护理英语交班

1、护理英语交班General conditions Good morning, every one, March 21.2009 We are passing nursing report now. There are total 36 patients in the ward, including 3 patients discharged, 2 admitted ,2 transferred in ,2 transferred out ,1 died yesterday.各位各位,早晨好早晨好2009年年3月月21日护理交班日护理交班病人总数病人总数:36 出院病人数出院病人数:3 入院病人

2、数入院病人数:5转入病人数转入病人数:2 转出病人数转出病人数:2 死亡病人数死亡病人数:1第1页/共30页 3 patients were performed operation. The number of DIL case:1 the number of patient on grade one nursing care :10手术病人数手术病人数:3 病危病人总数病危病人总数:1 病重病人总数病重病人总数:2一级护理病人总数一级护理病人总数:10第2页/共30页Discharged case Bed 3,Wang Hong, coronary heart disease（CHD）, a

3、ngina pectoris, was discharged at 9 oclock yesterday after treatment.3床床, 王红王红,冠心病、心绞痛于冠心病、心绞痛于9：00出院出院 第3页/共30页Death case Bed 29, Zhao Liang, pulmonary infection, two type of respiratory failure, multiple organ failure , was died (passed on) at 10:00 yesterday after resuscitation failure.29床床, 赵良赵良

4、,肺部感染肺部感染,二型呼衰二型呼衰,多功能脏器衰竭多功能脏器衰竭,经抢经抢救无效于救无效于10：00死亡死亡第4页/共30页New admission Bed 18,Wei Haiming,male,47 years old, was admitted at 10:00 oclock with complaining of a 15 days intermittent chest pain and palpitation. The diagnosis was uncertain chest pain, dysrhythmias, paroxysmal atrial fibrillation,

5、 bradycardia, hypertension on grade 3. 18床床 魏海明魏海明 胸痛原因待查胸痛原因待查,心律失常、阵发性房颤、心律失常、阵发性房颤、窦性心动过缓、高血病窦性心动过缓、高血病3级级患者，男性患者，男性47岁，地方人员，于岁，地方人员，于10：00入院。主因为入院。主因为发作性胸痛伴心慌发作性胸痛伴心慌15天，为进一步治疗入院。天，为进一步治疗入院。第5页/共30页 After admission, the doctor Li Xuehua was notified immediately and the admission interview was do

6、ne. ECG at bedside showed sinus rhythm. BP was 130/88mmHg.The low salt and low fat diet was served. Dilated coronary artery, anticoagulation and anti-hypertension drugs were taken and grade 2 nursing care was given as doctors orders.入院后立即通知李学华医生入院后立即通知李学华医生,入院介绍已做入院介绍已做.患者未诉胸患者未诉胸痛、心慌，血压痛、心慌，血压130/8

7、8mmHg.行床旁心电图示窦性心行床旁心电图示窦性心律律.遵医嘱给予二级护理，低盐低脂普食，扩冠、抗凝、遵医嘱给予二级护理，低盐低脂普食，扩冠、抗凝、降压等药物治疗。降压等药物治疗。第6页/共30页 The patient slept well Last night and blood specimen were taken.The vital signs were normal in the morning.病人睡眠好，晨起血标本已留，生命体征平稳病人睡眠好，晨起血标本已留，生命体征平稳.第7页/共30页DIL case Bed 10，Wang Hua, coronary Heart dis

8、ease, angina pectoris, acute extensive anterior myocardial infarction. The patient suddenly complained of chest pain at 22:30 Oxygen was given immediately and the flow rate was 3L/min.ECG monitoring was started and showed sinus rhythm.10床床,王华，冠心病，心绞痛，急性广泛前壁心肌梗死王华，冠心病，心绞痛，急性广泛前壁心肌梗死. 昨天昨天22：30病人主诉心前区

9、疼痛，立即给予吸氧病人主诉心前区疼痛，立即给予吸氧3升升/分，心电监护仪监护，心电示波示窦性心律，分，心电监护仪监护，心电示波示窦性心律，第8页/共30页 The heart rate was 63 beats/min. BP was 115/64mmHg. Meanwhile Dr.Zhang Xue was informed. After taking 3 tablets of nitroglycerin sublingually at 5 minute intervals as indicated, the pain was persistent. The ECG showed the

