精選兒童呼吸系統(tǒng)疾病英文版資料課件

RespiratoryDysfunction傈夠壩鳴嗚質(zhì)走藥湖慫嗓刀肚厚癟篇漸侖跳锨嘎旗汁熾謄掉稽漳選第卉怎兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版RespiratoryDysfunction傈夠1

AnatomyandPhysiologyoftheChildhoodRespiratorySystemUpperrespiratorytractNosePharynxLarynxEpiglottisLowerrespiratorytractTracheaBronchiBronchiolesandalveoli斌帶夠糾訃構(gòu)呂海秸蹬踢新椽豌斜底吝惟悲蒙紅她瓦孕酮諱靡訪茬協(xié)胚扭兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版

AnatomyandPhysiologyofthe2

TheUpperAirwaydifferences:shorterandnarrow4mm<20mmnosebreatherairwayresistancelooselymucousmembranesandsofttissueTheLowerAirwaydifferences:rightbronchusismorewider,shorter,verticallessalveolarsurfacearea

AnatomyandPhysiologyoftheChildhoodRespiratorySystem掇徐票裝充歹纂人販帚憂傣慮被攪于卉穴血罩椽設(shè)蘭康德戰(zhàn)祟墊砌蔣典彥兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版TheUpperAirwaydifferences:3Pneumonia蜒攘籽仟黃請瘟牟表洱鐳運茅涅塢僚瑚怎剩缸物敖孤狀喇道豈幾潛姻稗較兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Pneumonia蜒攘籽仟黃請瘟牟表洱鐳運茅涅塢僚瑚怎剩缸物4Definition

AninflammationorinfectionofthebronchiolesandalveolarspacesofthelungsPneumonia殖篷磊寧侵缸期腑唇袍施亞青幌毒篇難餞熏想森妄涉數(shù)皺箱淬洋粳烘跡押兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版DefinitionAninflammationor5Introduction

occur:ininfantsandyoungchildrenrecovery:childrensoonerthanadultsexisttype:diseaseorcomplication

season:latewinterandearlyspring

Pneumonia艾播徊件溺仔攫像熬攀釀詛慫抒姚覓紀(jì)孜售涕領(lǐng)該碳囊狡威媚偉禱撅呢刺兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Introductionoccur:ininfan6

LobarpneumoniaBronchopneumonia(lobularpneumonia)InterstitialpneumoniaPneumoniaclassificationMorphologicalclassification號劊液放乳頒邵才債咎嘉戴添顆候猴隨忱草獅噶夸兢男更幽皋店壕頂與墊兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版PneumoniaclassificationM7EtiologicAgent

InfectiousvirusbacterialMycoplasma(支原體肺炎)

chlamydial（衣原體肺炎）fungipneumocystis(肺囊蟲)

Noninfectious

foreignbodyaspirationPneumoniaclassification牟濱沛技眉裹稱凄或都煮齲染茶綸啡篙副擺治哨曾臘蓑渦微娠屋洽壞手序兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版EtiologicAgentNoninfectious8CourseAgent

Acute<1monthProgressive1-3monthsChronic>3months

Pneumoniaclassification搭問紡梳逾擅粥壬瘸胞冶夏又叁肩楔悉炎婪嗣學(xué)帶非術(shù)莉韌豈傍泵欺相井兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版CourseAgentPneumoniaclass9StateofIllness

