結(jié)核性腦膜炎護(hù)理課件

NursingofTuberculousmeningitis結(jié)核性腦膜炎的護(hù)理感染一科覃芳華結(jié)核性腦膜炎我國是結(jié)核病高發(fā)病率國家，結(jié)核病人數(shù)位居世界第2位。結(jié)核性腦膜炎是最嚴(yán)重的類型，好發(fā)于1~5歲兒童。沒有抗結(jié)核藥以前，死亡率100%。Tuberculousmeningitis

Themobidityoftuberculosisisveryhighinourcountry.Thenumberofpatientswhohavetuberculosisstandsthesecondintheworld.TuberculousMeningitisisthemostserious.Itchieflyoccurstochildrenin1-5yearsold.ThemortalityofTuberculousMeningitisis100%beforethefoundofanti-tuberculosisdrugs.護(hù)理診斷nursingdiagnoseAlteredNutrition：LessThanBodyRequirements---becauseoffever，andtheTuberculousmeningitisisawastingdiseases。營養(yǎng)失調(diào)（低于機(jī)體的需要量）:由于發(fā)熱,長期疾病消耗所致.underweight

護(hù)理診斷nursingdiagnoseRiskforImPairedSkinIntegrity---withrelationtolong-termbed,excretastimulation。有皮膚完整性受損的危險與長期臥床、排泄物刺激有關(guān)護(hù)理診斷nursingdiagnoseRiskforInfection---lowImmunity有感染的危險：免疫力下降護(hù)理診斷nursingdiagnoseActivityIntolerance活動無耐力

護(hù)理措施nursinginterventionwemustkeptastrictwatchoverthepatienttonotetheslightestchangeinhercondition。LikeBodytemperature,pulse,respiration，bloodpressure,stateofmind,convulsion,doublepupilchange。Itcanhelpustodiscoveryencephalichighpressureorbrainherniaearly，areadvantageoustakethefirst-aidmeasurespromptly。護(hù)理措施nursinginterventionThepatientshouldhavebedrest,maintainsabsolutelyindoorpeaceful,thenursingoperationconcentratesasfaraspossiblecarrieson,reducestobaby'sstimulation。護(hù)理措施nursingintervention

患兒應(yīng)絕對臥床休息，保持室內(nèi)安靜，護(hù)理操作盡量集中進(jìn)行，減少對患兒的刺激護(hù)理措施nursinginterventionuse20%mannitolfollowthedoctor'sadvice，andrighttotakehermedicine，likerifampin，INH，PZA。護(hù)理措施nursinginterventionTheyputforwardsuchnursingmeasuresasearlyremovaloftheundigestedpoisons,unobstructionofrespiratorytract,rightprovidencewithoxygentoprotectorgans,preventionofcomplicationslikemulti-organfailure,performanceofmentalcareanddischargeinstructions護(hù)理措施nursingintervention保持呼吸道通暢,正確地給氧,保護(hù)臟器功能;防止多器官衰竭等并發(fā)癥的發(fā)生,做好心理護(hù)理及出院指導(dǎo)等護(hù)理措施是搶救成功的關(guān)鍵。

護(hù)理措施nursinginterventionCompletesdietnursing,maintainsthewater,theelectrolyteappraisesbaby'sfeedandthenutritionalstatusbalanced。whensheLossoftheabilitytoswallow，wemustusenasalfeedingtogivenurture.做好飲食護(hù)理，保持水、電解質(zhì)平衡評估患兒的進(jìn)食及營養(yǎng)狀況,不能吞咽時鼻飼營養(yǎng)物保證營養(yǎng)供給。護(hù)理措施nursinginterventionAntisepticand