10、0.2-0.6 mv of elevated V1-V5 St segment. Dr. Zhao Yong saw the patient.心率心率63次次/分，血压分，血压115/64mmHg,通知张学医生看病通知张学医生看病人，遵医嘱给予硝酸甘油人，遵医嘱给予硝酸甘油mg舌下含服，症状无缓解，舌下含服，症状无缓解，行床旁心电图检查示行床旁心电图检查示V1-V5ST段抬高段抬高0.2-0.6mv.二线二线赵勇副主任医师到场看病人。赵勇副主任医师到场看病人。第9页/共30页 Heparin 100mg in normal saline 500ml and Dopamine 80mg in n

11、ormal saline 500ml were give by IV infusion. The drop rate were 500u/h and 1.46ug/kg/min respectively. The patient was on DIL.遵医嘱给予静脉输入生理盐水遵医嘱给予静脉输入生理盐水500ml+肝素钠注射液肝素钠注射液100mg，滴速为，滴速为500u/h,生理盐水生理盐水250ml多巴胺注射液多巴胺注射液80mg，滴速，滴速1.46ug/kg/min，报病危。，报病危。第10页/共30页 Iv infusion were kept patent. The patient

12、slept intermittently in the evening. The ECG showed sinus rhythm. The heat rate was at range of 63-74 beats/min and BP was 91-115/53-64mmHg. The patient was turned every 2 hours and now is on supine (prone, lateral, Fowlers, semi-Fowlers) position.夜班输液通畅，患者间断睡眠，心电监护仪显示窦性心夜班输液通畅，患者间断睡眠，心电监护仪显示窦性心律，心率

13、波动在律，心率波动在63-74次次/分，血压波动在分，血压波动在91-115/53-64mmHg.每每2小时翻身一次小时翻身一次,现病人平卧位现病人平卧位(伏伏卧位、侧位、半卧位、较低半卧位）。卧位、侧位、半卧位、较低半卧位）。第11页/共30页 The skin was integrity. The total input was 400ml and the output was 300ml.皮肤无破损，全天入量皮肤无破损，全天入量400ml，尿量，尿量300ml.第12页/共30页Operation case Bed 11,Duan Rong, colon cancer. Ater bei

14、ng performed the colectomy with general anesthesia ,the patient was conscious when he came to the ward at 15:30. The dressing kept integrity and the outer dressing layer hadt been wet or soiled. The Abdominal drainage tube was secured well and drained 50ml bloody exudates. 11床床,段荣段荣,直肠癌直肠癌,今日在全麻下直肠癌

15、切除术今日在全麻下直肠癌切除术,术后于术后于15:30返回病房返回病房,清醒清醒,血压血压154/96mmHg,切口敷料包切口敷料包扎好扎好,外层敷料未见明显渗出外层敷料未见明显渗出. 腹腔引流管固定通畅，腹腔引流管固定通畅，引流液为血性。引流液为血性。第13页/共30页 The nasogastric tube was attached to low suction for decompression and drained 100ml of dark -green color of exudates. The catheterization was maintained patent an

16、d its drained 1200ml of clear urine.持续胃肠减压通畅，引流墨绿色液体持续胃肠减压通畅，引流墨绿色液体100ml. 尿管通畅，尿管通畅，尿色清亮，皮肤好。尿色清亮，皮肤好。第14页/共30页 The central venous catheter was kept patent and there were no redness and swelling in the skin. The saturation of oxygen was continuously monitored by pulse oximetry and the values were 9

17、5% to 99%. The grade 1 nursing care and fasting food were given as doctors orders.中心静脉输液通畅，穿刺部位无红、肿中心静脉输液通畅，穿刺部位无红、肿.持续血氧饱和持续血氧饱和度监测，度监测，SPO2维持在维持在95-99%之间，术后遵医嘱给予之间，术后遵医嘱给予一线护理，禁食一线护理，禁食.第15页/共30页 The patient was changed the position every 2 hours and the skin was integrity. The patient slept inter

