icu specialty health education
ICU specialty health education included the following aspects: ** I. Health education for ICU patients ** 1. ** Relatives of patients admitted to ICU ** - The family members of the patients who had just entered the ICU were invited to wait in the outdoor rest area so that the doctors could understand the patient's past medical history and treatment status. At the same time, they would inform the patient of his condition and sign the relevant medical agreement. - There was no accompanying person in the ICU. The family members were asked to leave a 24-hour contact number so that the medical staff could inform the patient in time if there were any changes in the patient's condition. - Phone inquiries were not accepted. The doctor would explain the condition and treatment to the family during the daily visit. The daily list will be issued during the morning visiting hours. Please check the cost status and check it in time. 2. ** The patient's diet requirements ** - On the day after the surgery, the patients were forbidden from drinking water. For patients who could eat on the next day, they could prepare light liquid diet such as rice soup and gradually transition to semi-liquid and solid diet. - Long-term hospitalized patients could bring their favorite fruits, soups, noodles, and other foods after obtaining the consent of medical staff, but they should avoid stimulating and gas-producing foods (such as chili, milk products, etc.); patients with nasal feeding should prepare liquid, residue-free, and nutritious diet. The meal delivery time was usually set at 8:30 - 9:30 in the morning. 3. ** Health education for patients who were transferred out and discharged ** - Keep your emotions stable and face the discomfort caused by the disease correctly. - Have a regular life and pay attention to the balance between work and rest. After being transferred out (discharged), you still need to rest for a period of time. According to your physical condition, you should exercise appropriately so that you don't feel tired. - To adjust the diet structure, promote recovery, and choose a high-nutrition, easily digested, vitamine-rich diet. - Stop smoking and drinking, avoid spicy and greasy food. - Pay attention to the cold, keep warm, prevent respiratory tract infection, take more deep breaths, and actively cough. - To carry out health care and functional exercise for the disease. - He insisted on treatment and regular check-ups. If his condition changed, he would come to the hospital in time. 4. ** Health education for patients who use the ventilation machine ** - ** Notice of the purpose of using the mechanical ventilation machine **: The purpose of using the mechanical ventilation machine is to improve the ventilation function, ventilation function, maintain smooth breathing, and save lives. The mechanical ventilation machine can completely or partially replace the work of the respiratory muscles and assist other treatments, such as lowering the cerebral pressure, high-dose sedatives, etc. - ** Notice of possible complications of using the mechanical ventilation machine **: Complications and dangers such as respiratory tract infection, atelectasis, hypoventilation and hyperventilation, pressure damage to the lungs, blockage and detachment of the tube, circulatory disturbance, trachea damage, throat damage, mechanical ventilation dependence, oxygen poisoning, etc. may occur during use. At the same time, he told her that the breathing machine was a valuable medical equipment and that it had to be protected during use to avoid collision, pressure, and moisture. - ** Notice before extubation for patients who are using the ventilation machine **: If the patient's current condition is stable, the tube can be extubated. Inform the family members that the patient needs to be awake and have a strong handshake. The patient is wearing a trachea tube. After stopping the ventilation machine, the patient's vital signs are stable. Before the patient was weaned off the machine, he should first explain the detailed process and method of weaning off the machine to the patient. He should also tell the patient that he might feel mild breathlessness when weaning off the machine, instruct the patient to take deep and slow breaths intermittently, and closely monitor the heart rate, heart rhythm, breathing, blood pressure, blood oxygen saturation, etc. during weaning off the machine. ** II. Health education for ICU family members ** 1. He emphasized the importance of family members 'cooperation, such as the need to leave their contact information so that they could be notified of their illness, visit them at the specified time, and check the list. 2. The patient's family members were informed about the patient's nursing and treatment-related regulations in the ICU, such as the requirements for food preparation, so that they could better support the patient's treatment process. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
ICU specialty report
