胫腓骨骨折开放性护理方案课件

胫腓骨开放性骨折护理方案临床路径创伤骨科一病区小腿科正失邵阳骨伤科医院Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL胫腓骨开放性骨折1胫雕骨开放性骨折护理方案治疗原则二术前护理三术后护理四饮食护理3五康复指导Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL胫雕骨开放性骨折护理方案2治原则彻底清创合理应用抗生素闭合伤口(VSD)固定切开复位内固定外固定架固定Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL治原则3术前护理准备急救物品包扎做好急救药品固定伤情评估病床Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL术前护理4伤情评估休克呼吸循环中枢神经系统观察患肢Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL伤情5术后护理外固定支理Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL术后护理6术后用下肢垫将小腿抬高并置于中立位,膝下垫软枕外固定固定针可能造成神经支架护血管损伤,应密切观察患肢神经症状伤口肿胀者,密切观察渗血量,防止活动性出血Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL术后用下肢垫将小7VSD护理负压是否正常封闭是否引流是否良好通畅0.040.080.020浙制面江省余能市南方仪表厂Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLVSD护理8观察负压的压力是否在规定范围内VSD敷料是否塌陷引流管是否被压迫、折叠、堵塞,引流管的位置应低于出口位置引流液的量、性质、颜色Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL观察9方法o0.9%氯化钠溶液冲洗②更换体位时,防止敷料和引流管折叠、扭曲O换引流瓶时先关闭引流管和负压表的开关,防止倒流Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL方法10胫腓骨骨折开放性护理方案课件11胫腓骨骨折开放性护理方案课