2021年急诊科疾病护理常规.pdf

1/44 目录1.心肺复苏护理常规2.急性中毒护理常规3.镇静催眠药中毒护理常规4.一氧化碳中毒护理常规5.有机磷农药中毒护理常规6.急性心肌梗塞护理常规7.小儿高热惊厥的急救护理8.高热护理常规9.昏迷护理常规10.严重复合伤病人的急救护理11.过敏性休克抢救护理常规12.休克护理常规13.抽搐护理常规14.气管切开患者护理常规15.气管插管患者护理常规16.使用呼吸机患者护理常规17.（血）气胸护理常规18.腹部外伤性多脏器损伤护理常规19.癫痫持续状态护理常规20.上消化道大出血护理常规21.呼吸衰竭护理常规22.心力衰竭护理常规23.急性肾衰竭护理常规24.高血压的护理常规急诊科护理常规一、休克患者的急救护理常规二、急性心肌梗死患者的急救护理常规三、心跳呼吸停止患者的急救护理常规四、急性脑梗死患者的急救护理常规五、重度有机磷中毒患者的急救护理常规六、呼吸衰竭的急救护理常规七、上消化道出血的急救护理常规八、慢性阻塞性肺部疾患的急救护理常规九、大咯血窒息的急救护理常规十、电击伤的急救护理常规十一、急性呼吸窘迫综合症（ARDS）的急救护理常规十二、急性脑出血的急救护理常规十三、急性心力衰竭的急救护理常规十四、癫痫持续状态的急救护理常规十五、糖尿病酮症酸中毒的急救护理常规十六、支气管哮喘的急救护理常规十七、急性酒精中毒护理常规精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 1 页，共 44 页2/44 十八、高血压急症的急救护理常规十九、安眠药中毒的急救护理常规二十、中暑的急救护理常规二十一、溺水的急救护理常规二十二、重型颅脑损伤患者的急救护理常规二十三、一氧化碳中毒的急救护理常规二十四、脑挫伤患者的急救护理常规二十五、胸部创伤患者的急救护理常规二十六、腹部外伤患者的急救护理常规二十七、多发伤患者的急救护理常规二十八、复合伤患者的急救护理常规二十九、外科急腹症患者的急救护理常规三十、骨折患者的急救护理常规三十一、过敏性休克的急救护理常规三十二、约束带应用的护理常规精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 2 页，共 44 页文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A33/44 一、心肺复苏护理常规1 首先护士应独立或配合医师快速准确进行“ABC”步骤心肺复苏，即保持气道通畅、人工呼吸、建立人工循环。2 尽快建立心电监护和静脉通路。立即建立2 条静脉通路，复苏时首选取正中静脉，距心脏较近，可输入大量的液体。中心静脉可取股静脉，虽距心脏较远，但复苏抢救工作可以不必间断，并发症也较少。3 对于发生室颤的患者应实施有效的非同步直流电除颤。4 复苏给药途径应首选静脉给药，其次选择气管给药，遵医嘱准确快速应用肾上腺素、阿托品、利多卡因、碳酸氢钠等复苏药物。5 建立抢救特护记录，详细记录抢救用药、抢救措施、病情变化、出入量及生命体征等。6 密切监测生命体征变化，观察有无呼吸急促、烦躁不安、皮肤潮红、多汗和二氧化碳潴留而致酸中毒的症状，并及时采取医治措施。7 维持循环系统的稳定，复苏后心律不稳定，应予心电监护。同时注意观察脉搏、心率、血压、末梢循环（皮肤、口唇颜色、四肢温度、湿度、指/趾甲的颜色及静脉充盈情况等）及尿量。8 保持呼吸道通畅，加强呼吸道管理，注意呼吸道湿化和清除呼吸道分泌物。对应用人工呼吸机患者应注意呼吸机参数（潮气量、吸入氧浓度及呼吸频率等）的监测和记录，吸入气体的湿化，观察有无人工气道阻塞、管路衔接松脱，皮下气肿、通气不足或通气过度等现象。9 加强基础护理，预防褥疮、肺部感染和泌尿系感染等并发症的发生。10 保证足够的热量，昏迷患者可给予鼻饲高热量、高蛋白饮食。