結核性腦膜炎護理課件

NursingofTuberculousmeningitis結核性腦膜炎的護理感染一科覃芳華結核性腦膜炎我國是結核病高發(fā)病率國家，結核病人數位居世界第2位。結核性腦膜炎是最嚴重的類型，好發(fā)于1~5歲兒童。沒有抗結核藥以前，死亡率100%。Tuberculousmeningitis

Themobidityoftuberculosisisveryhighinourcountry.Thenumberofpatientswhohavetuberculosisstandsthesecondintheworld.TuberculousMeningitisisthemostserious.Itchieflyoccurstochildrenin1-5yearsold.ThemortalityofTuberculousMeningitisis100%beforethefoundofanti-tuberculosisdrugs.護理診斷nursingdiagnoseAlteredNutrition：LessThanBodyRequirements---becauseoffever，andtheTuberculousmeningitisisawastingdiseases。營養(yǎng)失調（低于機體的需要量）:由于發(fā)熱,長期疾病消耗所致.underweight

護理診斷nursingdiagnoseRiskforImPairedSkinIntegrity---withrelationtolong-termbed,excretastimulation。有皮膚完整性受損的危險與長期臥床、排泄物刺激有關護理診斷nursingdiagnoseRiskforInfection---lowImmunity有感染的危險：免疫力下降護理診斷nursingdiagnoseActivityIntolerance活動無耐力

護理措施nursinginterventionwemustkeptastrictwatchoverthepatienttonotetheslightestchangeinhercondition。LikeBodytemperature,pulse,respiration，bloodpressure,stateofmind,convulsion,doublepupilchange。Itcanhelpustodiscoveryencephalichighpressureorbrainherniaearly，areadvantageoustakethefirst-aidmeasurespromptly。護理措施nursinginterventionThepatientshouldhavebedrest,maintainsabsolutelyindoorpeaceful,thenursingoperationconcentratesasfaraspossiblecarrieson,reducestobaby'sstimulation。護理措施nursingintervention

患兒應絕對臥床休息，保持室內安靜，護理操作盡量集中進行，減少對患兒的刺激護理措施nursinginterventionuse20%mannitolfollowthedoctor'sadvice，andrighttotakehermedicine，likerifampin，INH，PZA。護理措施nursinginterventionTheyputforwardsuchnursingmeasuresasearlyremovaloftheundigestedpoisons,unobstructionofrespiratorytract,rightprovidencewithoxygentoprotectorgans,preventionofcomplicationslikemulti-organfailure,performanceofmentalcareanddischargeinstructions護理措施nursingintervention保持呼吸道通暢,正確地給氧,保護臟器功能;防止多器官衰竭等并發(fā)癥的發(fā)生,做好心理護理及出院指導等護理措施是搶救成功的關鍵。

護理措施nursinginterventionCompletesdietnursing,maintainsthewater,theelectrolyteappraisesbaby'sfeedandthenutritionalstatusbalanced。whensheLossoftheabilitytoswallow，wemustusenasalfeedingtogivenurture.做好飲食護理，保持水、電解質平衡評估患兒的進食及營養(yǎng)狀況,不能吞咽時鼻飼營養(yǎng)物保證營養(yǎng)供給。護理措施nursinginterventionAntisepticand