南昌大学医学院急危重症护理学课件 重症监护.ppt

Chapter 5 Intensive Care重　症　监　护 Teaching Objectives（教学目标） Master the concept, models, basic functions and infection control of ICU.掌握ICU的概念、ICU模式、ICU的基本功能、ICU感染控制。 Master monitoring content and monitoring ranks of ICU.掌握ICU监护内容及监护分级。 Master temperature monitoring, electrocardiogram monitoring, hemodynamic monitoring, breathing function monitoring, renal function monitoring, arterial blood gases and acid-base monitoring.掌握体温监测、心电监测、血流动力学监测、呼吸监测、肾功能监测、动脉血气和酸碱监测。 Teaching Objectives（教学目标） Be familiar with ICU scale and clients accepted in ICU.熟悉ICU规模、ICU服务对象。 Be familiar with work procedure and treatment principals in ICU.熟悉ICU收治程序和治疗原则。 Be familiar with key points of ICU Nursing Care. 熟悉ICU护理要点。 Be familiar with brain function monitoring.熟悉脑功能监测。 Comprehend organization, leadership and rules in ICU.了解ICU组织领导和规章制度。 Key Terms intensive care 重症监护 staffing 人员编制 client 服务对象 infection control 感染控制 hemodynamic monitoring 血液动力学监测 systolic blood pressure, SBP 收缩压 diastolic blood pressure, DBP 舒张压 CVP 中心静脉压 Swan-Ganz catheter Swan-Ganz导管 core temperature 中心温度 BUN　尿素氮 Pulmonary arterial wedge pressure, PAWP 肺动脉楔压 left ventricular end-diastolic pressure, LVEDP 左心室舒张末压 acute respiratory distress syndrome, ARDS 急性呼吸窘迫综合征 cardiac output, CO 心排出量 electrocardiogram, ECG 心电图 respiratory rate, RR 呼吸频率 pulse oxygen saturation，SpO2 脉搏氧饱和度 arterial oxygen saturation，SaO2 动脉氧饱和度 intracranial pressure 颅内压 concentrated －dilution　浓缩－稀释 acid-base imbalance　酸碱失衡 What is ICU ? ICU: Intensive Care Unit --- is a hospital unit which is specially staffed and equipped to provide intensive observation, nursing care and treatment to patients with actual or potential life-threatening illnesses, injuries or complications, from which recovery is possible. 重症监护病房是医院内拥有特殊工作人员和设备，能够为已经或潜在患有危及生命的疾病、损伤或并发症，但有可能康复的患者提供密切观察、护理和治疗的一个单元。 Section 1The settings and Management of ICU １. ICU Model ICU模式 Speciality ICU : 　专科ＩＣＵ e.g