The Department of Critical Care Medicine (ICU) had many specialties: ** I. Comprehensive sub-specialties ** It covered the construction of subspecialties in many aspects, such as severe neurology, severe infection, severe respiratory disease, ultrasound circulation, severe trauma, coagulated shock, etc. The goal was to build it into a provincial key clinical specialty with the characteristics of "academic specialties" within three years. ** 2. Advanced and sophisticated equipment ** 1. ** Vital signs monitoring equipment ** - The multi-parameters central monitor could accurately monitor the vital signs of critically ill patients in many aspects. - The microsyringe pump was used for precise administration. - The videoscope was helpful in visualizing operations such as trachea intubation. - The imported multi-functional invasive/non-invasive breathing machine provided guarantee for respiratory support. - The blood gas analyzer could detect blood gas and other indicators to help determine the condition. - Electrocardiotherapists were used for emergency rescue such as cardiac arrest. - The sub-low temperature treatment apparatus could be used to manage the body temperature of specific patients. - Swallowing function therapy apparatus, phlegm expelling apparatus, and air pressure therapy apparatus played a role in the recovery of swallowing function, phlegm discharge, and prevention of deep venous hemorrhage. 2. ** Specialist monitoring equipment (some departments)** - For example, the neurosurgery NICU's cerebral pressure monitor, transceral Dopplar ultrasound, 24-hour electrophysiological monitoring instrument, and quantitative bispectrum index (BIS) instrument were used to perform specialized monitoring on neurocritically ill patients. 3. ** Rescue and treatment equipment ** - The continuous bedside blood purification equipment is used for continuous kidney replacement therapy (CPR). It can remove excess water, dashing, metabolism products, toxins, etc. in the body. It is especially suitable for patients with critical conditions and unstable circulatory system. It has a treatment effect on a variety of kidney and non-kidney diseases. - The bedside ultrasound could be used for critical ultrasound diagnosis and treatment to assist in the diagnosis and monitoring of the patient's condition. - Intranormal balloon pumping machines (IAPPs) and extra-corporeal heart and lung support devices (Ecimo) play a key role in the life support of patients with severe heart and lung disorders. - Bronchoscope could be inserted into the trachea for the diagnosis and treatment of respiratory diseases, including the management of the trachea, removal of foreign bodies in the trachea, specimen collection, stent placement, guidance of trachea infusion, indwelling of gastric tube, precise bleeding control under the scope, etc. ** 3. Various diagnosis and treatment techniques ** 1. ** Breathing related techniques ** - Mechanical ventilation (the use of invasive and non-invasive ventilation machines), establishment of artificial airways (including Percutanous Tracheotomy), prone position ventilation, and other techniques can be used to improve respiratory function. - Bronchoscopy was helpful in the diagnosis, treatment, and management of respiratory diseases. 2. ** Blood Purification Technique ** - The combination of bedside blood purification technology such as hemofiltration + hemoperfusion could be used to remove toxins and maintain the stability of vital signs. For example, it played an important role in the treatment of patients with organic phosphorus pesticide poisoning. 3. ** Other Techniques ** - Techniques such as invasive blood pressure monitoring, central venous indwelling, central venous pressure monitoring, cardiac output monitoring, sedative anesthesia, artificial liver, etc. were helpful in accurately monitoring and treating critically ill patients, providing an important guarantee for early recovery of organ function, improvement of prognosis, and improvement of quality of life. ** 4. Professional and supportive medical team ** The medical staff had studied in the Department of Critical Care Medicine of Peking Union Medical College Hospital, Shandong Provincial Hospital, and other well-known tertiary Grade A hospitals. They had close contact with well-known domestic experts and had the support of a strong team of experts. ** 5. Special Care and Treatment ** Some hospitals, such as Zibo City People's Hospital, used music therapy, a specialty nursing feature, to improve the physiological state of conscious patients in the ICU, reduce the patient's nervousness, anxiety, depression, and relieve wound pain. Music therapy was used on patients with mechanical ventilation in the ICU, which could reduce the physiological stress reaction caused by anxiety in patients with mechanical ventilation. It had an obvious calming and calming effect. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
Health Education for Neonates
The content of health education in newborns included the following aspects: 1. ** In terms of infection prevention ** - For children with upper respiratory tract infection, nurses could use oral education and use their mobile phones to scan the QR code for written education. Demonstrate to the patient and his family members that they should wear masks correctly, wash their hands correctly, and wash their hands immediately when their hands come into contact with respiratory secretions (such as after sneezing). When coughing or sneezing, cover your mouth and nose with tissues, towels, etc., and avoid touching your eyes and nose with your hands. Maintain good respiratory hygiene habits. - Send health education videos and popular science articles on how to prevent bronchophonia, flu, and malaria through the WeChat platform for continuing care. - The medical staff took advantage of the rest time to walk into the community to carry out health education on the prevention of malaria, such as keeping the environment clean and airy, opening the window every day to keep the indoor air circulation, and maintaining the appropriate indoor temperature and humidity; Cultivating good living habits helps to prevent infection. When going out, try not to go to crowded places, wear masks, avoid staying up late, ensure sufficient sleep time, avoid catching cold, prevent cold from worsening the condition or inducing diseases, etc. 2. ** Special care for newborns ** - Neonatal omphaltis care: The newborn's umbilical cord usually falls off 3 - 7 days after birth. If there is exudate in the umbilicus after the umbilical cord falls off, wipe it with a 75% alcohol cotton swab to keep the umbilicus clean and dry to avoid contamination. When