结核性脑膜炎护理课件

NursingofTuberculousmeningitis结核性脑膜炎的护理感染一科覃芳华结核性脑膜炎我国是结核病高发病率国家，结核病人数位居世界第2位。结核性脑膜炎是最严重的类型，好发于1~5岁儿童。没有抗结核药以前，死亡率100%。Tuberculousmeningitis

Themobidityoftuberculosisisveryhighinourcountry.Thenumberofpatientswhohavetuberculosisstandsthesecondintheworld.TuberculousMeningitisisthemostserious.Itchieflyoccurstochildrenin1-5yearsold.ThemortalityofTuberculousMeningitisis100%beforethefoundofanti-tuberculosisdrugs.护理诊断nursingdiagnoseAlteredNutrition：LessThanBodyRequirements---becauseoffever，andtheTuberculousmeningitisisawastingdiseases。营养失调（低于机体的需要量）:由于发热,长期疾病消耗所致.underweight

护理诊断nursingdiagnoseRiskforImPairedSkinIntegrity---withrelationtolong-termbed,excretastimulation。有皮肤完整性受损的危险与长期卧床、排泄物刺激有关护理诊断nursingdiagnoseRiskforInfection---lowImmunity有感染的危险：免疫力下降护理诊断nursingdiagnoseActivityIntolerance活动无耐力

护理措施nursinginterventionwemustkeptastrictwatchoverthepatienttonotetheslightestchangeinhercondition。LikeBodytemperature,pulse,respiration，bloodpressure,stateofmind,convulsion,doublepupilchange。Itcanhelpustodiscoveryencephalichighpressureorbrainherniaearly，areadvantageoustakethefirst-aidmeasurespromptly。护理措施nursinginterventionThepatientshouldhavebedrest,maintainsabsolutelyindoorpeaceful,thenursingoperationconcentratesasfaraspossiblecarrieson,reducestobaby'sstimulation。护理措施nursingintervention

患儿应绝对卧床休息，保持室内安静，护理操作尽量集中进行，减少对患儿的刺激护理措施nursinginterventionuse20%mannitolfollowthedoctor'sadvice，andrighttotakehermedicine，likerifampin，INH，PZA。护理措施nursinginterventionTheyputforwardsuchnursingmeasuresasearlyremovaloftheundigestedpoisons,unobstructionofrespiratorytract,rightprovidencewithoxygentoprotectorgans,preventionofcomplicationslikemulti-organfailure,performanceofmentalcareanddischargeinstructions护理措施nursingintervention保持呼吸道通畅,正确地给氧,保护脏器功能;防止多器官衰竭等并发症的发生,做好心理护理及出院指导等护理措施是抢救成功的关键。

护理措施nursinginterventionCompletesdietnursing,maintainsthewater,theelectrolyteappraisesbaby'sfeedandthenutritionalstatusbalanced。whensheLossoftheabilitytoswallow，wemustusenasalfeedingtogivenurture.做好饮食护理，保持水、电解质平衡评估患儿的进食及营养状况,不能吞咽时鼻饲营养物保证营养供给。护理措施nursinginterventionAntisepticand