脛腓骨骨折開(kāi)放性護(hù)理方案課件

脛腓骨開(kāi)放性骨折護(hù)理方案臨床路徑創(chuàng)傷骨科一病區(qū)小腿科正失邵陽(yáng)骨傷科醫(yī)院Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL脛腓骨開(kāi)放性骨折1脛雕骨開(kāi)放性骨折護(hù)理方案治療原則二術(shù)前護(hù)理三術(shù)后護(hù)理四飲食護(hù)理3五康復(fù)指導(dǎo)Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL脛雕骨開(kāi)放性骨折護(hù)理方案2治原則徹底清創(chuàng)合理應(yīng)用抗生素閉合傷口(VSD)固定切開(kāi)復(fù)位內(nèi)固定外固定架固定Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL治原則3術(shù)前護(hù)理準(zhǔn)備急救物品包扎做好急救藥品固定傷情評(píng)估病床Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL術(shù)前護(hù)理4傷情評(píng)估休克呼吸循環(huán)中樞神經(jīng)系統(tǒng)觀察患肢Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL傷情5術(shù)后護(hù)理外固定支理Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL術(shù)后護(hù)理6術(shù)后用下肢墊將小腿抬高并置于中立位,膝下墊軟枕外固定固定針可能造成神經(jīng)支架護(hù)血管損傷,應(yīng)密切觀察患肢神經(jīng)癥狀傷口腫脹者,密切觀察滲血量,防止活動(dòng)性出血Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL術(shù)后用下肢墊將小7VSD護(hù)理負(fù)壓是否正常封閉是否引流是否良好通暢0.040.080.020浙制面江省余能市南方儀表廠Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLVSD護(hù)理8觀察負(fù)壓的壓力是否在規(guī)定范圍內(nèi)VSD敷料是否塌陷引流管是否被壓迫、折疊、堵塞,引流管的位置應(yīng)低于出口位置引流液的量、性質(zhì)、顏色Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL觀察9方法o0.9%氯化鈉溶液沖洗②更換體位時(shí),防止敷料和引流管折疊、扭曲O換引流瓶時(shí)先關(guān)閉引流管和負(fù)壓表的開(kāi)關(guān),防止倒流Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL方法10脛腓骨骨折開(kāi)放性護(hù)理方案課件11脛腓骨骨折開(kāi)放性護(hù)理方案課