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Critical Care Nursing ppt courseware

Updated: 2019-09-14

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Critical Care Nursing PPT Courseware_Lecture Cases / Imagination_Lecture Research_Education Zone. Secondary contents Nursing routines, procedures, plans for critical illness patients, ICU nursing conditions observation, and emergency cardiopulmonary wake-up 2 Part 1 Nursing routines? Set the patient in the emergency room or monitoring room, connecting the ward with a fresh, quiet, clean, temperature, Suitable humidity

Secondary contents Nursing routines, procedures, plans for critical illness patients, ICU nursing conditions observation, and emergency cardiopulmonary wake-up 2 Part 1 Nursing routines? Set the patient in the emergency room or monitoring room, connecting the ward with a fresh, quiet, clean, temperature, The humidity is appropriate, and ventilation is provided on time. ? Give oxygen inhalation immediately, measure vital signs, ECG monitoring and indwelling catheterization when needed. ? Quickly establish intravenous access, strictly control the infusion rate and contraindications, place the infusion reasonably next time, accurately execute the medical order, record the revenue and expenditure according to the medical order and condition, and connect the water and electrolyte balance. ? Absolutely bedridden, put the appropriate position according to the condition, do not move the patient casually under the environment of unstable blood pressure. 3 Nursing routines: Connect the airways to reach the roots, cut off the oral cavity and airway excreta in time, avoid aspiration, prevent the tongue from falling, exercise in breathing and cough, and faint to the side of the patient's head. Turn the patient on, turn back, and prevent fallout pneumonia on time. ? Prepare emergency medicines and supplies for medical treatment and first aid together. ? Strengthen inspections, monitor changes, vital signs, and urine output at the sink point, and notify the doctor in a timely manner, keeping a detailed record. According to the condition, provide dietary guidance, sufficient intake of the patient's feet, and take good care of the gastrointestinal nutrient tube and nasal feeding. 4 Fundamental care Strengthen fundamental care to prevent all kinds of nursing complications from happening. Eye care: Eye care should be done for those who can't close the eyelids or the eyelids are incomplete, and can apply eye ointment or oil gauze to the cornea. Oral care: 2-3 times a day to connect oral hygiene and prevent complications such as oral inflammation and oral ulcers. Skin care: Turn over once every 1-2 hours. Use an air bed if necessary to connect the skin to clean and the bed flat and dry. Connect the excellent functional positions of the limbs, use the positioning pads appropriately, and get up to speed as early as possible to prevent the deterioration of tendons and ligaments, muscle atrophy, joint stiffness, venous thrombosis and foot drooping. Prevent urinary tract infections: those who have indwelling urinary catheters should be connected to the indwelling urinary catheters to prevent the backflow of urine; scrub the urethra twice a day, and bladder flushing if needed. Pay attention to the urine output, color, and properties. 5 Fundamental care links the smooth stool and develops good bowel habits. Constipation can be given artificial laxatives or laxatives to check the color and characteristics of the stool. Strengthen protection, properly restrain the restless person to avoid falling or touching; use tooth pads to prevent biting tongue when convulsions. Connect the pipes smoothly and securely to prevent falling, twisting and blocking, and pay attention to aseptic operation to prevent infection. Look closely at the color, nature, and volume of the drainage fluid and make a record. Psychological nursing: frequent inspections, caring more for patients, exchange more patients for communication, eliminate the patient's horror, anxiety and other bad emotions, to establish the patient's determination to defeat the disease, and use medical touch as much as possible. Strictly implement the traffic system to achieve bedside delivery. 6 Part 1 Work flow 7 Emergency plan? Establish a work mechanism for critically ill patients-Track system for critically ill patients-Establish and improve emergency organizations for critically ill patients-Nursing Department controls the nursing environment of critically ill patients throughout the hospital and is organized First Aid and Nursing Clinic? Close inspection and monitoring? Improving emergency capabilities: items, personnel skills, harsh rail system, close to common 8 Part 2 ICU nursing? ICU (Intensive Care Ward) The three elements of ICU is the practice of Shen care medicine, it It is a unit that comprehensively monitors and treats patients with various diseases and complications by manipulating advanced medical equipment and first aid methods by specially trained medical staff. Critical Shen medicine divergence from emergency medicine The focus of critical medicine is the treatment under continuous supervision, the sinking point is "in-hospital rescue", which takes a long time; while the emergency department takes pre-hospital emergency care from 9 ICU: Critical Symptom Cleaner Functional support? Mind and external reincarnation function support? Respiratory function support? Artificial kidney / continuous blood purification? Brain function support? Artificial liver support? Nutrient support? Gastrointestinal function support? Immune function support 10 ICU 11 ICU classification function? Analysis ICU: GICU? Specialist ICU: CCU (Coronary Heart Disease) RICU (Respiratory Symptom) EICU (Emergency Symptom) NICU (Rebirth Symptoms) PICU (Pediatric Symptoms)? Departmental ICU: Anesthesia ICU or SICU (Surgery) Symptoms)-Dynamic monitoring reduces complications, rates, and medical costs-Examines conservative medical theories and techniques, growth theories and techniques-Examines nursing theories, perfect nursing psychology-Outstanding clinical training and lectures12 The composition and scale of ICU? 2-5% of the number of beds in sexually transmitted hospitals? ICU medical care ratio 1.5-2: 1? ICU nurse bed ratio 2-3: 1? Ward room auxiliaries space ratio 1: 1 12-15 square meters / Bed (Island of Life ? Other personnel: anesthetist, instrument, respiratory therapist, laboratory technician? Equipment: bedside monitoring, ventilator, defibrillator, temporary pacemaker, infusion pump, ambulance, blood gas meter, etc. 13 14 15 16 ICU Fundamental Theory : SIRS and Sepsis? Systemic Inflammary Response Syndrome (SIRS): In addition to indirectly damaging cells, pathogenic microorganisms and toxins cause secondary inflammatory reactions through endogenous mediators. Although the patients are not infected, they also present sexual inflammation. The response, which indicates that bacterial sepsis is not different, is now referred to as the basic theory of SIRS 17 ICU: SIRS and Sepsis SIRS is a clinical process reflecting the inflammation caused by severe psychological damage and pathological changes, including: sepsis (Sepsis): Non-infectious causes of SIRS caused by bacterial infections, such as multiple wounds, cell damage, hemorrhagic shock, DIC, acute pancreatitis and drug fever, hypoxic and non-infectious factors can trigger SIRS 18 19 20 21 Essentials of SIRS treatment and care? Mechanical ventilation: Tidal volume? Liquid wake: Crystal fluid for colloid fluid? Target of infection: Activated protein C, procalcitonin? Recovery Good reincarnation morphology? Restore the best material transfer: insulin and blood glucose control. The above is the departmental ring node in SIRS treatment. 22 ICU nurses are essentially ineffective. The ability to acquire knowledge is sensitive. Regulation and self-control ability Strong ability to do away with hands 23 ICU Nursing mode change function Nursing Obligation Nursing Nursing Experience mode Evidence-based medicine mode In-hospital nursing long-term follow-up 24 Nursing evidence-based medicine 25 26 27 28 SUCCESS THANK YOU 2019/6/14 ICU Special nursing techniques in the arts? Techniques for establishing various types of venous channels? Use of mechanical ventilation? First aid or emergency techniques (infarction, malignant heart rhythm recovery, cardio-cerebral-pulmonary wake-up techniques)

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