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PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 一例神经源膀胱病人的个案护理PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 02040103前言护理问题护理评估护理体会提纲05护理措施及评价PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 前言01PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。点击请替换文字内容请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。点击请替换文字内容神经源性膀胱神经源性膀胱膀胱和尿道的主要功能有:膀胱和尿道的主要功能有:以较低的膀胱内压和较高的尿道压力以较低的膀胱内压和较高的尿道压力储存尿液;储存尿液;规律地排出尿液。储尿和排尿均为反规律地排出尿液。储尿和排尿均为反射活动,在中枢神经和周围神经射活动,在中枢神经和周围神经( (交感、交感、副交感和躯体神经副交感和躯体神经) )的控制下协调完成。的控制下协调完成。当神经系统损伤或疾病导致神经功能异当神经系统损伤或疾病导致神经功能异常,引起膀胱的储存和排空机制发生障常,引起膀胱的储存和排空机制发生障碍时,即发生神经源性膀胱。碍时,即发生神经源性膀胱。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 神经系统神经系统的损伤或疾病的损伤或疾病储存储存和和排空排空机制障碍机制障碍神经源性膀胱神经源性膀胱神经源性膀胱神经源性膀胱PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 肾脏生成尿液是一个连续不断肾脏生成尿液是一个连续不断的过程的过程, ,而膀胱的排尿是间歇进而膀胱的排尿是间歇进行的。行的。当尿液在膀胱內储存到一定量当尿液在膀胱內储存到一定量(300(300-500ML)500ML)时时, ,才能刺徼膀胱才能刺徼膀胱牽张感受器牽张感受器, ,引起反射的排尿动引起反射的排尿动作作, ,使尿液经尿道排出体外。使尿液经尿道排出体外。排尿受大脑皮层的控制排尿受大脑皮层的控制PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 尿量尿量400ml400ml膀胱内压超膀胱内压超0.98Kpa0.98Kpa(10cmH2O10cmH2O)出现尿意)出现尿意尿量尿量700ml700ml膀胱内压膀胱内压3.43Kpa3.43Kpa(35cmH2O35cmH2O)膀胱节律性收缩,可控制排尿膀胱节律性收缩,可控制排尿膀胱内压超过膀胱内压超过6.86Kpa6.86Kpa(70cmH2O70cmH2O)以上出现疼痛以上出现疼痛尿量尿量400ml400ml膀胱内压超膀胱内压超0.98Kpa0.98Kpa(10cmH2O10cmH2O)出现尿意出现尿意尿量尿量700ml700ml膀胱内压膀胱内压3.43Kpa3.43Kpa(35cmH2O35cmH2O)膀胱节律性收缩,可控制排尿膀胱节律性收缩,可控制排尿PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 排尿的反射排尿的反射脊髓低级中枢支配脊髓低级中枢支配膀胱储尿和排尿控制的神经支配膀胱储尿和排尿控制的神经支配交感神经交感神经T1T11-1-L1,2L1,2-支配逼尿肌松弛、尿道括支配逼尿肌松弛、尿道括约肌收缩约肌收缩-储尿储尿副交感神经副交感神经S S2-4-2-4-支配逼尿肌收缩支配逼尿肌收缩骶尾部骶尾部躯体神经躯体神经2-42-4骶神经组成阴部神经骶神经组成阴部神经-支配尿道外括约肌支配尿道外括约肌-排尿排尿中枢控制下相互协调中枢控制下相互协调PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 排尿的反射排尿的反射脊髓低级中枢支配脊髓低级中枢支配交感(储尿交感(储尿) ):分泌去甲肾上腺素:分泌去甲肾上腺素, ,能使能使 肾上腺素能为主的膀胱肾上腺素能为主的膀胱颈平滑肌与尿道内括约肌收缩颈平滑肌与尿道内括约肌收缩, ,使以使以受体为主的逼尿肌松弛而抑受体为主的逼尿肌松弛而抑制排尿。制排尿。