呼吸衰竭护理教学查房课件.ppt

（七）出院健康指导 ? ? ? ? ? ? 向病人及家属讲解疾病的发病机制、发展和 转归。 鼓励病人进行呼吸运动锻炼，教会病人有效 咳嗽、咳痰技术，提高病人的自我护理能力。 遵医嘱正确用药，熟悉药物的用法、剂量和 注意事项等。 指导病人制定合理的活动与休息计划，减少 耗氧的活动。 增强体质，避免各种引起呼吸衰竭的诱因。 若有咳嗽加剧、痰液增多变黄、气急加重， 应尽早就医。 彭芸 32 2020/6/5 ? Today, we sit together ,studying a kind of disease named “respiratory failure”,about its definition 、 sort 、 etiology 、 pathogenesis 、 clinical symptom 、 treatments 、 nurse measures and so on. “respiratory failure” is a kind of disease , which is very badly 、 dangerous and no good expectation in respiratory system . 2020/6/5 33 Before caring for the patients suffering from“respiratory failure”,a nurse should grasp a lot of knowledge about it from books. In this way, one could take care of the patients. ? These days,every nurse student here work hard together to collect data , make beautiful powerpoint ,and tonight show it to us completely. ? 2020/6/5 34 ? The teaching requests everyone must show and explain part of data to us ,so it is a good way to strengthen us understand the information of “respiratory failure” 。 In the other way, it is also a good way to improve everyones expression ability 2020/6/5 35 ? Of course, it is not enough. In the beginning, maybe someone is nervous, and data lack deepness. It doesnt matter. In the future , well hold similar teaching regularly, every student will have chance to exercise yourself. It is important to study medicine knowledge constantly for everyone. 2020/6/5 36 ? Finally, thinks to every student ， thinks to director yue ,thinks to everyone here. 2020/6/5 37 ? ? ? ? ? 基础知识题 : 1 、什么叫呼吸衰竭？ 2 、 Ⅰ 、 Ⅱ 型呼吸衰竭是根据什么来分类区分的？ 3 、如何判断某患者是否存在呼吸衰竭？ 4 、氨茶碱的作用、用药注意事项、常见不良反应？ ? ? 思考题： 1 、人工气道固定的意义？为什么临床上非常重视气 管插管的深度？ ? ? 操作技能题： 1 、动脉血（血气分析）的采集方法？ 2020/6/5 38 基本内容 : ? ? ? ? ? ? ? ? ? ? ? ? ? 定义 分类 病因与发病机制 临床表现 治疗要点 缺氧伴明显 CO2 潴留的氧疗原则 病情观察 氧疗的护理 如何指导病人有效进行呼吸 用药护理及营养支持 机械通气的护理 心理护理 出院健康指导 2020/6/5 2 一、定义 ? 呼吸衰竭（ respiratory failure ）是各种病因 引起的肺通气和（或）换气功能严重障碍，以致 在静息状态下亦不能维持足够的气体交换，导致 缺氧伴（或不伴）二氧化碳潴留，从而引起一系 列生理功能和代