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(完整word版)儿科分级护理制度汇编.pdf

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1、Word 格式完美整理护理分级1 范围本标准规定了医院住院患者护理分级的方法、依据和实施要求。本标准适用于各级综合医院。其他类别医疗机构可参照执行。2 术语和定义下列术语和定义适用于本文件。2.1 护理分级 nursing classification 患者在住院期间，医护人员根据患者病情和（或）自理能力进行评定而确定的护理级别。2.2 自理能力 ability of self-care 在生活中个体照料自己的行为能力。2.3 日常生活活动 activities of daily living,ADL 人们为了维持生存及适应生存环境而每天反复进行的、最基本的、具有共性的活动。2.4 Ba

2、rthel 指数 Barthel index,Bl 对患者日常生活活动的功能状态进行测量，个体得分取决于对一系列独立行为的测量，总分范围在 0 100.3 护理分级3.1 护理级别依据患者病情和自理能力分为特级护理、一级护理、二级护理和三级护理四个级别。3.2 分级方法3.2.1 患者人院后应根据患者病情严重程度确定病情等级。3.2.2 根据患者 Barthel 指数总分确定自理能力的等级（表 1）。3.2.3 依据病情等级和（或）自理能力等级，确定患者护理分级。3.2.4临床医护人员应根据患者的病情和自理能力的变化动态调整患者护理分级。3.3 分级依据3.3.1 符合以下情况之一，可确定为特

3、级护理：a）维持生命，实施抢救性治疗的重症监护患者；b）病情危重，随时可能发生病情变化需要进行监护、抢救的患者；c）各种复杂或大手术后、严重创伤或大面积烧伤的患者。3.3.2 符合以下情况之一，可确定为一级护理：a）病情趋向稳定的重症患者；b）病情不稳定或随时可能发生变化的患者；c）手术后或者治疗期间需要严格卧床的患者；d）自理能力重度依赖的患者。精品资料-欢迎下载-欢迎下载名师归纳-第 1 页，共 8 页 -Word 格式完美整理3.3.3 符合以下情况之一，可确定为二级护理：a）病情趋于稳定或未明确诊断前，仍需观察，且自理能力轻度依赖的患者；b）病情稳定，仍需卧床，且自理能力轻度依赖的患

4、者；c）病情稳定或处于康复期，且自理能力中度依赖的患者。3.3.4 病情稳定或处于康复期，且自理能力轻度依赖或无需依赖的患者，可确定为三级护理。4 自理能力分级4.1 分级依据采用 Barthel 指数评定量表（附录 A）对日常生活活动进行评定，根据 Barthel指数总分，确定自理能力等级。4.2 分级对进食、洗澡、修饰、穿衣、控制大便、控制小便、如厕、床椅转移、平地行走、上下楼梯 10 个项目进行评定，将各项得分相加即为总分。根据总分，将自理能力分为重度依赖、中度依赖、轻度依赖和无需依赖四个等级（见表 1）。表 1 自理能力分级自理能力等级等级划分标准需要照护程度重度依赖总分 40 分全部

5、需要他人照护中度依赖总分 4160 分大部分需他人照护轻度依赖总分 6199 分少部分需他人照护无需依赖总分 100 分无需他人照护5 实施要求5.1 临床护士应根据患者的护理分级和医师制订的诊疗计划，为患者提供护理服务5.2 应根据患者护理分级安排具备相应能力的护士。附录 A（规范性附录）A.l Barthel 指数评定量表（表 A.1)表 A.1 Barthel 指数（Bl）评定量表序号项目完全独立需部分帮助需极大帮助完全依赖1 进食10 5 0 2 洗澡5 0 3 修饰5 0 4 穿衣10 5 0 5 控制大便10 5 0 6 控制小便10 5 0 7 如厕10 5 0 8 床椅转移15

6、 10 5 0 9 平地行走15 10 5 0 精品资料-欢迎下载-欢迎下载名师归纳-第 2 页，共 8 页 -文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z

7、7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8

8、V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1

9、X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H

10、3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6

11、A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1

12、U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5Word 格式完美整理10 上下楼梯10 5 0 Barthel 指数总分：分注：根据患者的实际情况，在每个项目对应的得分上划“”。A.2 Barth

13、el 指数评定细则A.2.1 进食用合适的餐具将食物由容器送到口中，包括用筷子（勺子或叉子）取食物、对碗（碟）的把持、咀嚼、吞咽等过程。10 分：可独立进食。5 分：需部分帮助。0 分：需极大帮助或完全依赖他人，或留置胃管。A.2.2 洗澡5 分：准备好洗澡水后，可自己独立完成洗澡过程。0 分：在洗澡过程中需他人帮助。A.2.3 修饰包括洗脸，刷牙、梳头、刮脸等。5 分：可自己独立完成。0 分：需他人帮助。A.2.4 穿衣包括穿（脱）衣服、系扣子、拉拉链、穿（脱）鞋袜、系鞋带等。10 分：可独立完成。5 分：需部分帮助。0 分：需极大帮助或完全依赖他人。A.2.5 控制大便10 分：可控制大便

