新生儿黄疸（中英文）课件.pptVIP

* 动静脉穿刺：首选桡动脉及肱动脉，亦可选腋动脉、头皮动脉、股动脉、足背动脉、胫后动脉等，一般穿刺两条静脉一条动脉。 Arteriovenous puncture: preferred radial artery and brachial artery, axillary artery is optional, scalp artery, femoral artery, dorsalis pedis artery, the posterior tibial artery, generally puncture two veins and one artery. Operation process换血操作流程 * If the patient cry when puncturing, follow the doctor’s order ,give the patient luminal to calm him/her down ; as for difficult y in puncturing and?blood viscosity, rehydration follow the doctor’s order 穿刺时，如患儿哭吵不安，遵医嘱予鲁米那镇静；穿刺困难、脱水患者者，遵医嘱补液 Operation process换血操作流程 * Mix the concentrated?red?cells and plasma?together , cut plasma in half of the whole process. The proportion of ?concentrated red?cells and plasma is 2:1. Which is prepared for?patients with?severe anemia and heart failure ?. ?conventional?blood transfusion : the first 1/3 period,draw2/3 plasma and 1/3 concentrated red?cells.during the process , draw half?concentrated red?cells and half plasm, the last 1/3 period, draw2/3 concentrated red?cells and 1/3 plasma) 把血浆和浓缩红细胞混合，整个过程血浆减半（浓缩红细胞：血浆=），用于严重贫血和心力衰竭患者; 常规换血:前1/3时抽2/3血浆和1/3浓缩红,术中抽血浆和浓缩红各一半,后1/3时抽2/3时浓缩红和1/3血浆 Operation process换血操作流程 * Staff preparation : one doctor, two nurses. During the total?time of exchange transfusion is 1-2 hours?? , swap out 20ml every 3-5 minutes. Balance intake and output of blood , the whole?process is divided into?preoperative , intraoperative ,?postoperative. ?And follow the doctors advice for medicine and check routine blood, liver function, blood sugar, blood gas , and so on. 工作人员准备：配备一名医生、两名护士。 换血总时间1-2小时之间。每3-5分钟换出量为20ml。保证出入血量平衡，整个过程分术前、术中、术后。并遵医嘱予用药及抽血查血常规、肝功能、血糖、血气等检查。 Operation process换血操作流程 * After exchange transfusion, follow the doctors advice to continue phototherapy, clean bed unit to record the change of pathogenetic condition. 换血完毕后，遵医嘱予继续光疗,清理用物及床单位，及时记录患儿病情变化。 Operation process换血操作流程 * * Title ThemeGallery is a Design Digital Content Contents mall developed by Guild Desi