【正文】 使用藥物 如腎上腺素、利多卡因、阿托品、碳酸氫鈉等 盡快糾正腦缺氧，呼吸機給予機械通氣 長期生命支持 予高壓氧治療及低溫療法，一般保持正常體溫 PLS 遵醫(yī)囑應(yīng)用脫水劑、利尿劑、糖皮質(zhì)激素改善腦代謝促進劑 維持水電解質(zhì)及酸堿平衡 詳細記錄搶救經(jīng)過 20 Replace Bedsheet with a Patient in Move back table and chair Pillowcase, bottom sheet, middlebed sheet, quiltcover, covered bed brush Take aticles to bed Replce the bottom and midbed sheet Change the quilt cover Change pillowcas Prepare articles Interpret。 take off the soiled cover Shape quilt into a tube along the bed two sides。 roll over the bottom sheet to the patient Brush the mattress。 brush the plastic sheet and lift on the patient Take off the soiled bottom sheet to the lower shelf of the nursing cart。 observe。 shut off the regulator Insert a liitle more while blood present in the passaway 22 Prepare Standby Bed Slip on pillocase Bottom sheet, quiltcover, pillowcase badding, and pillow d Take articles to bed Bespread bottom sheet Bespread quilt cover Slip on quilt cover Prepare articles Move away the bedside table Move the chair to bed end。 place back in order Bespread right part of bottom sheet。 tie up 23 Prepare Anesthesia Bed Slip on pillowcase Bottom sheet, quiltcover, pillowcase, two plastic sheets, two midsheets, anesthesia tray, covered bed brush Take articles to bed Make bed Bespread quilt cover Slip on quilt cover Prepare articles Move away the bedside table Move chair to bed end。 tuck unwanted part under the pad Bespread the other side in same order Perform on the chair Place pillow erect on the bed head towards the ward’s door Move back the bedside table and chair。 fold inward the two sides into tubeshape。 fold up the screen。 insert the tube 710cm into the anal Hold the anal in one hand and the other open the clamp Require the patient to take deep breath Finish enema。 interpret。 ？ sterilize the skin Take away the tourniquet and bolster。 unfasten the tourniquet。 examine Take articles to bed Check。 dry the lips Out the tray: flashlight, paraffin oil, cotton swab, mouthwash Smooth the bed sheets。 ?untie the sleeves ?tuck the sleeves under the elbows Flush the hands。 shake the sleeves。 hang over in the halfsterilized area with the cleaning out 28 Hypodermic Injection and Drug Solution Preparation for Skin Test Pull out the needle。 draw in penicillin solution Darw in ml NS Shake to be even。 change on the size 4 needle Inject drug solution。 inquire the “three histories” Choose the inserting spot。 shake to be even Tidy up after the operation 29 Intramuscular Injection Prepare to draw drug solution Inject In the tray: injection card, drugs, 5ml syringe and needle, antiseptic solution, cotton swab, kidneybasin Draw in drug solution Take articles to bed Prepare to inject Prepare articles Check the doctor’s instruction。 interpret。 pull out the needle。 check the drugs。 sterilize the skin Vent out the air Draw in drug solution Tighten the skin。 press down。 brush in the following order witout missing: nails, fingers, palm, hand back, wrist, forearm, 3 inches above the elbow (pay attention to nail edges, places between fingers, wrinkles in the wrist and cubital fossa) 2. Rinse off the dirty sanitizer, fingers upward and elbow downward。 keep hands away the unsterilized objects, otherwise brush the hands another 3 times 4. Duration: 10 minutes of the total 3 times 32 Aseptic Techniques Put on sterile gloves Germfree articles: forceps, container, treating bowel, treating napkin, solution, gloves, rectangular box, sterile package, immersion bottle Prepare to operate Make sterile tray Pour out the sterile solution Cover the sterile tray Prepare articles Cleanse the operation table and tray Cut nails。 document the time and date Check。 clamp the napkin。 record the valid duration Cover the tray to the edge Take off gloves by grabing the out surface Immerse the gloves Smooth gloves with gauze Take off the sterile glove 33 Urethral Cathererization on Female Patient Tidy up after the operation Sterile urethral catheterization package, 2 treating bowels, hemostat, forceps, 2 ureters, sterile cotton balls, cup, paraffn oil, swabs, kidneybasin, perforated napkin Take articles to bed Prepare to operate Scrub the vulva with sterile soultion Catheterize Prepare articles Interpret。 patient lie on back with knees bending。 bespread the perforated napkin。 scrub the vulva Take off gloves。 sent the urine sample to laboratory Insert 1cm more when urine appears Empty the forepart uri