在线QQ: 五斗堂面馆
    专题栏目
    专业术语
    ISPN词汇 小儿血液系统疾病
    ISPN词汇 小儿肌肉骨骼系统疾病
    出国资讯
    美国宣布重大移民改革议案取消公民...
    2017美国护士薪资调查报告新鲜出炉
    执业常识
    021 医护人员拥抱患者合适吗?
    020 护士拥抱病人合适吗?
     
    当前位置:首页 > 基础综合
    ISPN总复习 围手术期护理 Perioperative Nurisng Care
    日期:2015-03-30 15:43:49    来源:奥医教育
    Perioperative Nursing Care
    围手术期护理
     
     
    关键词:术前护理 知情同意 营养 围手术期 手术部位 宣教 心理准备 术前清单 插管 拔管 肺炎 出血 栓塞 切口 感染
     
     
    对应章节:Saunders Chapter 19
     
    Contents  本章目录
    I.术前护理 Preoperative Care
    II.术后护理 Postoperative Care
    III.肺炎与肺不张 Pneumonia and Atelectasis
    IV.低氧血症 Hypoxemia
    V.肺栓塞 Pulmonary Embolism
    VI.出血 Hemorrhage
    VII.休克  Shock
    VIII.血栓性静脉炎 Thrombophlebitis
    IX.尿潴留 Urinary Retention
    X.便秘 Constipation
    XI.麻痹性肠梗阻 Paralytic Ileus
    XII.伤口感染 Wound Infection
    VIII.伤口裂开 Wound Dehiscence and Evisceration
    XIV.门诊手术 Ambulatory Surgery
     
     
    Focus  本章要点:
    Pyramid Points focus on teaching the client and family or significant other in the preoperative stage, preparing the client for the operative procedure, ensuring that prescribed preoperative tests and procedures such as x-ray films or laboratory studies have been performed, and ensuring that the results of the tests and procedures are within expected ranges and are documented. In the postoperative stage, Pyramid Points focus on monitoring for surgical complications and on the implementation of initial nursing measures if a complication arises. Because many surgical procedures are performed through ambulatory care units (1-day stay units), Pyramid Points also focus on preparing the client for discharge, teaching related to the prescribed treatments and medications, follow-up care, and the mobilization of home care support services.
    本章重点:患者、家人及其他亲属的术前宣教;患者外科手术准备;保证术前试验和操作,如X光检查或实验室检查已经实施;保证试验和操作结果处于预期范围内,并得到记录。术后阶段重点:手术并发症的监测及并发症出现后最初护理措施的实施。由于很多外科手术通过门诊医疗部门(一日病房)进行,本章重点还包括患者的出院准备,处方治疗和用药相关宣教、随访护理及家庭护理支持服务的动员等。
     
    特别声明:
    1、药品等词有一词多名者,一般情况下只取一常用名称,以减少混乱,方便记忆。
    2、本站词汇等凡标示【奥】者系奥医所用名称,只为方便读者学习时记忆用,并非法定或行业标准名称,因此,读者不得将其作为专业术语或行业标准用语使用,也不得用于临床或研究,否则,由此引起的一切责任或后果,均由使用者自己承担。
     
     
    *******************************************************************************
     
    IPREOPERATIVE CARE 术前护理
    A client may return home shortly after having a surgical procedure because many surgical procedures are done through ambulatory care or 1-day stay surgical units. Perioperative care procedures apply even when the client returns home the same day of the surgical procedure.
    由于很多外科手术在门诊医疗或一日外科病房进行,患者可能在施行手术后很快回家。即使是外科手术当天回家的患者也适用围手术期护理。
     
    A. Obtaining informed consent  获取知情同意书
    1. The surgeon is responsible for obtaining the consent for surgery.
    外科医生负责获取手术同意书。
    2. Minors (clients younger than 18 years old) may need a parent or legal guardian to sign the consent form.
    未成年人(年龄小于18岁的患者)需要由父母或法定监护人签署同意书。
    3. Older clients may need a legal guardian to sign the consent form.
    老年人需要法定监护人签署同意书。
    4. No sedation should be administered to the client before the client signs the consent.
    患者签署同意书前不能使用镇静剂。
    5. The nurse may witness the client's signing of the consent form, but the nurse must be sure that the client has understood the surgeon's explanation of the surgery.
    护士可以作为证人,见证患者签署同意书,但护士必须确定,患者已经听懂医生对手术的解释。
    6. The nurse needs to document the witnessing of the signing of the consent form after the client acknowledges understanding the procedure.
    在患者承认了解手术操作后,护士必须记录见证签署同意书的过程。




    上一篇:ISPN综合测验 围手术期护理
    下一篇:ISPN综合测验 患者体位 Positioning Client