轮状病毒肠炎

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。,大便,观察要点,生命体征,水、电解质和酸碱平衡,肛周皮肤,1,2,3,4,1、生命体征观察,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,脱水,脱水的分类,脱水程度分类,脱水性质分类,低血钾低血钙和低镁血症,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。,3、大便的观察,4、肛周皮肤情况,有无潮红或破溃,治疗要点,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,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,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,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,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,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 810ml/kg.,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,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。,Thank You!,Your company slogan in here,LOGO,How do I incorporate my logo to a slide that will apply to all the other slides? - On the View menu, point to Master, and then click Slide Master or Notes Master. Change images to the one you like, then it will apply to all the other slides., Image information in product - Image : mowolf- Note to customers : This image has been licensed to be used within PowerPoint template only.- You may not extract the image for any other use.,Introduction,Diagram,Reality,Identity,Creativity,Describe a vision of company or strategic contents.,Describe a vision of company or strategic contents.,Describe a vision of company or strategic contents.,Reality,Identity,Creativity,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,A title about content,Diagram,3D Pie Chart,Products,Technology,Service,Market,Text,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Produts,Service,Market,Technology,Diagram,57%,Description of the companys productsDescription of the companys businessDescription of the companys technologyDescription of the companys contents,Description of the contents,Title in here,Diagram,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,A title about content,Describe a vision of company or strategic contents.,01.TitleAdd your text in hereAdd your text in hereAdd your text in here,02.TitleAdd your text in hereAdd your text in hereAdd your text in here,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Your text in here,Diagram,Contents01,Contents02,Contents03,Contents04,Contents05,Contents06,Bar Chart,0% 20% 40% 60% 80% 100%,84.3%,Title in here,18.5%,17.5%,8.7%,23.6%,63.6%,Description of the contents,Description of the contents,Title in here,Title in here,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Before,After,Diagram,Text in here,Title in here,Text in here,Text in here,Text,Text,Text,Text,Description of the contents Description of the contents,Description of the contents Description of the contents,Description of the contents Description of the contents,Description of the contents Description of the contents,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Diagram,Diagram,Text in here,Text in here,Text in here,Text in here,Text in here,Description of the contents,ContentsThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Diagram,Title in here,Title in here,Title in here,Step 1,Step 2,Step 3,1.Describe contents for a Step1 - Description of the sub contents - Description of the sub contents2.Describe contents for a Step2 - Description of the sub contents - Description of the sub contents3.Describe contents for a Step3 - Description of the sub contents - Description of the sub contents,Text in here,Diagram,Positioning,Products,Targeting,Marketing Plan,ThemeGallery is a Design Digital Content & Contents mall developed by Guild Design Inc.,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Description of the contents,Text,Text,Text,