心脏移植流的icu护理.pptVIP

ICU care for heart transplantation 台大醫院心臟外科專科護理師 李秋慧 接獲移植命令 病床調整（單人房、遠離感染床….） 病室清潔與消毒（紫外線燈消毒2小時） Immediate post-op…. Primary Goals To promote adequate gas exchange and hemodynamic stability ? to ensure adequate peripheral blood flow and systemic organ perfusion To address the concerns specific to cardiac transplant Post-OP problems Specific problems Early identification of bleeding Monitor and treatment of dysrhythmia Prevention of right heart failure Detection of rejection Immunosuppression Screening of infection Infectious disease prophylaxis Education of the patient Task of the ICU nurse