MildSevere

Pneumoniaclassification誘迄絢澳能店柴吠逾撬道鎳磅鈕衰前廳曹彥裁訊主潭穎琺通櫥霸陛贈命頌兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版StateofIllnessPneumoniaclas10theclinicalmanifestationsofbronchopneumoniaMildbronchopneumoniafever:irregularfevercough:dry,hacking,non-productivetoproductivecoughtachypnea:RR40~80ts/mnasalflaring,sighingrespiration,threedepressionsignsandcyanosis

fixedfinemoistralesPneumonia丙敞性砂啥撒摳鴿澳邑佳疇中遣蝎芋盼溢惦據(jù)林榴緝渡連垣椽狄踴唇賬居兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版theclinicalmanifestationsof11theclinicalmanifestationsofbronchopneumoniaSeverebronchopneumoniacirculationsystemmanifestationsofmyocarditissignsofheartfailurenervoussystem

gastrointestinal

Chest:X-rayfilmPneumonia戒覺吞啥暗電扯皿槳吾瘋紊攪蔭甩塔鉻呢毯廳騾歹峙吝蟹株訴階柱婆請批兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版theclinicalmanifestationsof12Severebronchopneumonia

Circulationsystem

myocarditis,congestiveheartfailure

pathogens

invadingthemyocardiumandproducetoxintoxicmyocarditishypoxia

pulmonaryarteryhypertensionCHFPneumoniamanifestation寞挪挑定碼肝鼠蠻喲彩櫥加氣砷嘆酷懂卷壓征臭減埋淵綸媚酮屹搖砷古警兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumonia13Severebronchopneumonia

manifestationsofmyocarditispaletachycardiadiminishedcardiacsoundandarrhythmia

STslowingdownTwaveupdown

Pneumoniamanifestation酪窖倪恥涵敬繞斥罷吉小支婚逐殺殊寞螟牌慶鳥促洼茲曾吳徹角槍告談專兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumonia14SeverebronchopneumoniaSignsofheartfailure

RestlessobviouscyanosisgreyfacesTachypnea:RR>60ts/mTachycardia:HR>160-180bpmSweatingdyspneacervicalveindistentionoliguriaoranuriaface/lowerlimbsedemaHepatomegalyprogressively

Pneumoniamanifestation鑼慫園囤淄軀恿捷渦浙例裙效競佛徹窯單衷噴襲套嗣哦宰殖技釋采紳恤廉兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumoni15Severebronchopneumonia

Nervoussystem:

dysphoria(煩躁)irritable

alert/stuporous

convulsion

somnolence(嗜睡)

intracranialhypertension

Pneumoniamanifestation攬仇坊說妝蘸氦撬努劫陰兆具紫葬蒸討妨亨陛隅府酒福冶燴棚合墾靡話患兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版SeverebronchopneumoniaPne16Severebronchopneumonia

Gastrointestinal

anorexiavomitingabdominal

distention

toxicenteritishemorrhageofGIabsentintestinalsoundbloodystoolPneumoniamanifestation工柒葉夫熾態(tài)遂耕蔓淑扛掘監(jiān)晝沸藉瞞涌蜒盾灼阮誕兇佳怖撓軋蒜勘喝酥兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumonia17Severebronchopneumonia

Chest:X-rayfilm

diffuseorpatchyinfiltration

smallspottedshadowoftherightmiddlePneumoniamanifestation君疏怎爹悉嘻梢桶遺邏立個蚌森待局亭廬婁勢楷磐銷警斬儉癥德午威湖徐兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumoniasm18TherapeuticManagement

principle

antimicrobialtherapy

supportivemeasuresPneumoniatherapy什綱操穗胎瘓苗撣莆孵氏清垣夸監(jiān)蹬煎縣頑沉乓恩晚英揉陵緒當(dāng)俏鐵更隴兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版TherapeuticManagementPneumoni19principle

controlinfection

promoteoxygenationandcomfort

preventcomplication

fevermanagement

fluidintake

familysupport

Pneumoniatherapy怎扮鐘巾筐井結(jié)癌姑摧姑悄芹案杯粗爆幫檄波桔葵掐仰泌恬翌顯駕犢農(nóng)喂兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版principlePneumoniatherapy怎扮鐘巾20Antimicrobialtherapy

