小儿腹泻双语课件.pptVIP

Chapter 8-1nursing care of children with digestive disorders HuiQin-Yu Dialogue–Vomiting Parent: my child has been vomiting frequently. Doctor: when did it start? How frequently? Parent: it started about ten days ago. He vomits about five times a day. Doctor: when does he usually vomit? Parent: usually after taking food. Doctor: does he vomit a large or small amount each time? Parent: not too much. Doctor: is his stool normal? Parent: yes. Doctor: how about his appetite? Parent: it’s good. Doctor: is he losing weight? Parent: no. everything else seems to be all right. Doctor: most likely this is due to improper feeding. After feeding, the baby should be held erect over your shoulder and patted gently on the back, so that any swallowed air can come out. After burping him, put him in his cradle on his right side with his head slightly raised. If he vomits, you should turn him on to his side with his face down, so he can’t inhale his vomit. Dialog --diarrhea Doctor: has he got diarrhea? Parent: yes, for two days. Doctor: how many times a day? Is stool watery (very loose, large in amount)? Is there pus, blood or mucus in it ? Parent: about five times a day. They are quite loose with milk curd and undigested food in them. Doctor: he’s probably got indigestion. Please stop all food except milk. Try to give him a little less milk than usual. Now, I’ll prescribe some medicine for him. Key words Fluid, electrolyte and acid-alkali imbalances 水、电解质、酸碱平衡紊乱 Dehydration 脱水 Hypokalemia 低钾血症 Disturbances of acid-base balance 酸碱平衡紊乱 Fluid therapy 液体疗法 Deficit replacement 累积损失量 Supplemental replacement of ongoing losses 继续损失量 Maintenance 生理需要量 Diarrhea 小儿腹泻 Stomatitis 口炎 Esophagus and stomach 食管和胃 Intestine 肠 Liver 肝脏 Pancreas 胰腺 Stool 粪便 10% dextrose 10%葡萄糖 Fluid therapy液体疗法 case 患儿，男性，1岁。因呕吐、腹泻2天伴发热1天，于1998年6月20日入院。患儿2天前突起腹泻，每天10余次，稀水便，无粘液。入院当天感觉发热伴咳嗽，咳后即吐，一上午呕吐3次，吐出为胃内容物，量少；哭时泪少，尿量显著减少。护理体检：T38．8℃，体重8．5kg，精神萎，眼窝及前囱凹陷，皮肤弹性差；口唇呈樱桃红，呼吸深快，心率120次／分，律齐，两肺呼吸音稍粗，腹软，肝肋下1 cm，