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Jingdong book

急救护理技术

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急救护理技术

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供护理、助产等专业使用
教育部高职高专医学类及相关医学类教指委规划
适合院校教学实际,突出针对性、适用性和实用性
以“必需、够用”为原则,侧重临床实践与应用
紧密围绕后续课程、执业资格考试标准和工作岗位需求
紧扣精品课程建设目标,体现教学改革方向
Content Description

以工作过程为导向的全国高职高专医药院校工学结合“十二五”规划教材。本教材根据行业发展需要和完成职业岗位实际工作任务所需要的能力、知识、素养要求来选取教学内容,以急救护理岗位的真实工作任务、真实工作过程为依据整合、优化教学内容,强调工作过程系统化,并紧跟该课程的国际前沿动态,突出职业能力培养,构建工学结合的课程体系。全书共十个项目,内容包括:项目一,急救护理工作入门;项目二,急救常用救护技术;项目三,院外急救及护理;项目四,急诊科管理与护理;项目五,重症监护病房管理与护理;项目六,心肺脑复苏;项目七,急性中毒;项目八,中暑、淹溺与触电;项目九,多器宫功能障碍综合征;项目十,临床常见急症的抢救流程。每个项目都配有典型案例及能力测试练习题。
该教材图文并茂、深人浅出、理论联系实际,注重培养学生的实践能力、团队协作能力、评判性思维能力,以满足培养21世纪应用型高级护理人才的需求。
本教材主要适用于全国高职高专护理专业(包括涉外护理专业、社区护理专业、老年护理专业)、助产专业的学生使用,也可供在职护理工作者参考。
Catalogue

项目一 急救护理工作入门
任务一 概述
任务二 急救医疗服务体系

项目二 急救常用救护技术
任务一 外伤止血、包扎、固定、搬运
任务二 抗休克裤的应用
任务三 电除颤仪的应用
任务四 洗胃术
任务五 吸痰法
任务六 环甲膜穿刺、切开术及护理
任务七 气管插管、切开术及护理
任务八 多功能监护仪的应用
任务九 呼吸机的应用
任务十 动、静脉穿刺置管术及护理

项目三 院外急救及护理
任务一 概述
任务二 院外急救护理

项目四 急诊科管理与护理
任务一 急诊科的任务与设置
任务二 急诊护理工作
任务三 急诊科工作管理

项目五 重症监护病房管理与护理
任务一 ICU设置与管理
任务二 ICU患者营养支持
任务三 ICU常用监测技术

项目六 心肺脑复苏
任务一 概述
任务二 心肺脑复苏
任务三 复苏后的监测与护理

项目七 急性中毒
任务一 概述
任务二 常见急性中毒的救护

项目八 中暑、淹溺与触电
任务一 中暑
任务二 淹溺
任务三 触电

项目九 多器官功能障碍综合征
任务一 病因和发病机制
任务二 病情评估
任务三 救治与护理

项目十 临床常见急症的抢救流程
任务一 休克的抢救流程
任务二 成人心跳骤停的抢救流程
任务三 急性左心功能衰竭的抢救流程
任务四 成人致命性快速性心律失常的抢救流程
任务五 高血压危象的抢救流程
任务六 急性心肌梗死的抢救流程
任务七 急性中毒的抢救流程
任务八 急性上消化道出血的抢救流程
任务九 癫痫持续状态的抢救流程
任务十 致命性哮喘的抢救流程
中英文对照
参考文献
Book Abstract

(8)拔去外套管和导丝置入导管10~15 cm之后退出套管,指压套管端静脉以固定导管,缓慢送导管至预计长度(上腔静脉),拔出导丝,安装连接器、肝素帽。
(9)封管连接注射器,抽回血,注入0.9%氯化钠,确定导管通畅,肝素盐水正压封管。
(10)固定再次对导管人口及周围皮肤进行消毒,固定导管,覆盖无菌敷料。
(11)术后处理与健康指导洗手,整理用物,按要求分类处理垃圾。观察患者有无不适反应。向患者及家属交代置管后的注意事项。
(四)注意事项
(1)穿刺部位必须严格消毒,不得在有感染的部位进行穿刺。
(2)严格无菌操作,疑有导管源性感染,应做导管尖端、皮下段及经导管抽出血培养。
(3)避免反复多次穿刺,以免形成血肿。
(4)如抽出鲜红血液,即表明穿人动脉,应立即拔出,紧压穿刺处数分钟至无出血为止。
(5)应从严掌握适应症,避免发生气胸、血肿、血胸、气栓、感染等并发症。
(6)插管完毕之后应拍床旁x线片以确定导管位置,最佳位置为导管尖端在上、下腔静脉接近右心房开口处。
(7)防止血液在导管内凝集,经常用肝素液冲管。
(五)预防各种并发症
(1)导管错位、导管阻塞、导管折断、意外脱出。
(2)静脉炎、导管相关性感染、过敏反应等。
二、动脉穿刺置管术
(一)概念
该手术经体表穿刺至动脉,插入各种导管到大血管腔内或心腔,用于测定各种生理学参数,同时也可为各种治疗提供直接便利路径。
(二)适应症和禁忌症
1.适应症
(1)采动脉血进行血气分析的患者。
(2)危重及大手术患者进行有创血压监测。
(3)重度休克患者加压输血、输液,提高冠状动脉灌注量及增加有效血容量。
Introduction

世界职业教育发展的经验和我国职业教育发展的历程都表明,职业教育是提高国家核心竞争力的要素之一。近年来,我国高等职业教育发展迅猛,成为我国高等教育的重要组成部分,与此同时,作为高等职业教育重要组成部分的高等卫生职业教育的发展也取得了巨大成就,为国家输送了大批高素质技能型、应用型医疗卫生人才。截至2008年,我国高等职业院校已达1 184所,年招生规模超过310万人,在校生达900多万人,其中,设有医学及相关专业的院校近300所,年招生量突破30万人,在校生突破150万人。
教育部《关于全面提高高等职业教育教学质量的若干意见》中明确指出,高等职业教育必须“以服务为宗旨,以就业为导向,走产学结合的发展道路”,“把工学结合作为高等职业教育人才培养模式改革的重要切人点,带动专业调整与建设,引导课程设置、教学内容和教学方法改革”。这是新时期我国职业教育发展具有战略意义的指导意见。高等卫生职业教育既具有职业教育的普遍特性,又具有医学教育的特殊性,许多卫生职业院校在大力推进示范性职业院校建设、精品课程建设,发展和完善“校企合作”的办学模式、“工学结合”的人才培养模式,以及“基于工作过程”的课程模式等方面有所创新和突破。高等卫生职业教育发展的形势使得目前使用的教材与新形势下的教学要求不相适应的矛盾日益突出,加强高职高专医学教材建设成为各院校的迫切要求,新一轮教材建设迫在眉睫。

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Brand Origin China

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