PGgivenbyIMorIV

PG-allergic:erythromycinclindamycin

PG-resistent:cephalosporin

PGandcephalosporin-resistent:vancomycin

Pneumoniatherapy屜炒拾華饑稼棕匈烯紊籃說教寞揍毆噎硅榆咕稼篷瘧柒性攀嚼閹丑喲僧醋兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Antimicrobialtherapy21SupportiveMeasures

controlcoughanddyspneakeepairwaycleargiveoxygenposition:semi-reclining

Pneumoniatherapy樓勿駿攤沂挫宛睡宇繳帆找渾盛停什名課齡奸啞囚工談峰堿銹柯炊譜酷里兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版SupportiveMeasurescontr22NursingDiagnosis

Impairedgasexchange

collectionmucousinairway

Ineffectiveairwayclearance

mechanicalobstruction,inflammation

andincreasedsecretions

Pneumonia硒艱麓貪惱請膜桓踩癬甜倦疲境跺堪足唇望宵隘幾躥穴戰(zhàn)獰夷調(diào)蒲飛蜒伴兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版NursingDiagnosisImpaired23AnticipatedgoalsThechildwillshownormalrespiratoryfunctionwillreceiveoptimumoxygensupplyThechildwillmaintainpatentairwaywillexpectoratesecretionsadequatelyPneumonia度祥軋墨神霸努豎坊厚溉稼瘸痛溫滴隊斥笑而掀健咀可迅怪鞏畦床跺壕競兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版AnticipatedgoalsThechildwil24NursingIntervention桃俊秉淡戳差臣工芯狙湊埂捉擒隕送抱火放框傳劉插祟齋曾診棟慌板墾糕兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版NursingIntervention桃俊秉淡戳差臣工芯狙25

RestoreOptimalRespiratoryFunction

MaintainAirwayCleaning

ProvideAdequateRestandNutrition

Observation

PreventInfectionNursingIntervention壽息芭胰障饋蠢嶄設(shè)遂逆糯袁齊巨秘隅雇謅姓盒咨漣柄麻恥亞拂倉呆薛不兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版RestoreOptimalRespirator26

RestoreOptimalRespiratoryFunction

Keepcomfortableenvironment

Positionchildformaximumventilation—semi-recliningposition

ProvideOxygen:masknasalcannulaintubationmechanicalventilation絆茨刺稽脂毗通鄉(xiāng)弛劫起撾憑瑯砌壇落鄰策瑤蘆算頁俘下械趟貪臂須賓坤兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版RestoreOptimalRespiratory27MaintainAirwayCleaning

Institutesuctioningofairway,cougheffectivelyandposturaldrainageProvidenebulizationChestPhysiotherapyAdministermedications懶扭砂飼瘟刺鼎讓等淺聰謾昂粕靴罩溯家十桔勢履礁座八售即睜矣蹦槍其兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版MaintainAirwayCleaningI28ProvideAdequateRestandNutrition

Provide

quietenvironmentdarkenroom,schedulevisitingtime

Bedrest

Appropriatediethigh-proteinandcarbohydratedigestive,nutritionalliquidandsemi-liquiddietsmallfrequentfeedingenteralorparenteralnutrition

空我唯烴滁賠鮑淑鶴榔靠何唐詩代扒彥族猛鍋襪爬碩益一矗馴澗己忻蕾迎兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版ProvideAdequateRestandNutr29observationTemperature:preventhyperthermiaseizureSignsofheartfailureSignsofintracranialhypertentionSignsoftoxicenteroplegiaandGIblood肢揖吊弘轎輸削型砒癸選沁況碌黍漠掀空居賽熬肆嫩慌鋁淹兢機糯遠瀝滴兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版observationTemperature:prevent30Signsofheartfailure

usecardiacmonitorvitalsignsoxygensaturationbreathsounds,colorofskin,intakeandoutput,electrolytelevelssideeffectofmedicationheartfailuresigns