副交感副交感( (排尿排尿) ):分泌乙酰胆碱与其结合:分泌乙酰胆碱与其结合, ,逼尿具有胆碱能受体,逼尿具有胆碱能受体,使膀胱逼尿肌收缩使膀胱逼尿肌收缩, ,尿道括约肌收缩松弛而抑制排尿尿道括约肌收缩松弛而抑制排尿PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 尿流动力学临床分型尿流动力学临床分型膀胱膀胱: :无抑制性收缩、容量减少、顺应性差无抑制性收缩、容量减少、顺应性差; ;出口出口: :膀胱颈压下降、外括约肌压下降膀胱颈压下降、外括约肌压下降膀胱膀胱: :逼尿肌反射消失、容量大逼尿肌反射消失、容量大/ /顺应性高顺应性高; ;出道出道: :高排出压伴低尿流率、内外括约肌协调不良、括约肌过度活跃高排出压伴低尿流率、内外括约肌协调不良、括约肌过度活跃PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 欧洲泌尿协会分型欧洲泌尿协会分型PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 神经源膀胱处理策略神经源膀胱处理策略 首要目标首要目标保护上尿路功能保护上尿路功能(肾脏功能)(肾脏功能)保证储尿期和排尿期膀胱压力保证储尿期和排尿期膀胱压力处于安全范围内处于安全范围内 次要目标次要目标重建或部分重建下尿路功能重建或部分重建下尿路功能提高控尿能力提高控尿能力减少残余尿量减少残余尿量预防泌尿系感染预防泌尿系感染提高患者生活质量提高患者生活质量PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。请替换文字内容,添加相关标题,修改文字内容,也可以直接复制你的内容到此。神经源膀胱处理策略神经源膀胱处理策略早期处理策略早期处理策略 因膀胱功能不稳定、大量输液、尿道损伤、手术等情况,早期处理以留置导因膀胱功能不稳定、大量输液、尿道损伤、手术等情况,早期处理以留置导尿为主。可以采用经尿道或经耻骨上留置导尿的方式,不必定期夹闭导尿管。这个阶尿为主。可以采用经尿道或经耻骨上留置导尿的方式,不必定期夹闭导尿管。这个阶段最主要的工作是预防膀胱过度储尿或感染。要注意保持整个引流通路的密闭性。保段最主要的工作是预防膀胱过度储尿或感染。要注意保持整个引流通路的密闭性。保持尿道口或穿刺口的干燥,不要随意打开引流通路做消毒或清洗,以免带入外界病菌。持尿道口或穿刺口的干燥,不要随意打开引流通路做消毒或清洗,以免带入外界病菌。恢复期的处理策略恢复期的处理策略 进入恢复期后,应尽早拔除留置导尿管,评估逼尿肌进入恢复期后,应尽早拔除留置导尿管,评估逼尿肌和括约肌功能,制订针对性的治疗方案,及早采取膀胱再训练、间歇导尿等方法,和括约肌功能,制订针对性的治疗方案,及早采取膀胱再训练、间歇导尿等方法,促进患者达到预期的康复目标。当患者自尿量与残余尿量的比值接近促进患者达到预期的康复目标。当患者自尿量与残余尿量的比值接近3 3:l l时,称时,称为平衡膀胱。如果连续为平衡膀胱。如果连续1 1周都达到周都达到3 3:1 1的比值,即谓膀胱训练成功。的比值,即谓膀胱训练成功。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ 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优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 二、护理评估二、护理评估一般资料患者,男性,23岁,高中文化,工人。“外伤致双下肢活动障碍伴二便障碍3月余”入住我院康复科治疗。现病史现患者一般情况良好,康复评定已做,行各项康复训练。ADL评分:40分;morse评分:65分;Braden评分:17分 PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 二、护理评估二、护理评估既往史2018年4月2当日有外伤史、手术史、输血史体格检查T:37P:70次/分R:20次/分BP:116/74mmHg神志清醒,两侧瞳孔等大等圆,直径3.0mm,光反射灵敏。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 体格检查按ASIA分级B级,双上肢肌力正常,双股四头肌肌力0级,双足感觉缺失,坐站位平衡1级。排泄状况患者入院时,带有一根留置导尿管入院,入院两天后拔除尿管,行间歇导尿,便秘、大便排空困难。二、护理评估二、护理评估PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 03护理问题PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 三、护理问题三、护理问题1.1.躯体活动障碍躯体活动障碍2.2.神经源性膀胱神经源性膀胱3.3.神经源性直肠神经源性直肠4.4.有坠床危险有坠床危险5.5.焦虑焦虑6.6.