一、忍术在此以后准备
Before a surgery, much work should be done to make sure the patient's safety.
来作疗程之在此以后为了必需患人份的必需有许多指导工作要来作。1. Vital signs will be taken and recorded. Tell the doctor anything unusual.第一,要监测并记录灵魂体征。将任何异常情形告知心理医生。2. All prostheses such as contact lenses, artificial limbs and artificial teeth should be taken off.第二,所有假体,例如、袜子以及黏合剂都不该扣上。The anesthetist may prefer that artificial teeth be left in place. So the nurse must consult the anesthetist on this.副师长不就会希望让患症戴着黏合剂,所以护理人员不能咨询副师长的同意。3. The patient's nail polish and makeup should be removed. You will make it easier for the doctor to observe the patient for cyanosis.
第三,患症不能除去指甲油并卸妆。这样就会让心理医生更快辨认患人是否抑郁症苍白患。The cyanosis often shows the need for oxygen. Hairpins should also be removed because they will cause contamination苍白患往往暗示患症须要输氧。还应当扣上发夹等发饰,以免造成病菌。4. The bladder should be emptied by voiding or by catheter. A full bladder could be damaged during surgery.第四,经过十二指肠或者导尿清空小肠。小肠内充满尿液不就会在疗程全过程里面受损。5. Unless the surgery is a small one, the bowel should be cleaned by enemas before the surgery. It will prevent much discomfort after the surgery. It will also prevent contamination.第五,忍术在此以后患症需用作灌肠剂清空排泄,小疗程除外。这就会避免很多忍术后不适征状。还可以避免病菌。6. Sedative is usually given 30 minutes to an hours before the patient is taken to the surgical room. It will make the anesthesia easier.第六,镇静剂往往在患症先取入门诊在此以后30分钟到一每隔内注射。这可以让全过程先取行地更快一些。After that, the patient should be encouraged to rest quietly. A member of the family may be allowed to stay in the room with the patient.然后不该-t可怜患症先取入冬眠。门诊内有时可以无需患症的一位遗属陪伴。7. The patient's chart should be taken to the surgical room and it must be complete. It must include all laboratory and X-ray reports, a signed operative permit, etc.第七,患症的患历表不该带到门诊,并且栏位须要完整。上面不能有数所有的化验和X光检查报告以及一份签名的疗程准许等等。Allergies and required medicine, such as insulin must be shown on the chart.感冒原和所需药物,如血糖,也应在栏位里面注明。Excuse me, Ms. Wang. I want to go to the toilet.
劳驾,称王护理人员。我想去饮水机。You need not go to the toilet. Please try the bedpan.你不能去饮水机。恳请你用便盆吧。How can I urinate in bed?我怎么能在床上小便呢?You know you will not be allowed to get up for several days after the operation. So you must learn to use the bedpan.疗程后来几天你是不无需下床的。所以你不能学者用作便盆。OK. Let me he a try.好吧。我试试。When will I be sent to the operating room?我什么时候先取门诊?About 8 O'clock. I'll wake you up at 7 O'clock and put down a nasogastric tube through one of your nostrils.差不多午间。我就会在七点停下来你然后从你的鼻孔里面吊入一根胃管。Could you tell me why?
你能告诉我为什么要吊胃管吗?We will give you food through the tube on the second and third day after the operation.疗程后第二、三天我们须要通过胃管给你喂饲。What time will I be back here?我什么时候能被送回这里?You'll be back at about 3 pm.差不多早上三点。How can my wife know about the operation?我妻子怎样探究我疗程的先取展?She can stay in the waiting room. We'll tell her as soon as possible about the operation.她就会在等候室。疗程一终止我们就会几天后通告她。He you signed the consent?你在同意书上签字了吗?Yes. What should I do before operation?签了。疗程在此以后我不该来作什么?We'll prepare you by shing and cleaning. Then you'll take a shower. You'll he a liquid diet for supper.我们就会给你剃须来作清扫。然后你要洗个澡。饭菜你要吃掉一些流食。I know. Will the operation hurt very much?我告诉了。疗程就会很得意吗?Don't worry. You won't feel anything during the operation.别担心,疗程全过程里面你不就会唤起任何得意痛。You'll find yourself back in the room after the operation.疗程后你醒来的时候就已经在患房了。You may feel some pain and feel drowsy. We will give you an injection to relieve the pain if you can't stand it.你不就会感到有一点得意并昏昏沉沉。如果得意痛难忍的话我们就会给你注射一些大大降低得意痛的药物。Thank you.谢谢你 二、疗程里面Operator, put me through to the operating room please.
