医技学院（华盛顿医疗手册培训课程总论）.ppt

The Washingtong Manual of Medical Therapeutics Patient Care in Internal Medicine;General Care of the Hospitalized PatientGENERAL PRINCIPLES;Hospital Orders;Prophylactic Measures;外科病人静脉血栓危险分层;;Pressure Ulcer Fall precaution Seizure Restraint ;Acute patient care;Diagnostic Testing;Initial therapy ;Dysnea;Fever;Antipyretic medications Aspirin(avoided for adolescent) Acetaminophen(325 to 650 mg PO or per rectum q4h). Hypothermic (cooling) blankets Ice packs Tepid water baths Empiric antibiotics: hemodynamically unstable patients in whom infection is a primary concern Neutropenic Asplenic ;Pain management;PERIOPERATIVE MEDICINEPreoperative Cardiac Evaluation;Perioperative Anticoagulation and Antithrombotic Management;;;Preoperative Specific Situation;Anemia and Transfusion Issues in Surgery finite and costly resource bloodborne infections transfusion-related acute lung injury (TRALI) transfusion reactions immunosuppressive effects.;Diabetes Glucose well-controlled but prevention of hypoglycemia Adrenal Insufficiency and Corticosteroid Management Chronic Renal Insufficiency and End-Stage Renal Disease ;Patients Rounding and Evaluation;Preparation for patient rounds;Knowledge of the patient’s current condition;Necessary “tools”;A professional appearance;Organization of the team;General objectives for both medical students and residents;Interaction with Patient and Family;Collect patient history;Taking medical history;Patient Physical Exam;Patient Physical Exam;Medical record review ;Detailed daily medical record;Operative or procedure notes;Discharge summary;Patient education;Patient case presentation;Patient Rapport;Patient, Disease, Lesion 病人- 病 - 病变;More Thinking Less Testing ;Essential Qualities of a Doctor 医生本質 ;Thanks for your attention!