轮状病毒肠炎ppt课件.ppt

LOGO 轮状病毒肠炎护理 概述 是由轮状病毒所致的急性消化道传染病 好发于秋 冬季 以秋季流行为主 故又称秋季腹泻 2 大便 观察要点 生命体征 水 电解质和酸碱平衡 肛周皮肤 1 2 3 4 3 1 生命体征观察 4 2 水 电解质和酸碱平衡紊乱 脱水 代谢性酸中毒 低血钾 低血钙和低镁血症 5 脱水 6 脱水的分类 脱水程度分类 脱水性质分类 7 低血钾低血钙和低镁血症 8 代谢性酸中毒的表现 正常血PH值 7 35 7 45轻度 仅表现呼吸稍快中 重度 口唇樱桃红或发绀 呼吸深快 精神萎靡或烦躁不安 嗜睡甚至昏迷 9 3 大便的观察 10 4 肛周皮肤情况 有无潮红或破溃 11 治疗要点 12 护理措施 护理重点 一 调整饮食二 纠正脱水三 病情观察四 控制感染 13 一 调整饮食 母乳喂养 继续母乳喂养 混合喂养 人工喂养 暂停辅食的添加 给予米汤 粥 面等流质或半流质食物改用豆制代乳品 不含乳糖的奶粉 吐泻严重患儿禁食 不必禁水 静脉补液 14 二 纠正脱水 Text 含有氯化钠碳酸氢钠氯化钾葡萄糖成分适应症 轻 中度脱水而无腹胀 呕吐者优点 纠正脱水 减少大便 呕吐次数和量 口服补液期间 如患儿呕吐剧烈 腹胀或脱水程度加重 应立即改用静脉液如出现眼睑水肿 改喂白开水 水肿消退后 如需要仍可继续服用 口服补液盐 15 二 纠正脱水 静脉补液补液原则 定量定性定速 先盐后糖先浓后淡先快后慢 见尿补钾见酸补碱见惊补钙 16 静脉补液 补液种类低渗性脱水 补2 3张含钠液等渗性脱水 补1 2张含钠液高渗性脱水 补1 3 1 5含钠液 17 静脉补液 补液速度取决于脱水程度先快后慢重度脱水患儿先用2 1等渗含液20ml kg于30 60分钟内快速推注或滴入其余一般8 12小时内输完输入速度约为每小时8 10ml kg 18 三 病情观察 生命体征脱水情况低钾 酸中毒等情况准确记录出入量 19 四 控制感染 严格执行消毒隔离措施 包括患儿排泄物用物 标本的处置护理患儿前后认真洗手 防止交叉感染注意保持病房空气流通 每日开窗通风 加强地面清洁 20 ThankYou Yourcompanysloganinhere LOGO 22 23 24 HowdoIincorporatemylogotoaslidethatwillapplytoalltheotherslides Onthe View menu pointto Master andthenclick SlideMaster orNotesMaster Changeimagestotheoneyoulike thenitwillapplytoalltheotherslides Imageinformationinproduct Image mowolf Notetocustomers ThisimagehasbeenlicensedtobeusedwithinPowerPointtemplateonly Youmaynotextracttheimageforanyotheruse Introduction 25 Diagram Reality Identity Creativity Describeavisionofcompanyorstrategiccontents Describeavisionofcompanyorstrategiccontents Describeavisionofcompanyorstrategiccontents Reality Identity Creativity ThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc Atitleaboutcontent 26 Diagram 27 3DPieChart Products Technology Service Market Text Descriptionofthecontents Descriptionofthecontents Descriptionofthecontents Descriptionofthecontents Produts Service Market Technology 28 Diagram 57 Descriptionofthecompany sproductsDescriptionofthecompany sbusinessDescriptionofthecompany stechnologyDescriptionofthecompany scontents Descriptionofthecontents Titleinhere 29 Diagram ThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc Atitleaboutcontent Describeavisionofcompanyorstrategiccontents 30 01 TitleAddyourtextinhereAddyourtextinhereAddyourtextinhere 02 TitleAddyourtextinhereAddyourtextinhereAddyourtextinhere ThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc Yourtextinhere Diagram 31 Contents01 Contents02 Contents03 Contents04 Contents05 Contents06 BarChart 0 20 40 60 80 100 84 3 Titleinhere 18 5 17 5 8 7 23 6 63 6 32 Descriptionofthecontents Descriptionofthecontents Titleinhere Titleinhere ThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc ThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc Before After Diagram 33 Textinhere Titleinhere Textinhere Textinhere Text Text Text Text DescriptionofthecontentsDescriptionofthecontents DescriptionofthecontentsDescriptionofthecontents DescriptionofthecontentsDescriptionofthecontents DescriptionofthecontentsDescriptionofthecontents ThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc Diagram 34 Diagram Textinhere Textinhere Textinhere Textinhere Textinhere Descriptionofthecontents ContentsThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc 35 Diagram Titleinhere Titleinhere Titleinhere Step1 Step2 Step3 1 DescribecontentsforaStep1 Descriptionofthesubcontents Descriptionofthesubcontents2 DescribecontentsforaStep2 Descriptionofthesubcontents Descriptionofthesubcontents3 DescribecontentsforaStep3 Descriptionofthesubcontents Descriptionofthesubcontents Textinhere 36 Diagram Positioning Products Targeting MarketingPlan ThemeGalleryisaDesignDigitalContent ContentsmalldevelopedbyGuildDesignInc Descriptionofthecontents Descriptionofthecontents Descriptionofthecontents 37 Descriptionofthecontents Descriptionofthecontents Descriptionofthecontents Text Text T