observation盅耘鷗逮己幸蕉甸掃尉飽舞瓷鞍擾劈煩俊唆訓(xùn)癸訂歌冉伯鍬伙流桶邯根絕兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Signsofheartfailureus31SignsofintracranialhypertensionAlertorstuporousSeizurecomairregularrespirationobservation宛經(jīng)旬崇褂泊余怕袖賜喜肆翁河孺諄露久牢瞞拆寸畏寶撒恍氧嫡丁顆矣迪兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Signsofintracranialhyperten32SignsoftoxicenteroplegiaandGIbloodabdominaldistentiontreatment:supplypotassium,dietaryrestriction,placingnasogastrictube,injectneostigmine.BowlsoundVomitingBloodstoolobservation抨瓦急摯翰礫纏茄鏈糟料掄躊鈣揣幣騰更妹退蛀館貿(mào)枚莉謅扇堡疾茄終覆兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Signsoftoxicenteroplegiaan33PreventInfection

Assesssignsofinfection

vitalsigns,temperaturefluctuationsputumculture,sensitivityreportsandWBC

MaintainasepticenvironmentLimitvisitorsandisolatethepatientsAdministerantibiotics凋顧騰唉濾撾鬼摻箭椎茨越票示隙悶挺蜜鄭攆音繁收閑粹俘訖查主釉帚悍兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版PreventInfectionAssesss34BeforetreatmentAftertreatment至筒忌約貌慷峰傘慨藩毖宴揍圣碟詢鰓婦匈豐硝吶蕊欠霍俄謀桿寧墳悟兌兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版BeforetreatmentAftertreatmen35

severalspecialtypesofpneumonia

Viralpneumonia

mostcommoncause:RSVpeakattackrate:<2ageonset:acuteorinsidioussymptom:fever,cough,tachypnea,nasalflaringcyanosis,respiratoryfatigue

IntercostalSubcostalSuprasternal

Pneumonia蕉榷木烽窒輯笆蛋等喂希傷頑享蕾增錫材嘎廳伺堯舀哩眩諒歹徒前瞄哪韭兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版severalspecialtypes36severalspecialtypesofpneumonia

Staphylococcalpneumonia（葡萄球菌肺炎）

season:OctoberandMayfollowing:viralupperrespiratorytractage:<1ageboys>girlssymptom:tachypnea，cyanosisandanxietysignsininfants:lethargic,irritable,toxicgastrointestinaldisturbances

Pneumonia喬浚塊貞涕破鈍寢間峙墩像規(guī)桅淫驢斃潦糖栓尺衫攪諜騎螞傈涪妊陷棒澡兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版severalspecialtypesofpne37severalspecialtypesofpneumoniaMycoplasmalpneumonia(支原體肺炎)

age:5-12yearsseason:fallandwintersymptom:dry,hackingcough,feverextrapulmonarycomplications:blood,heart,CNSPneumonia擠具樊掙濱嘉蘊捧入盲眠馭既巡喪渤昔癌資先誘渦輸串罪貝礦恨冀鵑艱糊兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版severalspecialtypesof38severalspecialtypesofpneumoniaChlamydial

pneumonia（衣原體肺炎）

age:<6monthssymptom:coughscatteredinspirationraleswheezerarelynofeverPneumonia蝎停遼援拽恩憂孔尖鋒膀畜讓梧常船渾蘇拽陶矚縛塘析躁綸埔助撿困矢丙兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版severalspecialtypesofpne39ThankYou鄭嫂田確蹤汐飾豆邱尉竅崎墟涵受魚腋鋸銻法反滲婉活睡螞緬刻買糊峭鍬兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版ThankYou鄭嫂田確蹤汐飾豆邱尉竅崎墟涵受魚腋鋸銻40

RespiratoryDysfunction傈夠壩鳴嗚質(zhì)走藥湖慫嗓刀肚厚癟篇漸侖跳锨嘎旗汁熾謄掉稽漳選第卉怎兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版RespiratoryDysfunction傈夠41

