理计划，促进了以患者为中心的护理。
医学英语查房护理课件
01
Basic knowledge of medical English
Medical English vocabulary
Basic medical terms
introduce common medical terms used in numbering, such as symptoms, diseases, treatments, procedures, and equipment
standardized process methods and skills of
of observing,
psychological care
recording, and
and health education
reporting the
for patients with
condition of patients internal medicine
Medical English ward round nursing courseware
contents
目录
• Basic knowledge of medical English
• Ward round numbering process • Common disease care • Vital signs monitoring: Regularly
Understand the methods and techniques of rehabilitation guidance and health education for patients with surgical diseases.
Master the preoperative evaluation, preparation, and postoperative nursing process for surgical patients.
产房护理业务查房范文
产房护理业务查房范文（中英文实用版）英文文档：Labor Ward Nursing Business Round ExampleLabor ward nursing is a critical aspect of healthcare services, ensuring the safety and well-being of both mothers and infants during childbirth.To maintain high-quality care, regular nursing rounds are conducted to assess and monitor the patients, address any concerns, and ensure adherence to best practices.The objectives of labor ward nursing business rounds include:1.Assessing the physical and emotional status of laboring mothers and their fetuses.2.Monitoring progress of labor, including dilation, fetal heart rate, and contractions.3.Providing emotional support and education to patients and their families.4.Ensuring a safe and comfortable environment for labor and delivery.5.Collaborating with the healthcare team to provide appropriate interventions and care.During the rounds, the nursing team reviews the patient"s medical history, performs a physical examination, and assesses the fetal heart rate.They also discuss any concerns or questions the patient may have,provide updates on the progress of labor, and offer encouragement and reassurance.To ensure the best possible outcomes, labor ward nurses utilize evidence-based practices and guidelines, including:1.Monitoring the mother"s vital signs, including blood pressure, heart rate, and temperature.2.Monitoring the fetal heart rate and rhythm.3.Assessing the mother"s fundus height and cervical dilation.4.Providing pain management options, such as analgesics or epidurals, as needed.5.Encouraging breastfeeding and skin-to-skin contact immediately after delivery.In conclusion, labor ward nursing business rounds are essential for providing comprehensive and high-quality care to laboring mothers and their infants.Through regular assessments, emotional support, and adherence to evidence-based practices, labor ward nurses play a crucial role in ensuring the safety and well-being of their patients.中文文档：产房护理业务查房范例产房护理是医疗服务的重要组成部分，它确保了分娩期间母亲和婴儿的安全和健康。
【英语护理查房】
Nurses should summarize their nursing practices in English and consistently improve their nursing practice ability This helps them to better meet the needs of patients
Nurses coordinate with other healthcare professionals to ensure that the plan is implemented effectively and that all team members understand their role in its execution
Nurses can learn from the summary of nursing practices, and improve their ability to deal with complex clinical situations This also helps to enhance the quality of patient care
The theme of ward rounds should be determined according to the needs of the ward, so as focusing on the treatment and care of specific issues, or focusing on the evaluation and improvement of specific nursing procedures
医疗护理查房 (34)
零 三
护理业务查房程序
ward round of nursing business in medical institutions of hospital medical college ward round of nursing business
护理业务查房程序
一
物品准备
五
查房指导
二
仪表行为 语言素质
房
护理业务查房概述
按护理能级分
护理组长/责任护士查房 护士长查房 护理部查房
零 二
护理业务查房准备
ward round of nursing business in medical institutions of hospital medical college ward round of nursing business
护理业务查房程序
全体人员共同到病房,由主查人依据责任护士的报告和护理 病历记录情况进行护理体检,并询问病人重要病史通过与病 人的交谈、观察再次收集病人资料.在体检开始前向患者说 明目的,使患者思想放松,乐于配合体检并建立信任关系.运用 视诊、触诊、叩诊、听诊等方法来了解病人的生命体征,发 现病人全身或局部的病理形态改变,及时了解病人现存或潜 在的健康问题.
必须重视人的特性即整体性, 要以整体护理观念去护理查房 查房 时要了解和评价责任护士在疾病护理同时,能否以生理、社会心理、 精神方面综合评价病人健康问题,病人所处外部环境是否有利病人 康复, 护士能否为病人营造一个促进康复的外部环境 体现以护理 程序为框架.
护理业务查房概述
按查房性质分
一是以专科危重、疑难、少见病为主的临床护理查房
二是按教学大纲以常见病、多发病为主的教学查房
三是以每日新入院病人、危重病人护理问题及措 施的效果评价为主的晨间护理查房
护理查房中英对照
③To keep respiratory tract
unobstructed: Instruct the patient to have more
water, in order to achieve a wet process
airway and dilution sputum .
②用药护理：遵医嘱予以抗炎，止咳，祛痰药，
In September 4, 2012 15:30,this patient on the flat car admitted to emergency form, In our department, Diagnosis of “The Senile
pneumonia” .
