《護(hù)理英語》課件 Unit 4 Surgical Nursing

NursingEnglishUnit4

SurgicalNursingPart1:Warmingupdilatorbowelclamp____________________________________________________scalpel___________________Task1：

Labelthenameofthefollowingsurgicalequipment.Part1:Warminguphemostixtourniquet____________________________________________________operatinglamp___________________Task1：Labelthenameofthefollowingdiseases.Part1:WarmingupTask2：WritedownthefullnamesoftheAbbreviations.ROS_________________Bronch________________BO_________________BNO________________BIBA____________________BM_________________RO_________________TKR___________________removalofsuturesbowelsopenbroughtinbyambulancebronchoscopebowelsnotopenbowelmovementremovaloftotalkneereplacementeg.funduscopefunduscopybronchoscopebronchoscopyendoscopeendoscopyendoscopiclaparoscopelaparoscopylaparoscopic-scope-scopy-scopica.themethodofexaminebylookingintob.relatedtothemethodofexaminebylookingintoc.theinstrumenttolookintoPart2:ListeningTask1:Listenandticksentencesyouhear.Dialogue11.a.□Iamsorry.Whatwasyournameagain,please?b.□Sorry,whatwasyourname?2.a.□Couldyoupleasespellthatagain,please?b.□Canyouspellit?3.a.□Canyousaythatagain,please?b.□Couldyoupleaserepeatthat?Ididn’tcatchthelastnumbers.4.a.□Sorry,Ididn’tcatchthat.b.□Wouldyoumindspeakingalittleslower,please?I’mhavingtroublefollowingyou.√

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√Part2:ListeningTask2:Listenandfillintheblanks.Dialogue1Patient’snamePatient’saddressPatient’sTelDaughter’sTel.MainProblemsLidiaVassily24SpringLane,Exeter0126564475301265781992Left-sidedweakness,swallowingdifficultyPart2:ListeningTask1.:Readandticktheitemmentionedinthedialogue.Dialogue2

□healtheducation□exercise□airbornetransmitteddisease□painkiller□IDNo.□personalprotectiveequipment□high-proteindiet□treatment

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√Part2:ListeningDialogue2Task2:Workinpairs,practicegivinghealtheducationtoapatientsufferingfromtuberculosis.StudentAplaystheroleofnurse;StudentBplaystheroleoftheclient.Swaprolesandpracticeagain.Part3:ReadingReading

skill:SkimmingSkimmingmeansreadingverysuperficially.Readersoftenskimatexttogetthemainideabeforereadingitmorecarefully.Skimmingatextalsogivesyouanideaofhowatextisorganizedandthefunctionsofthedifferentpartsofthetext.Thishelpsyoutoreadmoreeffectively.Part3:ReadingTask1:Skimthepassage:readonlythetitle,subtitles,boldfacetypes,andintroductoryorsummarysections.Makepredictionsaboutwhatyouthinkthepassagewilldiscuss.NursingforAppendicitis1.Description2.RiskFactors3.SignsandSymptoms/Assessment4.DiagnosticEvaluation5.PrimaryNursingDiagnosis6.MedicalManagementPart3:ReadingTask1:Skimthepassage:readonlythetitle,subtitles,boldfacetypes,andintroductoryorsummarysections.Makepredictionsaboutwhatyouthinkthepassagewilldiscuss.7.Appendectomy7.1ComplicationsofAppendectomy7.2PharmacologicIntervention7.3NursingIntervention7.3.1Preoperativeinterventions7.3.2Postoperativeinterventions7.4DocumentationGuidelines7.5DischargeandHomeHealthcareGuidelineseg:preoperativepostoperativepericardiumpre-post-peri-a.aroundb.before,infrontc.after,atthebackofPart3:ReadingTask2:Comprehensionquestions.1.______mayoccurwithinamatterofhours,whentheappendixbecomesinflamedorinfected,leadingtoperitonitisandsepsis.A.RuptureB.SwellingC.PainD.Infection2.Onesignofappendicitisisthepaindescendingtothe_____quadrant.rightlowerB.leftlowerC.rightupperD.leftupper

A

A-itis:inflammationeg:appendicitistonsillitisarthritisperitonitisAbdominopelvicregionsandquadrantsFourquadrantsRUQrightupperquadrantLUQleftupperquadrantRLQrightlowerquadrantLLQleftlowerquadrantPart3:ReadingTask2:Comprehensionquestions.3.Aftertheonsetofsymptomsundereithergeneralorspinalanesthesia,theappendectomyshouldbeperformedwithin____days.A.2B.1C.1-2D.2-34._____solutionshavethesamesaltconcentrationasthesurroundingbloodcells.A.IsotonicB.HypertonicC.HypotonicD.Hypertensive

A

Ceg:nephrectomynephrotomy-ectomy

-tomya.removalb.cuttingintoeg:isotonichypertonichypotonichyperglycemiahypoglycemiais/ohyper-hypo-

a.lowerthanb.equaltoc.higherthanPart3:ReadingTask2:Comprehensionquestions.5.Positionright-sidelyingorlowto_____positiontopromotecomfort.A.proneB.supineC.semifowlerD.fowler6.Nursinginterventionsfortheappendectomyshouldinvolverecordingthe_______ofthepain.A.locationB.intensityC.frequencyD.alltheabove

D

CPositionsFowler’spositionApersonintheFowler'spositionissittingstraightuporleaningslightlyback.Theirlegsmayeitherbestraightorbent.

