一氧化碳中毒双语教学查房__培训课件.ppt

(3)对症治疗 Cure to the Disease 昏迷者应保持呼吸道通畅 。深昏迷者可予苏醒剂，可用纳洛酮。高热抽搐者，可采用头部降温?亚低温疗法及止痉药物。呼吸障碍者应用呼吸兴奋剂。 The coma should keep airway open. When the patients have high fever and muscular spasms, we can adopt head to reduce the heat, low temperature treatment and antispasmodic drugs. Breathing disorder can apply breathing stimulant. 九、一氧化碳中毒病人的护理诊断 The Nursing Diagnosis of Carbon Monoxide poisoning 1、意识障碍 与急性中毒引起中枢神经损关 Disorder of consciousness Related to acute poisoning cause central nerve damage. 2、体液失衡 与急性中毒有关 The imbalance of body fluid Related to the acute poison 3、低效性呼吸型态 与一氧化碳中毒有关 Tissue hypoxia Related to carbon monoxide poisoning 4、恐惧，焦虑 Fear, anxiety 5、有皮肤完整性受损的危险 The dangerous of skins integrity damaged 6、潜在并发症 肺部感染、迟发性脑病、呼吸衰竭、上消化道出血 The complications of carbon monoxide poisoning 十、一氧化碳中毒病人的护理目标及措施和评价 The Nursing Target，Cares and evaluation of Carbon Monoxide Poisoning （1）护理目标——病人意识障碍无进一步加重或逐渐好转 The patient disorder of consciousness have not improve. （2）护理措施——,入院评估患者的昏迷程度，给予高流量的面罩吸氧，及时纠正脑缺氧，去枕平卧，头偏向一侧，注意保持呼吸道通畅。 Making the patient’s consciousness have no aggravate that we must do hospitalize valuation. We can give the patient high flow of the oxygen mask, rectify cerebral anoxia in time. Keep the respiratory tract open. the head is partial to one side.Make the patient recovers consciousness, the anoxia gets an improvement. （3）评价——病人意识逐渐恢复，缺氧得到改善。 The patient gradually recovers consciousness and the lack of oxygen to be improved. 1、意识障碍 2、体液失衡 （1）护理目标——脑水肿减轻或颅内压恢复正常。 Brain edema reduced or intracranial pressure is normal. （2）护理措施——由于脑部缺氧引起脑水肿，颅内压增高，给予的体位是头部抬高15-30度，遵医嘱用脱水利尿药物20%甘露醇快速静滴，联合应用醒脑药物和促进脑细胞代谢的药物，要注意水，电解质平衡，准确记录24小时出入量。 Because the brain anoxia causes brain edema and increase intracranial pressure, we keep the head raise up 15-30 degrees. Use dehydration diuretic drugs, such as 20% Mannitol, and brain medicine to help the