潜在并发症(尿路感染)潜在并发症(尿路感染)PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价护理问题一:躯体活动障碍护理问题一:躯体活动障碍 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www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价患者入院两天后,给予拔患者入院两天后,给予拔除留置导尿管,制定饮水除留置导尿管,制定饮水计划,行间歇导尿,计划,行间歇导尿,于于6 6月月1313日第一次进行膀胱测日第一次进行膀胱测压,显示灌入液体压,显示灌入液体260ml260ml的时候,膀胱压力大于的时候,膀胱压力大于40mmHO40mmHO,对各类手法不敏,对各类手法不敏感。遵义嘱给予托特罗定,感。遵义嘱给予托特罗定,半片,半片,2/2/日。同时给予膀日。同时给予膀胱理疗,中频、电刺激等。胱理疗,中频、电刺激等。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价7/77/7日开始,饮水量为日开始,饮水量为1800ml1800ml,漏尿为,漏尿为1990ml1990ml,间歇导尿一次,导尿量为间歇导尿一次,导尿量为20ml,20ml,继续执行饮水计划、继续执行饮水计划、口服托特罗定、膀胱电刺口服托特罗定、膀胱电刺激等。激等。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价10/710/7日行第二次膀胱压日行第二次膀胱压力测定,液体量滴至力测定,液体量滴至180ml180ml时,膀胱压力大时,膀胱压力大40mmHO40mmHO,手法依然不敏,手法依然不敏感,相对于上次测压,感,相对于上次测压,膀胱容量又变小了。膀胱容量又变小了。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价7 7月月1515日开始,患者漏尿日开始,患者漏尿比开始相对较少,漏出尿比开始相对较少,漏出尿液为液为1370ml1370ml,给予间歇导,给予间歇导尿三次,导出尿量为尿三次,导出尿量为600ml600ml。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价通过通过25/725/7日膀胱测压,患者于滴液日膀胱测压,患者于滴液75ml75ml的时候,膀胱压力骤升,出现的时候,膀胱压力骤升,出现漏尿,报告医生后,遵医嘱给与停止膀胱电刺激,给与库珀酸索利那漏尿,报告医生后,遵医嘱给与停止膀胱电刺激,给与库珀酸索利那新片(卫喜康),一片,新片(卫喜康),一片,1/1/日,口服。日,口服。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价现患者通过一段时间治现患者通过一段时间治疗,膀胱容量又开始变疗,膀胱容量又开始变大了,每日饮水量为大了,每日饮水量为2000ml2000ml,漏尿,漏尿500ml500ml,间,间歇导尿四次,导出尿液歇导尿四次,导出尿液为为1440ml1440ml。于。于14/814/8日开日开始,由患者家属自行导始,由患者家属自行导尿。计划近期,将再次尿。计划近期,将再次给患者进行膀胱压力测给患者进行膀胱压力测量。量。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价效果评价效果评价:患者经过患者经过2 2个月的间歇导尿个月的间歇导尿后,现仍未达到膀胱平衡,下步将继续后,现仍未达到膀胱平衡,下步将继续治疗,并做好患者的心理护理。治疗,并做好患者的心理护理。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价护理问题三护理问题三:神经源性直肠:神经源性直肠 与神经元与神经元病变有关病变有关预期目标预期目标: :患者能自行解大便患者能自行解大便护理措施护理措施:1:1、行肠道护理行肠道护理 2 2、腹部按摩、腹部按摩 3 3、肛门指立牵张、肛门指立牵张 4 4、嘱多食水果、蔬菜、粗、嘱多食水果、蔬菜、粗 纤维等食物纤维等食物PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 5 5、遵医嘱服药、遵医嘱服药6 6、必要时给于开塞露及清洁灌肠、必要时给于开塞露及清洁灌肠效果评价效果评价:现患者有时仍有大便排空现患者有时仍有大便排空困难及便秘。困难及便秘。四、护理措施及评价四、护理措施及评价PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 护理问题四护理问题四:有跌到、坠床的危险:有跌到、坠床的危险 与肢体与肢体障碍有关障碍有关预期目标预期目标:患者住院期间未发生跌到、坠床:患者住院期间未发生跌到、坠床护理措施护理措施:1、告知患者及家属讲解防治跌倒注意事项;告知患者及家属讲解防治跌倒注意事项;四、护理措施及评价四、护理措施及评价2、正确使用床栏。