急性上呼吸道沾染临床门路表单(国外英文资料).doc

急性上呼吸道感染临床路径表单(国外英文资料) Acute upper respiratory tract infection clinical pathway form Subject: the first diagnosis was acute upper respiratory infection (icd-10: J15.901) Patient name: age: outpatient number: hospital number: Date of hospitalization: the day of the year: the day of the month: the day of the day: 5-7 days time 1-3 days in hospital hospitalization The main to clinical healing work As a Ask for medical history and physical examination The initial assessment of the disease The doctor is checking the room Evaluate the risk factors of a specific pathogen and conduct initial experience against infection Open the certificate and complete the writing of the medical records The doctor is checking the room Check whether the result of the assisted inspection is abnormal Assess the condition, maintain the original treatment or adjust the antimicrobial agent Observe the adverse effects of the drug A resident writes a course of illness heavy point The medical c. Long-term orders: Respiratory care routine One to three levels of care (depending on the condition) Oxygen (necessary) Antibacterial drugs (cephalospores) - expectorant Temporary orders: Blood routine, urine routine, stool routine Kidney function, electrolyte, blood sugar, The chest is positive and ecg - blood sedimentation CRP infectious disease screening Etiology examination and drug susceptibility of blood gas analysis, lateral thoracic slice Chest CT blood culture ultrasound (if necessary) cross-treatment Long-term orders: Respiratory care routine One to three levels of care (depending on the condition) Oxygen (necessary) Antibacterial drugs (cephalospores) - expectorant Adjust antimicrobial drugs according to the disease Temporary orders: cross-treatment Review blood routine Chest CT (if necessary) Abnormal indicators review Medical examination (if necessary) There is a invasive test (necessary) Primary care work Introduce the environment, facilities and equipment of the ward Hospitalization assessmen