the umbilical cord does not fall off, do not use any foreign body such as toilet powder to stimulate it. Pay attention to checking the gauze wrapped around the umbilicus. If the umbilicus is red and swollen, and there is pus secretion and odor in the umbilicus, go to the hospital in time. - Neonatal oral care: For the yellow-white spots on both sides of the midline of the upper jaw and on the gums of the newborn oral mucus (commonly known as "horse teeth"), there was no need to deal with them. They would disappear after 1 - 2 months. The appearance of white milk clot-like substances (called "thrush") on the oral mucus membrane is caused by the growth of candida whiteness. To maintain oral hygiene, feed water to clean the oral cavity before and after feeding. Pay attention to the cleaning of the teat and milk bottle, boil it for 10 minutes for disinfection, and do not wipe the oral cavity for children. When "thrush" is found, you can apply nystin to the affected area. Don't wipe it off forcefully to prevent scratching the oral mucus membrane. - Neonate sleep restlessness, crying treatment: The room temperature is too high, the package is wrapped too tightly, the clothes are worn too much or the quilt is too thick, which will cause the newborn's body temperature to rise, or the newborn's body temperature is not warm enough, the body temperature does not rise, and the hands and feet are cold. When the body temperature is high, you can lower the indoor temperature, unwrap the package, and reduce the newborn's quilt or clothes. When the body temperature is low, put the hot water bag or hot water bottle outside the newborn's quilt to keep warm.(Pay attention to prevent scalding children), you can also hold the newborn and directly contact the mother's chest and abdomen to keep warm; Newborn babies will cry when the diapers and bedding are wet after defecation, just change into dry and clean diapers; Newborn babies will cry when they are hungry and will fall asleep quickly after eating; Some newborns will cry and feel uneasy at night due to congenital rickets due to deficiency of vitamins D, and they need to see a doctor; Newborn babies will also cry and feel uneasy when they suffer from diapers rash, acne, skin erosion, etc. When a newborn does not sleep well and cannot find the reason, it may be related to the temperament of the newborn. The mother can often hug the newborn,"talk" with him, and touch his head, body, etc. to give him a sense of security. - Neonatal icterus related: To educate parents about the causes of newborns 'icterus. For example, physiological icterus is a unique phenomenon in the newborn period. It is due to the excessive production of red blood cells in the fetus' blood in the low oxygen environment in the womb. The red blood cells in the blood are immature and easy to be destroyed. After the fetus is born, it causes excessive production of bile. The immature liver function of the newborn limits the metabolism of bile, causing icterus to appear for a period of time. Physiological icterus is a normal physiological phenomenon. If the newborn does not feel uncomfortable, it generally does not need treatment. Breast-feeding icterus occurs due to breast milk. The breast milk contains gestogen hormone, which suppresses the activity of the newborn's liver's glycuronate transporter, preventing the metabolism and secretion of the serum's bile from occurring in time. As the concentration increases, icterus occurs. Generally speaking, breast-feeding icterus will not affect the health of the child, nor will it cause fever or poor appetite. If the mother stops feeding in time, icterus will weaken in about 2 - 4 days and disappear completely in 6 - 10 days. When stopping breast milk, milk could be used as a temporary substitute, and after the icterus improved, breast milk could continue to be fed. The most common cause of hemolytic icterus was ABO hemolysis, which was caused by the blood type disagreement between the mother and the fetus. The incidence of different blood type combinations and the severity of icterus were different. Light therapy could be used for mild symptoms caused by ABO blood type. 3. **0 - 6 months old newborn care ** - In the first month, the focus was on detoxification. When the father was free, he would take care of the child. The child would eat more Dorado and bask in the sun. - In the second month, the child might cry because of flatulence and colic. Bao Dad should hold him up more and pat his milk burp, and do some passive exercises to help the child digest. - In the third month, the baby's optical nerves began to develop. He did not like to sleep and was curious about his surroundings. He had to let the baby lie down more and exercise more to consume his physical strength. Bao Dad also had to accompany the child to play more. - In the fourth month, the baby began to be disgusted with milk. When the baby mothers were feeding, they could choose a relatively quiet place to feed and appropriately extend the feeding interval to make the baby feel a certain sense of hunger and be willing to drink milk. - In the fifth month of the teething period, the baby's father had to prepare some chewing gum or teething sticks in advance and change the saliva towel for the child. - In the sixth month, you can eat some complementary food. The first complementary food is recommended to be rice noodles. For each additional food, observe for two to three days to avoid allergy. "The Island of Life" is also a wonderful novel. Everyone is welcome to read it!
Health education e-book
At present, there is no direct download link for the health education e-book at Sixth High, so it cannot be accurately provided. <a href="/?from=ask_words" style="color:red" target="_blank">Read more exciting novels for free</a>
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