英语知识护理查房知识.ppt

2.head of intussusceptum located in the hepatic flexure of the colon 1.before air clysis 3.reduction occur 4.reduction go on 5.the filling of numerous loops of intestine 3.?Signs of Complete Reduction Free flow of air into several loops of small bowel with simultaneous expulsion of feces. Stop crying, be quiet. Disappear of the abdominal mass. Nonsurgical Therapy---  Air Enema 4.?Nursing Care of Post- air enema Carbon test: take 0.5-1g activated carbon orally, appearing in stool 6-8 hours later. Basic therapy. Dietary guidance. Clinical observation closely.  Nonsurgical Therapy---   Air Enema Surgical Therapy  Pure manual reduction Intestinal anastomosis Eterostomy Surgical Therapy  1.Surgical Indication Enema failure. Intussusception occuring more than 48-72 hours. Intestinal necrosis. Intestinal perforation. Surgical Therapy  2.Nursing Diagnosis Pain Anxiety Hight risk for fluid volume deficit Potencial complicaion: shock Surgical Therapy  3.Postoperative  Nursing Intervention Monitoring the vital signs and consciousness state. Oral feeding on a gradual schedule ----obeying the doctor’s instruction. Surgical Therapy  Intussusception NURSING ROUND Pediatric Surgical Department 2015.9.25 1 2 3 4 Contents Case Report Knowledge of Intussusception Therapeutic Management Health Guidance for Discharged Patients Case Report BIOLOGICAL DATA: Name ：Chen Jingya Sex： female Age： 7-month-old Date of Admission：2015-04-23 14:40  Case Report Chief?Complaint： paroxysmal crying vomiting bloody stool ERX-Ray:Intussusception unable to reset Case Report  Case Report Admission Diagnosis: Acute Intussusception Physical Examination: T:36.9℃ P:110/min R:20/min Wt:7.5kg Laboratory examination: routine blood roution urine fu