2_最终版应急预案20240419.zip
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2_最终版应急预案20240419.zip <link href="/image.php?url=https://csdnimg.cn/release/download_crawler_static/css/base.min.css" rel="stylesheet"/><link href="/image.php?url=https://csdnimg.cn/release/download_crawler_static/css/fancy.min.css" rel="stylesheet"/><link href="/image.php?url=https://csdnimg.cn/release/download_crawler_static/90149092/2/raw.css" rel="stylesheet"/><div id="sidebar" style="display: none"><div id="outline"></div></div><div class="pf w0 h0" data-page-no="1" id="pf1"><div class="pc pc1 w0 h0"><img alt="" class="bi x0 y0 w1 h1" src="/image.php?url=https://csdnimg.cn/release/download_crawler_static/90149092/bg1.jpg"/><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls0 ws0">患者出现高血压危象抢救预案</div><div class="t m0 x2 h3 y2 ff2 fs1 fc0 sc0 ls0 ws0">一、诊断<span class="_ _0"></span>要点</div><div class="t m0 x2 h4 y3 ff3 fs1 fc0 sc1 ls0 ws0">1.<span class="ff4">既往有高血压病史。</span></div><div class="t m0 x2 h4 y4 ff3 fs1 fc0 sc1 ls0 ws0">2.<span class="ff4">血压在短期内明显升高，<span class="_ _1"></span>收缩压可超过<span class="_ _2"> </span><span class="ff3">200mmHg</span>，<span class="_ _1"></span>舒张压<span class="ff3"> </span></span></div><div class="t m0 x3 h4 y5 ff3 fs1 fc0 sc1 ls0 ws0">120mmHg<span class="_ _2"> </span><span class="ff4">以上</span></div><div class="t m0 x4 h5 y6 ff3 fs2 fc0 sc1 ls0 ws0">[1]</div><div class="t m0 x5 h4 y5 ff4 fs1 fc0 sc1 ls0 ws0">。</div><div class="t m0 x2 h4 y7 ff3 fs1 fc0 sc1 ls0 ws0">3.<span class="ff4">患者可出现恶心呕吐、<span class="_ _3"></span>剧烈头痛、<span class="_ _3"></span>面色苍白或潮红、<span class="_ _3"></span>神经</span></div><div class="t m0 x3 h4 y8 ff4 fs1 fc0 sc1 ls0 ws0">异常、呼吸困难及心动过速等临床表现</div><div class="t m0 x6 h5 y9 ff3 fs2 fc0 sc1 ls0 ws0">[2]</div><div class="t m0 x7 h4 y8 ff4 fs1 fc0 sc1 ls0 ws0">。</div><div class="t m0 x2 h4 ya ff3 fs1 fc0 sc1 ls0 ws0">4.<span class="ff4">可出现急性左心衰、脑卒中症状和体征。</span></div><div class="t m0 x2 h3 yb ff2 fs1 fc0 sc0 ls0 ws0">二、抢救<span class="_ _0"></span>措施</div><div class="t m0 x2 h4 yc ff3 fs1 fc0 sc1 ls0 ws0">1.<span class="ff4">绝对卧床休息，抬高床头<span class="_ _2"> </span></span>30<span class="ff4">°，给予吸氧、心电监测。</span></div><div class="t m0 x2 h4 yd ff3 fs1 fc0 sc1 ls0 ws0">2.<span class="ff4">建立静脉通道，遵医嘱给药，首选硝普钠。</span></div><div class="t m0 x2 h4 ye ff3 fs1 fc0 sc1 ls0 ws0">3.<span class="ff4">严密监测病情，密切观察神志、瞳孔和生命体征的变化，</span></div><div class="t m0 x3 h4 yf ff4 fs1 fc0 sc1 ls0 ws0">保持患者情绪稳定，避免躁动。</div><div class="t m0 x2 h4 y10 ff3 fs1 fc0 sc1 ls0 ws0">4.