于2012年9月4日15：30急诊平车入院，
（SU LI)
1、Ineffective Airway Clearance: Lung infection, tracheal and bronchial secretions increase, sticky and fatigue are related
①Observation : Closely observe cough and cough
治疗经过
患者入院后，医嘱予头孢地嗪抗感染治疗，予氨
溴索祛痰治疗，同时辅助予雾化吸入及振动排痰。
Meglumine adenosine cyclophosphate Improving cardiac function、digoxin strengthening the heart、mexiletine controling arrhythmia,the
smoking habit, smoking 23 years, daily 60 branch.
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Knowledge of Intussusception--Etiology
❖A review of sparse data on the possible association: the virus & intussusception has not demonstrated until very recently.
❖Season: the seasonal peak is in spring and summer.
Knowledge of Intussusception--Etiology
❖ What’s the reason of the disease??
❖ Why it happens to infants mostly??
Dietary alteration
Knowledge of Intussusception--Etiology
•The complementary food of children can not be changed too soon. •It is supposed to be transformed step by step.
flexure of the colon
5.the filling of numerous loops of intestine
4.reduction go on
Nonsurgical Therapy---Air Enema
3. Signs of Complete Reduction
❖Free flow of air into several loops of small bowel with simultaneous expulsion of feces.
Therapeutic Management
Nonsurgical Therapy Surgical Therapy
Nonsurgical Therapy
Air Enema Barium Enema
Nonsurgical Therapy-B--arium Enema
Nonsurgical Therapy - Barium Enema
Case Report
Knowledge of Intussusception
Intussusception
Definition
Etiology
Symptoms & Signs
Knowledge of Intussusception--Definition
What is intussusception?
ERX-Ray:Intussusception unable to reset
Case Report
Admission Diagnosis:
Acute Intussusception
Physical Examination:
T:36.9℃
P:110/min
R:20/min
Wt:7.5kg
Case Report
Intussusception is a medical condition in which a part of the intestine has invaginated into another section of intestine.
Knowledge of Intussusception--Definition
❖Diseases: gastroenteritis, diarrhea, fever, et al.
❖Virus infections: adenovirus, rotavirus, reovirus, echovirus.
Knowledge of Intussusception--Etiology
Laboratory examination:
routine blood roution urine full biochemical full blood coagulation test HIV,HBV,HCV,RPR
Date of Intussusception surgery:2015-04-23 Date of discharge:2015-05-05
Dietary alteration
Knowledge of Intussusception--Etiology
Predisposing factors:
caused by disorder of the intestinal peristalsis, such as:
❖Dietary alteration: complementary solid food.
Case Report
BIOLOGICAL DATA:
Name ：Chen Jingya Sex： female Age： 7-month-old Date of Admission：2015-04-23 14:40
Case Report
Chief Complaint：
paroxysmal crying vomiting bloody stool
2.Nursing Diagnosis
❖Pain ❖Anxiety ❖Hight risk for fluid volume deficit ❖Potencial complicaion: shock
Surgical Therapy
3.Postoperative Nursing Intervention
❖Diseases: gastroenteritis, diarrhea, fever,etal.
❖Virus infections: adenovirus, rotavirus, reovirus, echovirus.
Knowledge of Intussusception--Etiology
1.Indications
❖ Intussusception presenting <48 hours. ❖ Good general appearance. ❖ Without abdominal distention, high temperature
and toxicosis .
ETIOLOGY
NURSING ROUND
Intussusception
Pediatric Surgical Department 2015.9.25
Contents
1 Case Report 2 Knowledge of Intussusception 3 Therapeutic Management 4 Health Guidance for Discharged Patients
fever (acute upper reappiratory tract infection)
lost its normal function /enterospasm
Disease
Knowledge of Intussusception--Etiology
Predisposing factors:
Virus infection
Knowledge of Intussusception--Etiology
❖ Intussusception causes have not clearly established or understood.
❖ They can include infections, anatomical factors, and altered motility.
❖Stop crying, be quiet. ❖Disappear of the abdominal mass.
Nonsurgical Therapy--A- ir Enema
4. Nursing Care of Post- air enema
❖Carbon test: take 0.5-1g activated carbon orally, appearing in stool 6-8 hours later.
caused by disorder of the intestinal peristalsis, such as:
❖Dietary alteration: complementary solid food.
❖Diseases: gastroenteritis, diarrhea, fever, et al.
Children intussusception
Intussusception is an common abdominal emergency in children. It is one of the most common causes of abdominal obstruction in infants.
❖Virus infections: adenovirus, rotavirus,reovirus, echovirus.
Knowledge of Intussusception--Etiology
❖Researchers suspect that infectious agents: rotavirus&adenovirus.
Surgical Therapy
1.Surgical Indication
❖Enema failure. ❖Intussusception occuring more than 48-72
hours. ❖Intestinal necrosis.
❖Intestinal perforation.
Surgical Therapy
Nonsurgical Therapy--A- ir Enema