14、。5 分：偶尔失控，或需要他人提示。0 分：完全失控。A.2.6 控制小便10 分：可控制小便。5 分：偶尔失控，或需要他人提示。0 分：完全失控，或留置导尿管。A.2.7 如厕包括去厕所、解开衣裤、擦净、整理衣裤、冲水等过程。10 分：可独立完成。5 分：需部分帮助。0 分：需极大帮助或完全依赖他人。A.2.8 床椅转移15 分：可独立完成。10 分：需部分帮助。5 分：需极大帮助。0 分：完全依赖他人。A.2.9 平地行走15 分：可独立在平地上行走 45m。精品资料-欢迎下载-欢迎下载名师归纳-第 3 页，共 8 页 -文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2

15、P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:

16、CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10

17、HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 Z

18、G2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编

19、码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J1

20、0 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7

21、 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5Word 格式完美整理10 分：需部分帮助。5 分：需极大帮助。0 分：完全依赖他人。A.2.10 上下楼梯10 分：可独立上下楼梯。5 分：需部分帮助。0 分：需极大帮助或完全依赖他人。精品资料-欢迎下载-欢迎下载名师归纳-第 4 页，共 8 页 -文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z

22、7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8

23、V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1

24、X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H

25、3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6

26、A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1

27、U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P

28、1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5Word 格式完美整理儿科分级护理制度（特级护理）一护理对象1、病情危重，随时需要抢救的新生儿（如高危新生儿）2、有疾病需入住监护室的新生儿；（如有疾病的新生儿）3、可能发生危重情况的新生儿（如出现呼吸衰竭的患儿）4、手术后的新生儿及3 个月内小婴儿（如重症肺炎）5、其他有生命危险，需要严密监测生命体征的小婴儿（并发感染性休克的患儿）。二

29、护理要点1、严密观察患儿病情变化，监测生命体征，准确记录出入量。2、根据医嘱，正确实施治疗、给药措施，观察用药反应。3、根据病情正确实施专科护理，如维持体温、蓝光治疗护理等。4、做好管道和气道的观察与护理。5、安全护理到位，防止发生意外。6、严格进行床旁交接班。7、根据患儿病情适时对家长进行健康宣教。8、班班严格查对腕带、床头牌。9、满足基本生活需求，提供基础护理，保证患儿清洁舒适。（1）每天整理床单位2 次，更换清洁衣物至少1 次。（2）每天全身沐浴，做好口腔护理、眼部护理、脐部护理2 次。（3）病情不允许全身沐浴的患儿，酌情温水擦浴，注意头面部及皮精品资料-欢迎下载-欢迎下载名师归纳-第

30、 5 页，共 8 页 -文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文

31、档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9

32、J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7

33、H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G

34、5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6

35、U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2

36、B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5Word 格式完美整理肤褶皱处。（4）每天更换监护血氧探头，对于营养不良消瘦及早产儿，防止压疮。（5）排泄护理：随时更换尿布，必要时温水清洗。（6）遵医嘱禁食或人工喂养，配制代乳品或糖水，合理剂量。（7）合理卧位，昏迷患儿每2 小时翻身一次

37、。（一级护理）一护理对象1、病情趋向稳定的重症患者；（如高热惊厥患儿等）2、病情危重需要严格卧床的患者；（如肺部感染性疾病急性期等）3、生活完全不能自理的婴幼儿（如小儿腹泻伴水、电解质紊乱及酸碱平衡失调等）4、病情不稳定的患者；（如原因不明的高热患儿等）5、生活部分自理、病情随时可能发生变化的年长儿。（如病毒性脑炎等）二护理要点1、每小时观察患儿病情变化，根据病情监测生命体征以及记录。2、根据医嘱，正确实施治疗、给药措施，观察用药反应。3、根据病情正确实施专科护理，如维持体温、蓝光治疗护理等。4、做好管道和气道的观察与护理。5、安全护理到位，防止发生意外。6、严格进行床旁交接班。7、根据患儿病

38、情，适时对家长进行健康宣教。精品资料-欢迎下载-欢迎下载名师归纳-第 6 页，共 8 页 -文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY

39、6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR

40、1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2

41、P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:

42、CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10

43、HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 Z

44、G2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5Word 格式完美整理8、班班严格查对腕带、床头牌。9、满足基本生活需求，提供基础护理，保证患儿清洁舒适。（1）每天整理床单位，协助家长给患儿更换清洁衣物。（2）每天给患

45、儿沐浴，遵医嘱或者常规脐部护理。（3）病情不允许全身沐浴的患儿，酌情温水擦浴，注意头面部及皮肤褶皱处。（二级护理）一。护理对象1、病情较重，需卧床休息，生活部分自理的年长儿；（如急性肾炎等）2、病因明确，病情稳定，仍需卧床的患儿；（如过敏性紫癜等）4、生活部分自理处于康复期的患儿；（如急性化脓性扁桃体炎等）二护理要点1、每 2 小时观察患儿病情变化，根据病情监测生命体征。2、根据医嘱，正确实施治疗、给药措施，观察用药反应。3、根据病情正确实施专科护理，如维持体温、蓝光治疗护理等。4、做好管道和气道的观察与护理。5、安全护理到位，防止发生意外。6、严格进行床旁交接班。7、根据患儿病情，适时对家长

46、进行健康指导。8、班班严格查对腕带、床头牌。9、满足基本生活需求，提供基础护理，保证患儿清洁舒适。（1）每天整理床单位，协助家长给患儿更换清洁衣物。精品资料-欢迎下载-欢迎下载名师归纳-第 7 页，共 8 页 -文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7

47、 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文

48、档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9

49、J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7

50、H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G5文档编码:CY6A8V6U9J10 HR1U1X2B7H7 ZG2P1H3Z7G

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