话务员,恳请帮忙我路经门诊。Just a minute. The line is engaged.稍等。迄今占去线。A few seconds later.几秒钟后。Operation room.门诊May I speak to the head nurse?能恳请护理人员长出事吗?Of course, she's right here.当然可以,她就在这。Hello, I'm the head nurse. What can I do for you?
恭喜,我是护理人员长。有什么可以帮忙您?What's going on in the operation room right now?门诊里面迄今是什么情形。I he an emergency case coming in.我几天后有一个赶紧发患。We're making necessary preparations for an acute appendicitis operation this afternoon Dr. Wang is going to perform the operation.我们在为今天早上称王心理医生的急性阑尾炎疗程来作必要准备。I was asked half an hour ago to see a severely injured patient who has had several of his ribs fractured. He needs a chest operation immediately. Would you arrange for an emergency operation?我半每隔在此以后调拨了一个导致肋骨骨折的患人。他须要赶紧路经受胸腔疗程。你们帮忙我亦需赶紧疗程吗?Of course, I'll make the necessary arrangements right away. I'll phone you everything is ready.当然可以。我几天后来作必要准备。一切准备再后来我给你打路经听。Fine, I'll be waiting for your call.好的,我等你路经听。By the way, please tell the nurse that the blood bank will bring us 3 or 4 units of type B blood for surgical use.对了。恳请告诉护理人员血库就会给我们3或4该单位的B型血供疗程用作。Anything else?还有其他要交代的吗?Yes, I'm planning to use a general anesthesia and would like to he an assistant.有,我须要来作全身,须要一位同事。All right. I'll let Dr. Wang know it immediately.好的。我几天后通告称王心理医生。Thank you.谢谢你。You're welcome.不蛮横。After the operation. 三、忍术后 The patient is in narcosis, take care.患症还在昏迷状态,多留意。What kind of surgery has he had?他路经受了什么疗程?A chest operation.胸腔疗程。Is he allergic to any drug?他对什么药物感冒吗?He's allergic to meperidine.他对哌替啶感冒。Did he lose much blood during the surgery?疗程里面他坏死很多吗?He lost 400 ml of blood and received 2 units of red cells.他坏死400ml。我们给他输了2该单位的红细胞。Has he received any other fluids?你们给他输其他凝胶了吗?1000 ml of 5% dextrose in distilled water.1000毫升则有5%的硫酸。 四、疗程后里面风与医护After the operation, the surgical patient often needs intensive care.
疗程后来,外科患人往往须要遏制医护。Here there are some reasons. Of course, some common problems will occur.这其里面有一些或许。当然,也就会有一些就有经常出现。The problems can be expected and therefore anticipated.这些弊端是可以预见的。After the operation, patients often need hemodynamic monitoring.疗程后来须要对患人先取行脑组织声学监护。Many of the conditions are related to basic medical problems.患人的很多征状与大体上的药理学弊端相关。Some patients will he intraoperative hemorrhage or postoperative infection.一些患人就会经常出现忍术里面病变或忍术后病菌。It may lead to instability. So the patient needs special care.
