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临床急危重症护理理论与实践
$50.34
本书由来自全国十多所医院及高校的临床护理专家和老师进行编写,包括急危重症相关理论的概述,以及循环系统、呼吸系统、神经系统、消化系统、泌尿系统、内分泌系统、血液系统、骨关节系统、妇产科系统、新生儿疾病、烧伤患者、多器官功能障碍综合征患者、创伤、休克、癫痫的急危重症等内容。
本书分为三部分:部分是总论部分,介绍急危重症相关基本理论、医院的急诊急救、重症监护与安全管理;第二部分是临床急危重症护理常用的救护与操作技能,包括急危重症患者抢救技术、心电监护技术、循环系统血流动力学监测、呼吸治疗与监测技术、静脉治疗技术、动脉采血技术、疼痛评估与管理、血液净化技术、体外膜肺氧合(ECMO)技术、各类导管的护理、胸部物理治疗技术;第三部分为临床典型案例分析。
段霞,副主任护师,上海市第十人民医院科护士长兼心外科护士长,2016年入选上海青年人才培养计划(上海市医苑新星),担任中国老年保健协会委员,国际血管联盟中国分部护理专委会委员,中国微循环血管护理专委会委员,美国俄亥俄循证护理中心中国导师,护理学杂志审稿专家,同济大学重症专业委员会委员。
篇总论/ 1章 急危重症护理概述 / 2一、 国际急危重症护理学的起源与发展 / 2二、 我国急危重症护理学的起源与发展 / 3第二章 急危重症患者常用评估工具 / 5一、 疼痛评估 / 5二、 吞咽功能评估 / 7三、 跌倒/ 坠床风险评估 / 9四、 压力性损伤风险评估 / 9五、 下肢深静脉血栓风险评估 / 11六、 肌力评估 / 13七、 自理能力评估 / 13八、 营养风险评估 / 14九、 焦虑评估 / 16十、 认知功能评估 / 18十一、 谵妄评估 / 20十二、 格拉斯哥昏迷量表 / 21十三、 ICU 获得性肌无力评估 / 22第三章 急危重症患者的安全管理 / 24节 急危重症患者高危风险管理 / 24一、 急危重症患者跌倒/ 坠床风险管理 / 24二、 急危重症患者压力性损伤风险管理 / 26三、 急危重症患者导管风险管理 / 28四、 急危重症患者深静脉血栓风险管理 / 29第二节 急危重症患者安全转运 / 30一、 急危重症患者院内转运特点 / 30二、 急危重症患者标准化院内分级转运方案 / 31第三节 急危重症患者感染控制 / 33一、 呼吸机相关性肺炎 / 33二、 导管相关性血流感染 / 37三、 导尿管相关性尿路感染 / 38四、 多重耐药菌感染 / 40第四章 临床急危重症专科护理人才培养 / 45一、 国内外急危重症护士培训 / 45二、 国内外急危重症护士资质认证 / 46第二篇各论/ 49第五章 循环系统疾病患者的急危重症护理及案例分析 / 50节 循环系统及其护理评估 / 50一、 循环系统概述 / 50二、 循环系统护理评估 / 53第二节 循环系统常用监测手段及护理要点 / 57一、 无创血流动力学监测及护理要点 / 57二、 有创血流动力学监测及护理要点 / 59第三节 循环系统典型急危重症案例分析 / 62一、 升主动脉瘤切除术后并发心脏压塞的临床案例 / 62二、 心脏瓣膜成形术后并发脑卒中的临床案例 / 66三、 冠状动脉旁路移植术后并发气胸的临床案例 / 71四、 急性心肌梗死并发室壁瘤的临床案例 / 76第六章 呼吸系统疾病患者的急危重症护理及案例分析 / 83节 呼吸系统及其护理评估 / 83一、 呼吸系统概述 / 83二、 呼吸系统护理评估 / 86第二节 呼吸系统常用监测手段及护理要点 / 91一、 无创通气及护理要点 / 91二、 有创机械通气及护理要点 / 94第三节 呼吸系统典型急危重症案例分析 / 97一、 慢性阻塞性肺疾病并发急性呼吸窘迫综合征的临床案例 / 97二、 肺栓塞溶栓并发出血的临床案例 / 103三、 肺减容术后并发气胸的临床案例 / 107四、 肺脓肿并发支气管胸膜瘘的临床案例 / 111目 录 ┃ 7第七章 神经系统疾病患者的急危重症护理及案例分析 / 117节 神经系统及其护理评估 / 117一、 神经系统概述 / 117二、 神经系统护理评估 / 120第二节 神经系统常用监测手段与护理要点 / 125一、 神经系统体征动态监测 / 125二、 神经系统功能监测 / 126第三节 神经系统典型急危重症案例分析 / 129一、 脑肿瘤患者开颅手术术后并发重症肺炎的临床案例 / 129二、 脑出血术后并发脑疝的临床案例 / 133三、 颅内静脉窦血栓接触溶栓术后并发脑出血的临床案例 / 137四、 重型颅脑创伤并发颅内感染的临床案例 / 141第八章 消化系统疾病患者的急危重症护理及案例分析 / 147节 消化系统及其护理评估 / 147一、 消化系统概述 / 147二、 消化系统护理评估 / 150第二节 消化系统常用监测手段与护理要点 / 153一、 实验室检查及护理要点 / 153二、 脏器动力相关检查及护理要点 / 155三、 内镜检查及护理要点 / 156第三节 消化系统典型急危重症案例分析 / 158一、 急性上消化道出血并发窒息的临床案例 / 158
本书由来自全国十多所医院及高校的临床护理专家和老师编写。书中介绍了急危重症患者常用评估工具、急危重症患者的安全管理、临床急危重症专科护理人才培养,并且通过由临床真实案例改编的典型急危重症案例,讲解了各系统疾病的护理评估、常用监测手段及护理要点。临床案例的介绍从患者一般信息、病情观察过程、护理思考路径到案例总结分析,层层递进,将读者带入临床情境中,将疾病相关并发症的处理流程及思考路径呈现在读者面前,引发读者的思考及学习探索的兴趣,培养读者评判性思维及独立解决问题的能力。本书基于循证的理念,将临床实践中的指南、专家共识、系统综述等文献的内容引入案例的理论支持中,帮助读者掌握急危重症方面的护理前沿和救护技术,从而提高临床实践能力,满足不断发展的医疗技术和护理专业的需求,以更好地为患者提供优质服务,保障患者安全,促进急危重症护理专业的持续发展。在本书编写、审定过程中,全体编者精诚合作,不辞辛苦,对内容进行反复斟酌与修改,同时全国十多所医院及高校的临床护理专家和老师给予了大力支持。在此,对多位临床护理专家以及急危重症专科护士参与审阅、整理及校对等工作深表感谢和敬意!主 编 2022 年1 月
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