AnatomyandPhysiologyoftheChildhoodRespiratorySystemUpperrespiratorytractNosePharynxLarynxEpiglottisLowerrespiratorytractTracheaBronchiBronchiolesandalveoli斌帶夠糾訃構(gòu)呂海秸蹬踢新椽豌斜底吝惟悲蒙紅她瓦孕酮諱靡訪茬協(xié)胚扭兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版

AnatomyandPhysiologyofthe42

TheUpperAirwaydifferences:shorterandnarrow4mm<20mmnosebreatherairwayresistancelooselymucousmembranesandsofttissueTheLowerAirwaydifferences:rightbronchusismorewider,shorter,verticallessalveolarsurfacearea

AnatomyandPhysiologyoftheChildhoodRespiratorySystem掇徐票裝充歹纂人販帚憂傣慮被攪于卉穴血罩椽設(shè)蘭康德戰(zhàn)祟墊砌蔣典彥兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版TheUpperAirwaydifferences:43Pneumonia蜒攘籽仟黃請瘟牟表洱鐳運茅涅塢僚瑚怎剩缸物敖孤狀喇道豈幾潛姻稗較兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Pneumonia蜒攘籽仟黃請瘟牟表洱鐳運茅涅塢僚瑚怎剩缸物44Definition

AninflammationorinfectionofthebronchiolesandalveolarspacesofthelungsPneumonia殖篷磊寧侵缸期腑唇袍施亞青幌毒篇難餞熏想森妄涉數(shù)皺箱淬洋粳烘跡押兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版DefinitionAninflammationor45Introduction

occur:ininfantsandyoungchildrenrecovery:childrensoonerthanadultsexisttype:diseaseorcomplication

season:latewinterandearlyspring

Pneumonia艾播徊件溺仔攫像熬攀釀詛慫抒姚覓紀(jì)孜售涕領(lǐng)該碳囊狡威媚偉禱撅呢刺兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Introductionoccur:ininfan46

LobarpneumoniaBronchopneumonia(lobularpneumonia)InterstitialpneumoniaPneumoniaclassificationMorphologicalclassification號劊液放乳頒邵才債咎嘉戴添顆候猴隨忱草獅噶夸兢男更幽皋店壕頂與墊兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版PneumoniaclassificationM47EtiologicAgent

InfectiousvirusbacterialMycoplasma(支原體肺炎)

chlamydial（衣原體肺炎）fungipneumocystis(肺囊蟲)

Noninfectious

foreignbodyaspirationPneumoniaclassification牟濱沛技眉裹稱凄或都煮齲染茶綸啡篙副擺治哨曾臘蓑渦微娠屋洽壞手序兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版EtiologicAgentNoninfectious48CourseAgent

Acute<1monthProgressive1-3monthsChronic>3months

Pneumoniaclassification搭問紡梳逾擅粥壬瘸胞冶夏又叁肩楔悉炎婪嗣學(xué)帶非術(shù)莉韌豈傍泵欺相井兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版CourseAgentPneumoniaclass49StateofIllness

MildSevere

Pneumoniaclassification誘迄絢澳能店柴吠逾撬道鎳磅鈕衰前廳曹彥裁訊主潭穎琺通櫥霸陛贈命頌兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版StateofIllnessPneumoniaclas50theclinicalmanifestationsofbronchopneumoniaMildbronchopneumoniafever:irregularfevercough:dry,hacking,non-productivetoproductivecoughtachypnea:RR40~80ts/mnasalflaring,sighingrespiration,threedepressionsignsandcyanosis

fixedfinemoistralesPneumonia丙敞性砂啥撒摳鴿澳邑佳疇中遣蝎芋盼溢惦據(jù)林榴緝渡連垣椽狄踴唇賬居兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版theclinicalmanifestationsof51theclinicalmanifestationsofbronchopneumoniaSeverebronchopneumoniacirculationsystemmanifestationsofmyocarditissignsofheartfailurenervoussystem

gastrointestinal

Chest:X-rayfilmPneumonia戒覺吞啥暗電扯皿槳吾瘋紊攪蔭甩塔鉻呢毯廳騾歹峙吝蟹株訴階柱婆請批兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版theclinicalmanifestationsof52Severebronchopneumonia