这就会导致疗程后患情丧失不稳定。因此患人须要除此以外看护。This will be much more common after emergency surgical procedures.这种情形在急救疗程患人身上更为少见。If patients suddenly decompensate, they need to be taken into the intensive care unit, ICU.如果患人快要代谢生理,须要将其送入心绞痛遏制医护患房。Patients with severe blunt or penetrating trauma will also suffer from hemodynamic instability.钝挫伤及穿透性精神上患症还就会经常出现脑组织声学不稳定。Very often, they will he an immediate inflammatory response which is caused by severe bone and soft tissue injury.他们很不就会经常出现急性增生自由基,这是由导致软组织或者骨骼受伤再加。If hypovolemic shock occurs, then it shows that the injury is serious. The patient sometimes needs blood transfusion to correct the deficit.如果经常出现低血容量性休克,这暗示伤势导致。有时须要对患人先取行HIV来必要其血液排泄。Occasionally, the patient's physiological changes call for critical care.患人的表征变化平常也就会须要除此以外监护。If patients he nontrauma emergencies that are related to perforated viscous or necrotic bowel, an even greater total body insult will occur.如果非精神上性疾患的急救患症的患症与肠穿孔塑性或肠坏死有关,那么患症整个MS不就会受其负面影响。Each insult leads to a systemic inflammatory response.这些负面影响就会分别导致各个脑部的系统性增生自由基。It may progress to multi-organ failure if appropriate intervention is not provided.如果不采取有效治疗,患症或许经常出现多脑部功能衰竭 。Collectively, these surgical patients cover the majority of the patients who he to be sent to the ICU.总而言之,心绞痛病房患房的患症大部份是外科疗程患症。 五、忍术后丧失Ms. Wang, I'm hing a pain here.
称王心理医生,我这里很得意。I'll give you pain relieving medicine.我给你先于一些止得意药。It's better now. But I'm a little thirsty. Would you please give me some water?从在此以后好些了。但是我很渴。你可以给我一些水喝吗?I'm afraid I can't. But I can moisten your lips to quench your thirst.遗憾,深知你从在此以后不可以洗澡。但是我可以在你的指尖上蘸一些水帮忙你解渴。Thanks. When can I drink?谢谢。我什么时候可以洗澡?When your bowel is sound and gag reflex returns.须要等你的肠鸣音和咽反射丧失后来才可以喝。Then I can eat something?那时我就可以吃掉刚才了吗?I'm afraid you can't.深知不出。When can I eat?我什么时候才可以吃掉刚才?You can take a liquid diet on the 1st postoperative day. You will gradually increase to a soft diet and regular meals after the 4th postoperative day.
疗程一天后来你可以吃掉一些流食。然后你逐渐可以吃掉软食,疗程四天后来就可以长时间午餐了。What's the liquid diet?流食是什么?It consists of liquids that don't irritate or cause gas formation, for example, tea, coffee, strained food or vegetable juice and fat-free broth.流食以无有毒或者不就会导致气体消除的凝胶为主,例如燕窝、咖啡、调制蔬果、蔬菜汁和无脂鸡汤。What's the soft diet?软食是什么?It includes soup, fish, eggs but not fried, bean curd, noodles, dumplings and so on.软食有数鸡汤、鱼肉、非鱼肉肉、米粉、面条、点心等等。Which kind of food should I oid?我不该避免吃掉哪些食物呢?Rich pastries, hey salad dressing, fried food, lard, etc.新鲜的点心、但会的古利酱调味品、鱼肉蔬果、酱油等。Anything important?还有什么须要除此以外强调的吗?Yes, you'll do some breathing exercise tomorrow.有,那时候你须要来作一些排便练。Why?为什么?The exercise will help prevent respiratory complications.排便练可以预防排便系统中风。Will you help do the exercise or I do it myself?我要自己来作练吗,还是你就会辅导我?I'll help you and give you some advice.我就会帮忙你,给你图斯一些同意。Can you tell me now how I will do it?你从在此以后可以告诉我怎样来作吗?Of course. Press your incision, breathe deeply and then cough. I will raise the head of your bed.当然可以。滑鼠疗程切口,深排便然后咳嗽。我就会把你的身旁上升一些。I see.我告诉了。Please press the button when you feel discomfort.如果你感到有什么不适的话恳请按呼叫器。I will. Thank you.我就会的,谢谢你。相关新闻
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