2021年急诊科疾病护理常规.pdf
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1、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
2、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
3、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
4、编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8
5、L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N
6、10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 H
7、S1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5
8、M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 Z
9、Q5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8
10、Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码: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
11、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、
12、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 ZQ
13、5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z
14、5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编
15、码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L
16、7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N1
17、0L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS
18、1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M
19、1Y9 ZQ5U9C8Z5A3文档编码: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:C
20、V8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N1
21、0N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4
22、 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5
23、B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9
24、 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9
25、C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3文档编码:CV8L7N10N10L4 HS1A5B5M1Y9 ZQ5U9C8Z5A3
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