正确使用床栏。3 3、告知患者及家属正确的床椅转移方法。、告知患者及家属正确的床椅转移方法。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价3、指导患者行肢体功能训练时,克服指导患者行肢体功能训练时,克服急于求成的心理,做到运动适度,动作急于求成的心理,做到运动适度,动作幅度不宜过大,方法得当。幅度不宜过大,方法得当。效果评价效果评价:患者住院期间未发生跌到、:患者住院期间未发生跌到、坠床坠床PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价护理问题五:焦虑护理问题五:焦虑 与知识缺乏,担与知识缺乏,担心疾病预后有关。心疾病预后有关。预期目标预期目标 :患者焦虑情绪减轻:患者焦虑情绪减轻护理措施护理措施:1.1.多安慰及鼓励患者多安慰及鼓励患者2.2.列举类似病人的成功案例列举类似病人的成功案例3.3.家庭参与家庭参与护理评价护理评价:患者焦虑情绪较前减轻患者焦虑情绪较前减轻PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 护理问题六护理问题六:潜在并发症(尿路感染):潜在并发症(尿路感染)与间歇导尿时未注意无菌操作有关。与间歇导尿时未注意无菌操作有关。护理目标护理目标:患者间歇导尿期间未发生尿:患者间歇导尿期间未发生尿路感染路感染护理措施护理措施:1 1、操作前严格七部洗手法洗手,并教会、操作前严格七部洗手法洗手,并教会患者;患者;2 2、定期复查尿常规。、定期复查尿常规。四、护理措施及评价四、护理措施及评价PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 四、护理措施及评价四、护理措施及评价效果评价效果评价:患者间歇导尿期间未发生:患者间歇导尿期间未发生尿路感染。尿路感染。PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 1 1、神经源性膀胱诊治、康复护理已逐渐引、神经源性膀胱诊治、康复护理已逐渐引起重视,但仍存在一定的误区,重视患者起重视,但仍存在一定的误区,重视患者的康复而护士排尿功能障碍的治疗,重视的康复而护士排尿功能障碍的治疗,重视排尿异常的治疗而忽视安全储尿的重要性。排尿异常的治疗而忽视安全储尿的重要性。五、护理体会五、护理体会PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 2 2、有、有效的膀胱功能训练有利于患者自主排效的膀胱功能训练有利于患者自主排尿功能的恢复,间歇导尿技术能有效减少尿功能的恢复,间歇导尿技术能有效减少残余尿量,因此在临床上应尽早拔除导尿残余尿量,因此在临床上应尽早拔除导尿管,鼓励患者进行早期的间歇导尿从而训管,鼓励患者进行早期的间歇导尿从而训练膀胱功能,利于患者膀胱功能的恢复。练膀胱功能,利于患者膀胱功能的恢复。五、护理体会五、护理体会PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn 3 3、康复护理不仅仅在临床中使用重要,更重、康复护理不仅仅在临床中使用重要,更重要的是康复护理的延升,护士应主动将间歇导要的是康复护理的延升,护士应主动将间歇导尿技术传授给患者及家属,有利于以后的家庭尿技术传授给患者及家属,有利于以后的家庭恢复。恢复。4 4、加强宣教,要对患者反复强调持续规律饮、加强宣教,要对患者反复强调持续规律饮水的重要性。水的重要性。五、护理体会五、护理体会PPT模板下载:www.1ppt.com/moban/ 行业PPT模板:www.1ppt.com/hangye/ 节日PPT模板:www.1ppt.com/jieri/ PPT素材下载:www.1ppt.com/sucai/PPT背景图片:www.1ppt.com/beijing/ PPT图表下载:www.1ppt.com/tubiao/ 优秀PPT下载:www.1ppt.com/xiazai/ PPT教程: www.1ppt.com/powerpoint/ Word教程: www.1ppt.com/word/ Excel教程:www.1ppt.com/excel/ 资料下载:www.1ppt.com/ziliao/ PPT课件下载:www.1ppt.com/kejian/ 范文下载:www.1ppt.com/fanwen/ 试卷下载:www.1ppt.com/shiti/ 教案下载:www.1ppt.com/jiaoan/ PPT论坛:www.1ppt.cn THANK YOU感谢聆听,批评指导
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