【正文】 道 基本生命支持 BLS 人工呼吸： 立即進(jìn)行人工呼吸，第一次吹氣時(shí)，吹兩次 （吹氣量： 400~600ml/次） 人工循環(huán)： 進(jìn)行胸外心臟按壓 按壓部位 胸骨下半部（按壓部位胸骨中下 1/3 處） 按壓頻率 100 次 /min 按壓深度 成人 4~5cm； 5~13 歲兒童 3cm； 按壓與人工呼吸比： 30:2 進(jìn)一步維持氣道通暢，協(xié)助醫(yī)生進(jìn)行氣管插管，用簡易呼吸囊或呼吸機(jī)輔助呼吸 必要時(shí)進(jìn)行直流電非同步除顫 進(jìn)一步生命支持 心電監(jiān)護(hù)，密切監(jiān)測(cè)患者的生命體征 ALS 建立靜脈通道，必要時(shí)進(jìn)行深靜脈穿刺，遵醫(yī)囑合理使用藥物 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(jī)給予機(jī)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(jìn)劑 維持水電解質(zhì)及酸堿平衡 詳細(xì)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。 place articles onto the nursing cart。 take off the soiled cover Shape quilt into a tube along the bed two sides。 Roll the patient to lie on left side Lose the plastic, midbed and bottom sheet from the right Roll the midbed sheet to the patient。 roll over the bottom sheet to the patient Brush the mattress。 tuck the middle unwanted part under the mattress Place back the plastic and midsheet。 brush the plastic sheet and lift on the patient Take off the soiled bottom sheet to the lower shelf of the nursing cart。 bespread sheets in order Roll the patient to the other side 21 Intravenous Infusion Tidy up after operation Tray, drugs, apparatus, tourniquet, bolster, fixative bandage, apparatus holder Move holder to bed Prepare drugs Prepare for infusion Insert the needle Prepare articles Check ?interpret Inquire upon defecation ? select vein 被套、帶套床刷 Hang bottle on holder ?vent air in passway Put tourniquet and bolster in place Bind tourniquet ? sterilize skin? vent air again Ask patient to clench fist。 observe。 explain do’s and don’ts Smooth bed sheets ?dispose the soiled matters ?observe the patient and the drops Check Sterilize bottle closure。 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 the pillow on bed backward the ward’s door Move back the bedside table and chair。 place back in order Bespread right part of bottom sheet。 bespread the left side Bespread left side to the bed end Shape cover into tubeshape along the bed two sides Bespread right side。 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。 wrap the two corners Tuck the middle unwanted part Bespread the plastic sheet 4550cm off the bed head on the right Bespread midsheet。 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。 move the chair to the bed end on the side with the quilt Slip on the cover to bed end。 fold inward the two sides into tubeshape。 place back in order → 平臥薪嘗臥薪嘗 24 Enema Tidy up after the operation In the tray: enema bucket, kidneybasin, anal tube, bumf, cotton swab, Vaseline, rubber sheet, rubber napkin, disposable rubber glove Prepare enema solution Take articles to bed Prepare for enema Enema Prepare articles Pour 1 2% soap solution or 500 100ml NS into the enema bucket Test the water temperature Demand the patient to hold on for 510 minutes and then evacuate into the container or in the toilet Take off the rubber sheet and napkin。 fold up the screen。 lubricate the anal tube Vent air from the tube。 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。 ？ take down the enema bucket Get some bumf。 interpret。 unfold the screen Assist the patient to lie on the left side with the hip along the bed edge Pull the trousers down to the buttock。 ？ sterilize the skin Take away the tourniquet and bolster。 insert the needle。 unfasten the tourniqu