<span class="ff4">遵医嘱使用降压药，<span class="_ _4"></span>注意控制降压速度，<span class="_ _5"></span>（治疗第<span class="_ _2"> </span><span class="ff3">1h<span class="_ _2"> </span></span>内使</span></div><div class="t m0 x3 h4 y11 ff4 fs1 fc0 sc1 ls0 ws0">平均<span class="_ _0"></span>动<span class="_ _0"></span>脉<span class="_ _0"></span>血<span class="_ _0"></span>压<span class="_ _0"></span>迅<span class="_ _0"></span>速<span class="_ _0"></span>下<span class="_ _0"></span>降<span class="_ _0"></span>，<span class="_ _0"></span>但<span class="_ _0"></span>不<span class="_ _0"></span>超<span class="_ _0"></span>过治<span class="_ _0"></span>疗<span class="_ _0"></span>前<span class="_ _0"></span>水<span class="_ _0"></span>平<span class="_ _0"></span>的<span class="_ _6"> </span><span class="ff3">25%</span>。<span class="_ _7"></span>）观<span class="_ _0"></span>察<span class="_ _0"></span>降</div><div class="t m0 x3 h4 y12 ff4 fs1 fc0 sc1 ls0 ws0">压效果</div><div class="t m0 x8 h5 y13 ff3 fs2 fc0 sc1 ls0 ws0">[3]</div><div class="t m0 x9 h4 y12 ff4 fs1 fc0 sc1 ls0 ws0">。</div><div class="t m0 x2 h4 y14 ff3 fs1 fc0 sc1 ls0 ws0">5.<span class="ff4">病情稳定后明确病因，针对性治疗。</span></div><div class="t m0 x2 h4 y15 ff3 fs1 fc0 sc1 ls0 ws0">6.<span class="ff4">加强安全护理，躁动抽搐患者加强保护，防止意外伤害，</span></div><div class="t m0 x3 h4 y16 ff4 fs1 fc0 sc1 ls0 ws0">做好宣教。</div><div class="t m0 x2 h4 y17 ff3 fs1 fc0 sc1 ls0 ws0">7.<span class="ff4">做好护理记录。</span></div></div><div class="pi" data-data='{"ctm":[1.611830,0.000000,0.000000,1.611830,0.000000,0.000000]}'></div></div><div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="/image.php?url=https://csdnimg.cn/release/download_crawler_static/90149092/bg2.jpg"><div class="c xa y18 w2 h6"><div class="t m0 xb h5 y19 ff4 fs2 fc0 sc1 ls0 ws0">患者出现高血压危象</div></div><div class="c xc y1a w3 h7"><div class="t m0 xd h5 y1b ff4 fs2 fc0 sc1 ls0 ws0">绝对卧床休息，抬高床头<span class="_ _8"> </span><span class="ff3">30</span>°给予吸</div><div class="t m0 xe h5 y1c ff4 fs2 fc0 sc1 ls0 ws0">氧、心电监测</div></div><div class="c xf y1d w4 h8"><div class="t m0 x10 h5 y1e ff3 fs2 fc0 sc1 ls0 ws0"> </div><div class="t m0 xd h5 y1f ff4 fs2 fc0 sc1 ls0 ws0">建立静脉通道，遵医嘱给药，首选硝普纳</div></div><div class="c x11 y20 w5 h9"><div class="t m0 x12 h5 y21 ff4 fs2 fc0 sc1 ls0 ws0">严密观察病情，血压及瞳孔的变化</div></div><div class="c x13 y22 w6 ha"><div class="t m0 x14 h5 y23 ff4 fs2 fc0 sc1 ls0 ws0">使患者保持情绪稳定，避免躁动</div></div><div class="c x15 y24 w7 hb"><div class="t m0 x16 h5 y25 ff4 fs2 fc0 sc1 ls0 ws0">遵医嘱使用降压药，注意调整给药速度</div></div><div class="c x5 y26 w8 hc"><div class="t m0 x17 h5 y27 ff4 fs2 fc0 sc1 ls0 ws0">病情稳定后明确病因，针对性治疗</div></div><div class="c x5 y28 w8 hd"><div class="t m0 xd h5 y29 ff4 fs2 fc0 sc1 ls0 ws0">加强安全护理，躁动抽搐的患者加强</div><div class="t m0 x18 h5 y2a ff4 fs2 fc0 sc1 ls0 ws0">保护，防止意外伤害，做好宣教</div></div><div class="c x19 y2b w9 he"><div class="t m0 x1a h5 y2c ff4 fs2 fc0 sc1 ls0 ws0">做好护理记录</div></div></div><div class="pi" data-data='{"ctm":[1.611830,0.000000,0.000000,1.611830,0.000000,0.000000]}'></div></div>