资料仅供参考,不当之处，请联系改正。Generalconditions•Goodmorning,everyone,•March21.2009Wearepassingnursingreportnow.•Therearetotal36patientsintheward,including3patientsdischarged,2admitted,2transferredin,2transferredout,1diedyesterday.各位,早晨好2009年3月21日护理交班病人总数:36出院病人数:3入院病人数:5转入病人数:2转出病人数:2死亡病人数:1资料仅供参考,不当之处，请联系改正。•3patientswereperformedoperation.•ThenumberofDILcase:1•thenumberofpatientongradeonenursingcare:10手术病人数:3病危病人总数:1病重病人总数:2一级护理病人总数:10资料仅供参考,不当之处，请联系改正。Dischargedcase•Bed3,WangHong,coronaryheartdisease（CHD）,anginapectoris,wasdischargedat9o’clockyesterdayaftertreatment.3床,王红,冠心病、心绞痛于9：00出院资料仅供参考,不当之处，请联系改正。Deathcase•Bed29,ZhaoLiang,pulmonaryinfection,twotypeofrespiratoryfailure,multipleorganfailure,wasdied(passedon)at10:00yesterdayafterresuscitationfailure.29床,赵良,肺部感染,二型呼衰,多功能脏器衰竭,经抢救无效于10：00死亡资料仅供参考,不当之处，请联系改正。Newadmission•Bed18,WeiHaiming,male,47yearsold,wasadmittedat10:00o’clockwithcomplainingofa15daysintermittentchestpainandpalpitation.•Thediagnosiswasuncertainchestpain,dysrhythmias,paroxysmalatrialfibrillation,bradycardia,hypertensionongrade3.18床魏海明胸痛原因待查,心律失常、阵发性房颤、窦性心动过缓、高血病3级患者，男性47岁，地方人员，于10：00入院。主因为发作性胸痛伴心慌15天，为进一步治疗入院。资料仅供参考,不当之处，请联系改正。•Afteradmission,thedoctorLiXuehuawasnotifiedimmediatelyandtheadmissioninterviewwasdone.ECGatbedsideshowedsinusrhythm.BPwas130/88mmHg.Thelowsaltandlowfatdietwasserved.Dilatedcoronaryartery,anticoagulationandanti-hypertensiondrugsweretakenandgrade2nursingcarewasgivenasdoctor’sorders.入院后立即通知李学华医生,入院介绍已做.患者未诉胸痛、心慌，血压130/88mmHg.行床旁心电图示窦性心律.遵医嘱给予二级护理，低盐低脂普食，扩冠、抗凝、降压等药物治疗。资料仅供参考,不当之处，请联系改正。•ThepatientsleptwellLastnightandbloodspecimenweretaken.Thevitalsignswerenormalinthemorning.病人睡眠好，晨起血标本已留，生命体征平稳.资料仅供参考,不当之处，请联系改正。DILcase•Bed10，WangHua,coronaryHeartdisease,anginapectoris,acuteextensiveanteriormyocardialinfarction.Thepatientsuddenlycomplainedofchestpainat22:30•Oxygenwasgivenimmediatelyandtheflowratewas3L/min.ECGmonitoringwasstartedandshowedsinusrhythm.10床,王华，冠心病，心绞痛，急性广泛前壁心肌梗死.昨天22：30病人主诉心前区疼痛，立即给予吸氧3升/分，心电监护仪监护，心电示波示窦性心律，资料仅供参考,不当之处，请联系改正。•Theheartratewas63beats/min.BPwas115/64mmHg.MeanwhileDr.ZhangXuewasinformed.•Aftertaking3tabletsofnitroglycerinsublinguallyat5minuteintervalsasindicated,thepainwaspersistent.TheECGshowedthe0.2-0.6mvofelevatedV1-V5Stsegment.Dr.ZhaoYongsawthepatient.心率63次/分，血压115/64mmHg,通知张学医生看病人，遵医嘱给予硝酸甘油mg舌下含服，症状无缓解，行床旁心电图检查示V1-V5ST段抬高0.2-0.6mv.二线赵勇副主任医师到场看病人。资料仅供参考,不当之处，请联系改正。•Heparin100mginnormalsaline500mlandDopamine80mginnormalsaline500mlweregivebyIVinfusion.Thedropratewere500u/hand1.46ug/kg/minrespectively.ThepatientwasonDIL.遵医嘱给予静脉输入生理盐水500ml+肝素钠注射液100mg，滴速为500u/h,生理盐水250ml多巴胺注射液80mg，滴速1.46ug/kg/min，报病危。资料仅供参考,不当之处，请联系改正。•Ivinfusionwerekeptpatent.Thepatientsleptintermittentlyintheeven...