PositionsSupine

Someoneinthesupinepositionislyingonhisorherback.Prone

Someoneinthepronepositionislyingfacedown.PositionsRightLateralRecumbent

TheRightlateralrecumbent,orRLR,meansthatthepatientislyingontheirrightside.LeftLateralRecumbent

Theleftlateralrecumbent,orLLR,meansthatthepatientislyingontheirleftside.PositionsTrendelenbergPosition

ApersonintheTrendelenbergpositionislyingsupinewiththeirheadslightlylowerthantheirfeet.

PositionsKnee-chestpositionApronepositioninwhichtheindividualrestsonthekneesandupperpartofthechest,assumedforgynecologicorrectalexamination.Alsocalledgenupectoralposition.PositionsThe

Sims'position,namedafterthegynecologist

JamesMarionSims,isusuallyusedfor

rectalexamination,treatmentsand

enemas.

Itisperformedbyhavingapatientlieontheirleftside,lefthipandlowerextremitystraight,andrighthipandkneebent.Part3:ReadingTask2:Comprehensionquestions.7.Suturesaregenerallyremovedinthephysician’sofficein_______days.A.4to6B.5to7C.4to7D.5to88.Sharpabdominalpains,fever,nauseaandvomiting,andincreasedpulseandrespirationindicates_____,andthepatientshouldknowtoseekmedicationimmediately.A.tinnitusB.peritonitisC.appendicitisD.gastritis

B

BPart3:ReadingTask3:Paraphrasing.

thepresenceofpus-formingbacteriaortheirtoxinsinthebloodortissuesthedrugthatreducespainapainthatisfeltwhentheareaistouchedsubstancesthatreducefeverdrugorfoodthatinducesbowelmovementthestateofbeingunimpairedsepsis:analgesics:tenderness:antipyretics:5.laxatives:6.intactness:7.odor:anypropertydetectedbytheolfactorysystem-ics:substance,drugeg:analgesicsanestheticsantipyreticsPart3:Reading.Task4:Translation.appendectomyopenappendectomyconservativetreatmentlaparoscopicappendectomyPreoperativemanagement1.An____________isthepreferredmethodofmanagementforacuteappendicitisiftheinflammationislocalized.An__________________iscompletedwithatransverserightlowerquadrantincision,usuallyattheMcBurneypoint.A_______________________maybeusedinfemalesofchildbearingage,thoseinwhomthediagnosisisinquestion,andforobesepatients.Iftheappendixhasrupturedandthereisevidenceofperitonitisoranabscess,____________________consistingofantibioticsandintravenous(IV)fluidsisgiven6to8hourspriortoanappendectomy.Generally,anappendectomyisperformedwithin24to48hoursaftertheonsetofsymptomsundereithergeneralorspinalanesthesia.________________________includesIVhydration,antipyretics,antibiotics,and,afterdefinitivediagnosis,analgesics.Part3:ReadingTask4:Translation.Leukocyteneutrophilradiographs2.(C-E)__________（白細(xì)胞）countgreaterthan10,000/mm3,__________（中性粒細(xì)胞）countgreaterthan75%;abdominal___________（影像檢查）,__________（超聲波）studies,andCTscansmayrevealrightlowerquadrantdensityorlocalizeddistentionofthebowel.3.(C-E)Besurethepatientunderstandsanypainmedicationprescribed,including_______（劑量）,______（用藥途徑）,_______(藥效),and__________（副作用）.ultrasounddosesrouteactionsideeffectsPart5:WritingMakeamedicalcertificateofthepatientaccordingtotheChinesehints.sampleMedicalCertificateJune19th,2017

Thisistocertifythatthepatient,LiMing,male,16yearsold,wasadmittedtoourhospitalonJune10th,forsufferingfromacuteappendicitis.Afterimmediateoperationandtendays’treatment,hehasgotcompleterecoveryandwillbedischargedonJune20th.Itissuggestedthatheshouldrestforoneweekathomebeforeprecedinghisstudybackatschool.Doctor:WangYong

患者：李紅

性別：女

年齡：16歲

入院時(shí)間：2017年11月15日

出院時(shí)間：2017年11月22日

出院后需要在家休息2周

MedicalCertificateNovember21st,2017

Thisistocertifythatthepatient