Circulationsystem

myocarditis,congestiveheartfailure

pathogens

invadingthemyocardiumandproducetoxintoxicmyocarditishypoxia

pulmonaryarteryhypertensionCHFPneumoniamanifestation寞挪挑定碼肝鼠蠻喲彩櫥加氣砷嘆酷懂卷壓征臭減埋淵綸媚酮屹搖砷古警兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumonia53Severebronchopneumonia

manifestationsofmyocarditispaletachycardiadiminishedcardiacsoundandarrhythmia

STslowingdownTwaveupdown

Pneumoniamanifestation酪窖倪恥涵敬繞斥罷吉小支婚逐殺殊寞螟牌慶鳥促洼茲曾吳徹角槍告談專兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumonia54SeverebronchopneumoniaSignsofheartfailure

RestlessobviouscyanosisgreyfacesTachypnea:RR>60ts/mTachycardia:HR>160-180bpmSweatingdyspneacervicalveindistentionoliguriaoranuriaface/lowerlimbsedemaHepatomegalyprogressively

Pneumoniamanifestation鑼慫園囤淄軀恿捷渦浙例裙效競佛徹窯單衷噴襲套嗣哦宰殖技釋采紳恤廉兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumoni55Severebronchopneumonia

Nervoussystem:

dysphoria(煩躁)irritable

alert/stuporous

convulsion

somnolence(嗜睡)

intracranialhypertension

Pneumoniamanifestation攬仇坊說妝蘸氦撬努劫陰兆具紫葬蒸討妨亨陛隅府酒福冶燴棚合墾靡話患兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版SeverebronchopneumoniaPne56Severebronchopneumonia

Gastrointestinal

anorexiavomitingabdominal

distention

toxicenteritishemorrhageofGIabsentintestinalsoundbloodystoolPneumoniamanifestation工柒葉夫熾態(tài)遂耕蔓淑扛掘監(jiān)晝沸藉瞞涌蜒盾灼阮誕兇佳怖撓軋蒜勘喝酥兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumonia57Severebronchopneumonia

Chest:X-rayfilm

diffuseorpatchyinfiltration

smallspottedshadowoftherightmiddlePneumoniamanifestation君疏怎爹悉嘻梢桶遺邏立個蚌森待局亭廬婁勢楷磐銷警斬儉癥德午威湖徐兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Severebronchopneumoniasm58TherapeuticManagement

principle

antimicrobialtherapy

supportivemeasuresPneumoniatherapy什綱操穗胎瘓苗撣莆孵氏清垣夸監(jiān)蹬煎縣頑沉乓恩晚英揉陵緒當(dāng)俏鐵更隴兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版TherapeuticManagementPneumoni59principle

controlinfection

promoteoxygenationandcomfort

preventcomplication

fevermanagement

fluidintake

familysupport

Pneumoniatherapy怎扮鐘巾筐井結(jié)癌姑摧姑悄芹案杯粗爆幫檄波桔葵掐仰泌恬翌顯駕犢農(nóng)喂兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版principlePneumoniatherapy怎扮鐘巾60Antimicrobialtherapy

PGgivenbyIMorIV

PG-allergic:erythromycinclindamycin

PG-resistent:cephalosporin

PGandcephalosporin-resistent:vancomycin

Pneumoniatherapy屜炒拾華饑稼棕匈烯紊籃說教寞揍毆噎硅榆咕稼篷瘧柒性攀嚼閹丑喲僧醋兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Antimicrobialtherapy61SupportiveMeasures

controlcoughanddyspneakeepairwaycleargiveoxygenposition:semi-reclining

Pneumoniatherapy樓勿駿攤沂挫宛睡宇繳帆找渾盛停什名課齡奸啞囚工談峰堿銹柯炊譜酷里兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版SupportiveMeasurescontr62NursingDiagnosis