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 3 页，共 44 页文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A34/44 11 定期监测动脉血气，维持水电解质平衡。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 4 页，共 44 页文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A35/44 二、急性中毒护理常规1 迅速清除毒物，立即脱离中毒环境，终止继续接触毒物。2 吸入性中毒，将患者迅速脱离中毒环境，移至空气新鲜处，必要时给予吸氧和人工呼吸，保持呼吸道通畅。3 接触性中毒，应迅速脱去患者的一切污染衣物，彻底清洗污染部位。4 洗胃，为减少毒物的继续吸收，神志清醒的病人，可采取口服催吐洗胃。昏迷患者以及服用大量药物者必须尽快采用洗胃管洗胃，一般在服用药物后 46小时内洗胃效果最佳。如果服用药物量比较大，或药物体内吸收较慢，即使时间超过6 小时，洗胃对于服药的多数病人也是非常必要的。5 密切观察意识状态、呼吸频率及类型、脉率、血压、瞳孔、尿量等变化并记录。详细记录出入液量。6 保持呼吸道通畅，及时清除呼吸道分泌物，给予氧气吸入，必要时行气管插管、机械通气等。7 生活护理，急性患者应卧床休息，注意保暖，昏迷病人要做好皮肤护理，防止褥疮发生，吞服腐蚀性毒物者应特别注意口腔护理，密切观察口腔粘膜的变化。8 饮食护理，病情许可时，尽量鼓励病人进食，少食多餐，急性中毒病人的饮食应给高蛋白、高碳水化合物、高维生素的无渣饮食，腐蚀性毒物中毒者应早期给予乳类等流食。应保证患者足够的营养供应，必要时给予鼻饲营养或静脉营养。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 5 页，共 44 页文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A36/44 9 安全护理，防止惊厥、抽搐、烦躁不安患者坠床和碰伤。对企图自杀的患者，应给予安全防范，并要有专人陪护。10 心理护理，根据患者中毒原因、社会文化背景以及对中毒的了解程度和心理需要进行针对性的心理疏导，给予患者情感上的支持。摘自急危重症护理学2005年第 2 版第 147 页精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 6 页，共 44 页文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A37/44 三、镇静催眠药中毒护理常规1 立即用温开水彻底洗胃，即使超过8-12h 仍须洗胃。若病人呼吸衰竭，先做气管插管，施行辅助呼吸后再插胃管洗胃。2 洗胃后注入 33%硫酸钠 50-60ml 导泄或 20%活性炭混悬液。忌用硫酸镁，因镁离子吸收后可抑制呼吸中枢。3 呼吸困难者，给氧气吸入，及时吸出呼吸道分泌物，保持呼吸道通畅，必要时行气管切开。4 促进意识恢复，按医嘱给予葡萄糖、维生素B1、纳洛酮。5 静脉输液应用利尿剂、碳酸氢钠，促进毒物排泄。血压降低者，可给予多巴胺、阿拉明等升压药物。6 心电监护，出现心律失常给予抗心律失常药物。7 注意观察病人意识、瞳孔变化、肌张力和腱反射恢复情况，定时测量体温、脉搏、呼吸和血压。8 记录 24h 出入水量。注意观察尿量，保持每日尿量40006000ml，必要时留置导尿管。9 留取呕吐物、尿标本，及时送验。10 注意保暖，避免受凉，预防肺部感染。11 病情危重者，可行血液透析或腹膜透析、血液灌流。精品w o r d 学习资料 可编辑资料-精心整理-欢迎下载-第 7 页，共 44 页文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A38/44 四、一氧化碳中毒护理常规1迅速撤离中毒环境将病人移至空气新鲜、通风良好的地方。平卧位，松开衣服，注意保暖。2立即用氧。轻度