《2016护士执业资格考试内科护理学第三章循环系统疾病患者的护理3.pptVIP

（一）概念 心脏激动起源、频率、节律、传导速度和传导顺序等异常。 评价实施护理后病人对疾病、治疗、护理的身心反应。 有猝死危险的心律失常有：室速、室扑、室颤、三度A-VB、病窦（心率50次/分） 潜在引起猝死危险的心律失常有：室上速、二度II型A-VB、危险的室早等 室扑、室颤用非同步电复律，房扑、房颤、室上速、室速用同步电复律 室早用慢心律、利多卡因 急性房颤用洋地黄、胺碘酮、电复律 慢性房颤用洋地黄、抗凝等 室颤给予电复律、复苏、心三联；A-VB用 阿托品、异丙肾、起搏器等 三、护理诊断及措施 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. （一）护理诊断 1．活动无耐力 与心律失常致心排血量减 少、组织缺血缺氧有关。 2．焦虑/恐惧 与心律失常反复发作，对治 疗缺乏信心有关。 3．潜在并发症：猝死、心输出量减少。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. （二）护理措施 1、休息与活动：严重者应卧床休息。 2、饮食：避免诱发心律失常的因素。如： 饱食、刺激性饮料、吸烟、酗酒、便秘。 3、病情观察：必要时心电监护。 4、配合抢救：备好抢救仪器、抢救药物。 请思考：阿斯综合症的表现？ 危险的心律失常有哪些？ Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 5. 用药护理 （1）利多卡因：静脉用药要缓慢 （2）苯妥英钠 ：注意血象 （3）普罗帕酮：饭后服用 （4）奎尼丁：须定期测心电图、血压 6.心理护理 7.健康指导 避免诱发因素,自我监测,用药指导 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 效果评价 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 课堂小结 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. * 第三章 循环系统疾病患者的护理 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 第三节 心律失常 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 什么是正常的心律？心电如何传导？心电