英文交班报告1 - 复制1.ppt

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1、护理英语交班 Nursing English report,Obstetrics Department,General conditions,Good morning,every one,Now we are passing the obstetrics area nursing shift reports on April,8th,2010,各位,早晨好2009年4月8日产科护理交班,General conditions,There are total 36 patients and 15 babies in the ward,including 1 patient discharged,1

2、 admitted,1 performed operation,1 seriously ill.,病人总数:36/15 出院病人数:1 入院病人数:1手术人数:1,病重人数:1,Discharged case,Bed 3,Liu Yu,the fifth day after operation,discharged with the baby at 11:00 yesterday.,3床,刘玉,剖宫产术后第五天,带婴于11:00出院,New admission,Bed 1:Liu Yu,40 years old,1/0,is 38 weeks pregnant,diagnosis:fetal

3、distress,admitted through emergency at 13:00.,1床，刘玉，40岁，产妇1/0，孕38周，胎儿窘迫，急诊于13：00入科,New admission,After admission,the doctor zhou Hong was notified immediately and the admission interview was done.The common diet was served and grade 2 nursing care was given as doctors orders.,入院后立即通知周虹医生,入院介绍已做.遵医嘱给

4、予二级护理，普食.,与活泼型客户相处的原则,多微笑 说大白话多讲故事，少谈业务多保持一些神秘多提醒他趁热打铁让他多说，你多听,与完美型客户交往的原则,应表情严肃，衣着正规避免使用肢体语言多提供资料，少说注意你的细节不要夸张，要具体多进行感情上的沟通,New admission,The vital signs were normal.The fetal heart rate:146/minute.Having no uterine contract.,产妇生命体征平稳.胎心140次/分,无宫缩.,Seriously ill case,Bed 10，Wang Li,eclampsia,the fi

5、rst day after the cesarean section,the state of mind is clear,Oxygen was given and the flow rate was 2L/min.,continues ECG monitoring was given,10床,王丽,子痫,剖宫产术后第一天,神志清,持续心电监护,持续低流量吸氧,Seriously ill case,At 10:00,magnesium sulfate(MgSO4)10g in normal saline 500ml were give by IV infusion.The drop rate

6、were 20ml/h.,遵医嘱给予静脉输入生理盐水500ml+硫酸注射液10g，滴速为20ml/h。,Seriously ill case,Give the oral administration of the potassium medicine treatment,having no negative response,the uterus contract well,colporrhagia 10ml(milliliter),the wound surgical dressing is dry,the ureter is fixed well and unobstructed.,给予静

7、脉输液抗生素补液治疗，无不良反应，现宫缩好，阴道出血10ml，伤口敷料干燥，尿管固定好,引流通畅,Seriously ill case,The skin was integrity.The total input was 400ml and the output was 300ml.,皮肤无破损，全天入量400ml，尿量300ml.,Operation case,The parturient woman,performed the cesarean section operation emergencily under anaesthetization for the gestation pe

8、riod diabetes,产妇因妊娠期糖尿病,急诊在硬膜外麻醉下行子宫下段剖宫产术,Operation case,taking out a live female infant at 10:36,with the umbilical cord reverses 22,and the racket shape placenta,于10:36取一活女婴，脐带扭转22圈，球拍状胎盘,Operation case,the blood pressure is 130/80mmHg when returning to ward,the uterus contract well,the wound sur

9、gical dressing is clean,the ureter is fixed well and unobstructed,the venous transfusion is unobstructed,having no negative response,返回病房血压130/80mmHg，宫缩好，伤口敷料干燥，尿管固定好,引流通畅，静脉输液通畅，无不良反应,Operation case,the baby scored for 10 cents according to the Appgar Points,the physical examination is normal,weigh

10、t:2830g,breast feeding has been done.,婴儿生后评10分，查体正常，体重2830g，已指导母乳喂养。,Operation case,The patient was changed the position every 2 hours and the skin was integrity.The uterus contract well.The total intake was 2500ml and the output was 2000ml.,定时翻身，皮肤好,宫缩好,全天入量2500ml,出量2000ml.,Operation case,The baby

11、sleeps well and feeds well,and assist the parents with the baby nursing.,婴儿精神、吃奶好，协助新生儿护理。,Thats allNurse on duty:Shi xiao na,交班完毕.值班护士:史肖娜,常用词汇,胎动：Fetal Movement;预产期：Date of delivery;Due date胎儿心音：Fetal Heart Sounds流产：Abortion怀孕：Pregnancy分娩：Delivery子宫收缩：Contraction阵痛：Labor Pain见红：The bloody show急产：p

12、recipitate delivery早产：preterm delivery足月产：term delivery,常用词汇,过期产：Postterm delivery 足月产：term delivery 先兆临产：threatened labor习惯性流产：habitual abortion先兆流产：threatened abortion 人工流产：induced abortion双胞胎：Twins多胞胎：Multiple Birth会阴切开：Episiotomy阴道检查：Internal(Vaginal)Examination,妊娠合并症,高危妊娠:High risk pregnancy肩先露

13、：shouder presentation臀先露：breech presentation破水：Membrane Rupture/Water broken羊水过多：Polyhydramnios羊水过少：oligohydramnios早期破水：Premature Rupture产后出血:Postpartum hemorrhage蛋白尿症：Albuminuria胎盘前置：Placenta Praevia,妊娠合并症,妊娠剧吐hyperemesis gravidarum妊高征 hypertension(PIH)妊娠高血压疾患 hypertensive disorders of先兆子痫 pregancy pre-eclampsia 子痫 eclampsia 胎死宫内 convulsion intrauterine death 骨盆狭窄contracted pelvis胎儿窘迫 fetal distress 前次剖宫产史 history of previous cesarean section初产头浮 primipara with floating head cervical宫颈机能不全 incompetence,Thanks!,