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新生儿窒息的护理课件

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新生儿 窒息 护理 课件
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and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 新生儿窒息的护理 长治卫校 茹建萍 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 是指胎儿缺氧 发生宫内窘迫或娩出过程中 发生呼吸 循环障碍 新生儿窒息 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 学习目标 了解新生儿窒息的致病因素 能够判断新生儿窒息 并做出护 理诊断 掌握新生儿窒息护理措施 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 护理评估 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 一 致病因素 孕母因素 糖尿病 心脏病 肾脏病 严重贫血 妊高征 前置胎盘 胎盘早 剥 胎盘功能不足 手术产产程中的麻 醉 镇痛剂和催产药使用不当等 胎儿因素 早产儿 巨大儿 畸形儿 脐带受压 打结 绕颈 宫内新生儿 感染 呼吸道阻塞或重度贫血等 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 二 身心状况 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 窒息的表现 宫内窒息 早期胎动增加 胎心 率增快 160次 分 晚期胎动减少 胎心 率变慢or不规则 羊水被污染 新生儿Apgar评分 0 3分重度窒息 4 7分为轻度窒息 8 10分为正常 5分钟以后评分 6分 也为窒息 气体交换受损 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 新生儿Apgar评分表 体征评分标准 出生后标准 0121分钟2分钟 皮肤颜色 青紫或苍白身体红 四肢 青 全身红 心率无 100 100 弹足底或 插胃管 无反应有些动作哭 喷嚏 肌张力松弛四肢略屈四肢活动 呼吸无慢 不规则正常 哭声 响 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 各器官受损表现 休克 心衰 胎粪吸入性肺炎 肺出血 肺透明膜病 呼吸暂停 肾脏损害 缺氧缺血性脑病和颅 内出血 潜在并发症 多器官受损 有感染的危险 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 社会 心理因素 新生儿窒息抢救后大多恢 复 但严重窒息可遗留后遗 症 甚至死亡 焦虑 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 主要护理诊断 气体交换受损 与呼吸 循环障碍等有关 潜在并发症 多器官受损 有感染的危险 免疫力低 焦虑 病情危重 预后不良 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 护理措施 一 保持呼吸道通畅 A 建立呼吸 B 维持有效循环 C and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 诱导呼吸 常规护理 清理呼吸道分泌物 拭去体表的羊水 评分 气管插管 面罩吸氧 心率 50次 分 心脏按压 5分钟后评分 8 10 7 4 4 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 正确和不正确的复苏头位正确和不正确的复苏头位 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 护理措施 二 预防交叉感染 严格消毒隔离制度 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 护理措施 三 严密观察病情 1 呼吸 2 循环 3 神经系统 4 出入量 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 心理护理 对家长的咨询给予解释 工作中关爱体贴患儿 给予家长安 慰 缓解家长及患儿的焦虑 恐惧心 理 护理措施 四 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 护理评估 呼吸 心率是 否正常 随诊是否有后遗症 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 护理评估 健康史 致病因素 症状和体征 社会 心理因素 实验室及辅助检查 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 三 实验室及辅助检查 PaCO2 PaO2 PH and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 幻灯片放映结束 O O谢谢大家耐心观看 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies 唐玄奘西天取经 西天为何方 取何经 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies
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