介入术前宣教Chapter 6 Pre-procedural education
学习目标
1.掌握介入术前的注意事项
2.了解禁食、禁水的时间要求
3.掌握皮试观察
4.掌握下列词汇
polyp 息肉
gastroscopy 胃镜
skin test 皮试
induration 硬结
allergy test 过敏试验
Wang Gang is a patient in bed #10.He is diagnosed with gastric polyps.Tomorrow he will get his polyps dissected by endoscopic polypectomy.Liu Mei, his primary nurse, is informing Wang Gang ofimportant points before the procedure.
Liu Mei: Good morning, Wang Gang.The doctor will remove your polyps during gastroscopy tomorrow.I'm here to give you some instructions.
Wang Gang: Ok, I will listen carefully.
Liu Mei: You should fast for at least 8 hours before the operation.Avoid drinking for 2 hours or more.Take an anti-foam simethicone orally to facilitate mucosal inspection 30 minutes before endoscopy.
Wang Gang: Ok!
Liu Mei: According to the doctor's advice, cephalosporin will be administered to treat infection.And we need to do cephalothin allergy test now.Have you ever taken cephalosporin before? Do you have a history of food allergies and allergic diseases? Do your family members have the history of food allergy or severe allergy to medicine?
Wang Gang: Not as far as I know.
Liu Mei: The cephalosporin intradermal skin test is finished,and I will come to check the result after 20 minutes.During this period, in case of any discomfort, such as chest tightness, itching,facial numbness and fever, call me immediately.We will keep a close eye on you.
Twenty minutes later.
Liu Mei: Wang Gang, time is up.Let me have a look at the skin test site.Um, there is no redness or other change in the test site.Do you have any other discomfort?
Wang Gang: No, I am feeling good.
Liu Mei: Well, your skin test turns out negative.Thank you for your cooperation!
Wang Gang: Good, thanks a lot.I will keep your instructions in mind.
译文
王刚是10床患者，他被诊断为胃息肉，明天他要行胃镜下息肉摘除手术。刘梅是王刚的责任护士，正在和他谈话，告诉他介入术前重要的注意事项。
刘梅：早上好，王刚，医生安排你明天做胃镜下息肉摘除术，现在我来告诉你注意事项。
王刚：好的，我会认真听。
刘梅：术前你需要禁食至少8小时、禁水至少2小时，术前30分钟口服祛泡剂和祛黏液。
王刚：好的。
刘梅：根据医生开具的医嘱，术后治疗感染，一般会使用头孢菌素类抗生素。现在需做头孢菌素过敏试验，请问你使用过头孢类菌素类抗生素吗？有食物过敏史及过敏性疾病史吗？你的家人有食物或药物过敏史吗？
王刚：据我所知都没有。
刘梅：现在我给你做好了头孢菌素皮试，20分钟后我来看检查结果。在这期间如果有胸闷、瘙痒、面部发麻、发热等不适，请你立即呼叫我，我也会多来看望你的。
20分钟后。
刘梅：王刚，时间到了，让我来看看皮试结果，嗯，没有红晕，范围也没有变化，你有其他不舒适的吗？
王刚：不，我感觉还好。
刘梅：好的，你的皮试结果是阴性的，谢谢你的配合。
王刚：好的，非常感谢你，我会记住你的嘱咐。