有誰會翻譯這篇內容?? - 工作
By Ida
at 2011-03-27T00:00
at 2011-03-27T00:00
Table of Contents
Circulation As previously indicated, looking for respiratory signs and listening for the sound of stridor/hoarse or barking cough can be very useful indicators of severity of condition, but it is also important to consider the child's circulatory system. When assessing circulation as part of the ABC assessment it is important to record the child's heart rate, remembering that heart rates are also age related (see Table 2). It is useful to record the child's capillary refill, to check peripheral perfusion and to make a note of the child's skin temperature (ALSG 1997). Higginson et al (1996) suggest to the assessing nurse/doctor that it is possible to carry out this assessment in under a minute; other formal investigations should not be undertaken until this primary survey has been completed.It is imperative not to fall into the trap of automatically reaching for machinery when carrying out a nursing assessment. Equipment such as pulse oximeters is part of a secondary survey and, while they are useful when assessing effectiveness of breathing, they have their limitations. For example, to achieve an accurate reading, saturation monitors can take some time to set up, so valuable moments can be lostIt should be remembered that a child may have oxygen saturations above 95 per cent but the assessor is able to see increased work of breathing and respiratory distress which may indicate that the child would benefit from oxygen therapy regardless of their saturations. When primary assessments are carried out each identified problem discovered should be addressed before moving onto the next. For example, if the child has a poor colour and has increased respiratory distress then it would be appropriate to commence oxygen prior to assessing their circulatory status.
已更新項目:
好心人士
可以不要是奇摩或ggole 翻譯的那種
我需要是翻出來很順暢的
謝謝!!
已更新項目:
好心人士
可以不要是奇摩或ggole 翻譯的那種
我需要是翻出來很順暢的
謝謝!!
Tags:
工作
All Comments
By Kumar
at 2011-03-30T17:04
at 2011-03-30T17:04
如前所述,尋找呼吸道症狀和聽的聲音喘鳴/叫聲嘶啞或咳嗽可以是非常有用的指標條件的嚴重性,但也必須考慮到孩子的循環系統。在評估循環的一部分,美國廣播公司的評估是很重要的記錄孩子的心率,記住,心率也與年齡有關(見表2)。它是有用的記錄孩子的毛細血管筆芯,檢查周邊灌注並作出注意孩子的皮膚溫度(ALSG1997年)。希金森等(1996)建議的評估護士/醫生,有可能進行這項評估在一分鐘,其他正式調查之前,不應進行這項初步調查已經完成。
當務之急是不要落入陷阱時自動深遠的機械進行護理評估。脈搏血氧儀等設備,是一所中學的調查的一部分,雖然它們是有用的效益評估時的呼吸,他們有其局限性。例如,為了達到準確的讀數,飽和度監視器可能需要一些時間來設置,所以可能會丟失珍貴的時刻
我們應該記住,一個孩子可能有氧氣飽和度百分之95以上,但評估是能夠看到更多的工作,呼吸和呼吸窘迫這可能表明,孩子將受益於氧治療,不論其飽和度。當小學進行評估發現的每一個確定的問題應該得到解決之前,移動到下一個。例如,如果孩子有一個貧窮的顏色,並增加呼吸窘迫那麼這將是適當的氧氣開始前,評估其循環狀態。
因該是吧=ˇ=
By Rebecca
at 2011-03-28T01:44
at 2011-03-28T01:44
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