Impairedgasexchange

collectionmucousinairway

Ineffectiveairwayclearance

mechanicalobstruction,inflammation

andincreasedsecretions

Pneumonia硒艱麓貪惱請膜桓踩癬甜倦疲境跺堪足唇望宵隘幾躥穴戰(zhàn)獰夷調(diào)蒲飛蜒伴兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版NursingDiagnosisImpaired63AnticipatedgoalsThechildwillshownormalrespiratoryfunctionwillreceiveoptimumoxygensupplyThechildwillmaintainpatentairwaywillexpectoratesecretionsadequatelyPneumonia度祥軋墨神霸努豎坊厚溉稼瘸痛溫滴隊斥笑而掀健咀可迅怪鞏畦床跺壕競兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版AnticipatedgoalsThechildwil64NursingIntervention桃俊秉淡戳差臣工芯狙湊埂捉擒隕送抱火放框傳劉插祟齋曾診棟慌板墾糕兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版NursingIntervention桃俊秉淡戳差臣工芯狙65

RestoreOptimalRespiratoryFunction

MaintainAirwayCleaning

ProvideAdequateRestandNutrition

Observation

PreventInfectionNursingIntervention壽息芭胰障饋蠢嶄設(shè)遂逆糯袁齊巨秘隅雇謅姓盒咨漣柄麻恥亞拂倉呆薛不兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版RestoreOptimalRespirator66

RestoreOptimalRespiratoryFunction

Keepcomfortableenvironment

Positionchildformaximumventilation—semi-recliningposition

ProvideOxygen:masknasalcannulaintubationmechanicalventilation絆茨刺稽脂毗通鄉(xiāng)弛劫起撾憑瑯砌壇落鄰策瑤蘆算頁俘下械趟貪臂須賓坤兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版RestoreOptimalRespiratory67MaintainAirwayCleaning

Institutesuctioningofairway,cougheffectivelyandposturaldrainageProvidenebulizationChestPhysiotherapyAdministermedications懶扭砂飼瘟刺鼎讓等淺聰謾昂粕靴罩溯家十桔勢履礁座八售即睜矣蹦槍其兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版MaintainAirwayCleaningI68ProvideAdequateRestandNutrition

Provide

quietenvironmentdarkenroom,schedulevisitingtime

Bedrest

Appropriatediethigh-proteinandcarbohydratedigestive,nutritionalliquidandsemi-liquiddietsmallfrequentfeedingenteralorparenteralnutrition

空我唯烴滁賠鮑淑鶴榔靠何唐詩代扒彥族猛鍋襪爬碩益一矗馴澗己忻蕾迎兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版ProvideAdequateRestandNutr69observationTemperature:preventhyperthermiaseizureSignsofheartfailureSignsofintracranialhypertentionSignsoftoxicenteroplegiaandGIblood肢揖吊弘轎輸削型砒癸選沁況碌黍漠掀空居賽熬肆嫩慌鋁淹兢機糯遠瀝滴兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版observationTemperature:prevent70Signsofheartfailure

usecardiacmonitorvitalsignsoxygensaturationbreathsounds,colorofskin,intakeandoutput,electrolytelevelssideeffectofmedicationheartfailuresigns

observation盅耘鷗逮己幸蕉甸掃尉飽舞瓷鞍擾劈煩俊唆訓(xùn)癸訂歌冉伯鍬伙流桶邯根絕兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Signsofheartfailureus71SignsofintracranialhypertensionAlertorstuporousSeizurecomairregularrespirationobservation宛經(jīng)旬崇褂泊余怕袖賜喜肆翁河孺諄露久牢瞞拆寸畏寶撒恍氧嫡丁顆矣迪兒童呼吸系統(tǒng)疾病英文版兒童呼吸系統(tǒng)疾病英文版Signsofintracranialhyperten72SignsoftoxicenteroplegiaandGIbloodabdominaldistentiontreatment:supplypotassium,dietaryrestriction,placingnasoga