医嘱术语 辅助检查术语要领.docVIP

医嘱术语 辅助检查术语 （1）医嘱术语[medical orders] ·Admit/transfer to[收入（转入）] ·Resident/attending[住院（主诊）医师] ·condition[病情] ▲critical (Imminence)[病危] ▲unstable[不稳定] ▲stable[稳定] ▲general (fair) [一般] ·emergent[急诊] ·Diagnosis[诊断] ·Diet[饮食] ▲full (home) diet[普食] ▲liquid (semi-liquid) diet[流汁（半流汁）饮食] ▲soft diet[软食] ▲low salt and low fat diet[低盐低脂饮食] ▲salt-free diet[无盐饮食] ▲low purine diet[低嘌呤饮食] ▲low (non)-residue diet[少（无）渣饮食] ▲light diet [清淡饮食] ▲high caloric diet[高热量饮食] ▲high protein (protein-rich) diet[高蛋白饮食] ▲diabetic diet[糖尿病饮食] ▲nephritic diet[肾炎饮食] ▲nasal feeding[鼻饲] ▲fasting (NPO, nothing by mouth)[禁食] ▲NPO for 5 hours[禁食5小时] ▲meal standard[伙食标准] ·activity[活动] ▲absolute rest[绝对卧床休息] ▲stay on the bed (yest in bed)[卧床休息] ▲Ad lib[随意活动] ▲In the ward [病房内活动] ·vital signs[生命体征] ·Q shift (q.6h)[每班（每6小时）一次] ·immoblization[制动] ·pressed by sand bag [沙袋压迫] ·I/O (intake and output)[记出入量] ·N/A (non-apply)[不需要] ·parameter: EKG(Bp,SaO2) monitor [其他：心电图（血压，氧饱和度）监 护] ·allergies[过敏] ·NKA (non-known allergies)[无已知的过敏反应] ·patient identification [病人身份] ·4th floor,room 5 ,bed 2(405-2)[4楼5号房2床] ·Med. Rec#[病历号] ·medical orders[医嘱] ·on general routine[护理常规] ·on grade I (II, III) nuring care[I （I、III）级护理] ·morning (evening) care[晨间（夜间）护理] ·bedsore care[褥疮护理] ·mouth (oral) care[口腔护理] ·CPT( chest physical treatment) [胸部物理治疗] ·O2 inhalation (2-4L/min)[吸氧（2-4升/分）] ·alcohol sponge bath[酒精擦浴] ·cold (hot) compress[冷（热）敷] ·wet (hydropathic) compress by MgSO4[用硫酸镁湿敷] ·change position × qh[每小时更换一次体位] ·gastric lavage with water[用清水洗胃] ·bladder irrigation [膀胱冲洗] ·under water seal drainage of thorax[胸腔水封瓶引流] ·GI decompression [胃肠减压] ·keep warm[保温] ·lower temperature by ice-cap[冰帽降温] ·keep bowels open[保持大便通畅] ·keep the airway open[保持气道通畅] ·retention catheterization[留置导尿] ·prevent from bedsore[预防褥疮] ·on bedside isolation[床边隔离] ·P.P sitz bath[高锰酸钾液坐浴] ·raising the head (foot) of the bed[抬高床头（尾）] ·pencillin (procaine, iodine) skin test[青霉素（普鲁卡因，碘）皮试] ·intubate and ventilator support[气管插管及呼吸机支持] ·cleaning (retention) ena