体外冲击波碎石围手术期护理Chapter 11 Perioperative care of...
学习目标
1.ESWL前准备
2.ESWL术后注意事项
3.掌握以下词汇
indwelling infusion needle 留置针
intravenous anesthesia 静脉麻醉
nursing assistant 护工
blood amylase 血淀粉酶
abdominal symptoms 腹部症状
Zhang Jun is a patient with pancreatic duct stones.He needs to undergo extracorporeal shock wave lithotripsy (ESWL).Xiao Ran is his primary nurse.She is talking with the patient and giving him a health instruction.
Xiao Ran: Good morning, Zhang Jun.
Zhang Jun: Good morning, Xiao Ran.
Xiao Ran: According to your condition, the doctor has made a treatment plan for you and will perform ESWL for you tomorrow.
Zhang Jun: Okay, what preparations do I need to make?
Xiao Ran: Before ESWL, you should understand the preparation for the operation, which is performed under general anesthesia.You should keep a happy mood and have a good rest the day before the operation.If you cannot fall asleep, call the doctor, who will prescribe you sleep medication.Avoid eating and drinking 8 hours before the operation.We will place an indwelling infusion needle for you tomorrow morning before the operation,so that you can have intravenous anesthesia before the lithotripsy operation.Nursing assistant will take you to the endoscopy center.You will need a family member to accompany you.
Zhang Jun: Okay, thank you.
Xiao Ran: After ESWL, you need to rest in bed.The recovery of consciousness will be under close watch.We will also monitor your heart rate, blood pressure, respiration, pulse, urine and stool colors, and other discomfort symptoms.Blood amylase will be tested 3 hours and 24 hours after the operation.You need to fast for 24 hours and when to resume meals depends on the level ofblood amylase and abdominal symptoms.
Zhang Jun: Ok, I will certainly do what the operation requires.
Xiao Ran: Come on! Let's more forward together.
译文
张军是一位胰管结石患者，需要做体外冲击波碎石，小冉是他的责任护士，她正在和患者对话，并进行健康宣教。
小冉：早上好，张军。
张军：早上好，小冉。
小冉：根据你的病情，医生为你制订了治疗方案，将在明天为你做体外冲击波碎石术。
张军：好的，我需要准备什么？
小冉：体外冲击波碎石术是在全麻状态下进行，你需要先了解下术前的注意事项。手术前一天要保持愉悦的心情，保证良好的休息。如果睡不着，可以告知医生，医生会给你开助睡眠的药物，术前常规禁食、禁饮8小时。明天早上手术前我们会为你留置一个静脉输液留置针，这样方便你在碎石手术前进行静脉麻醉，让你无痛苦地进行碎石手术。明天会有专人来接你去内镜中心，需要有一名家属陪着你。
张军：好的，谢谢。
小冉：术后，你需要卧床休息，我们会观察你神志恢复情况，监测心率、血压、呼吸、脉搏，观察大小便颜色及其他不适症状，监测术后3小时、24小时血淀粉酶。你将禁食24小时，根据血淀粉酶水平和腹部症状决定何时进食。
张军：好的，我一定会配合的。
小冉：加油！我们一起努力。