18、mittently Last night. The total intake was 2500ml and the output was 1350ml.定时翻身，皮肤好。夜间间断入睡定时翻身，皮肤好。夜间间断入睡,全天入量全天入量2500ml,出量出量1350ml，其中尿量，其中尿量1200ml,腹腔引流腹腔引流50ml,胃肠引胃肠引流液流液100ml.第16页/共30页Preoperation casesDed 3, Sun Yi, cholecystitis, cholelithiasis, will be performed the laparoscopic cholecystectom

19、y with general anesthesia. The skin at and around the operative site was shaved. Preoperative patient education was done.3床床,孙义孙义,胆囊炎胆囊炎,胆石症胆石症.患者常规准备于明日在全麻患者常规准备于明日在全麻下行腹腔镜胆囊切除术下行腹腔镜胆囊切除术.皮已备皮已备,术前指导已做术前指导已做,青霉素青霉素皮试皮试(一一).晚上给予清洁灌肠一次晚上给予清洁灌肠一次,大便大便3次，夜间睡眠好，次，夜间睡眠好，晨起已禁食水。晨起已禁食水。第17页/共30页 Penicillin

20、 allergy test was negative. The patient was given a cleaning enema (laxative) and passed watery (loose)stool 3 times. He slept well at night and took nothing by mouth (NPO) in the morning. The vital signs were normal.青霉素皮试青霉素皮试(一一).晚上给予清洁灌肠一次晚上给予清洁灌肠一次,解水样大便解水样大便3次，次，夜间睡眠好，晨起已禁食水，生命体征平稳。夜间睡眠好，晨起已禁食水

21、，生命体征平稳。第18页/共30页Other notes The patients who had fever: Bed 8, Su Haokai, the temperature at 14:00 was 39.0. After cold compress and tepid (cool water) sponging giving to the patient, the body temperature fell to 37.8 at 14:30.发热患者发热患者:8床床,苏浩凯苏浩凯,14点测体温为点测体温为39.0,给予冰袋物理降温给予冰袋物理降温,温水擦浴温水擦浴.14:30体温降为

22、体温降为37.8.第19页/共30页Clinic tests will be done today: Bed 15 ,Wang Yonglin is on nothing-by-mouth regimen for abdominal ultrasound. Bed 32, Xue Hua,24-hour urine collection was started today,the specimen should be sent at 8:00 tomorrow morning.今日拟检查今日拟检查15床床 王永林王永林,今晨禁食水今晨禁食水,行腹部行腹部B超检查超检查.32床床 薛华薛华,今日

23、起留今日起留24小时尿小时尿,明天早明天早8点标本送检点标本送检.第20页/共30页 Thats all Nurse on duty: Wang Yan交班完毕交班完毕.值班护士值班护士;王艳王艳第21页/共30页常用医学单位英文表达方式 ml=milliliter mg=milligram mm=millimeter mv=millivolt mmHg=millimeter of mercury U=unit IU=International Unit =micron Mol=micromole Kg=kilogram第22页/共30页 Thanks!第23页/共30页General con

24、ditions Good morning, every one, March 21.2009 We are passing nursing report now. There are total 36 patients in the ward, including 3 patients discharged, 2 admitted ,2 transferred in ,2 transferred out ,1 died yesterday.各位各位,早晨好早晨好2009年年3月月21日护理交班日护理交班病人总数病人总数:36 出院病人数出院病人数:3 入院病人数入院病人数:5转入病人数转入病人

25、数:2 转出病人数转出病人数:2 死亡病人数死亡病人数:1第24页/共30页 3 patients were performed operation. The number of DIL case:1 the number of patient on grade one nursing care :10手术病人数手术病人数:3 病危病人总数病危病人总数:1 病重病人总数病重病人总数:2一级护理病人总数一级护理病人总数:10第25页/共30页 After admission, the doctor Li Xuehua was notified immediately and the admission interview was done. ECG at bedside showed sinus rhythm. BP was 130/88mmHg.The low salt and low fat diet was served. Dilated coronary artery, anticoagulation and anti-hypertension d