1,,,2,电子镇痛泵,,3,查房目的,有无呼吸抑制(呼吸频率变慢≤7次(用纳络酮拮抗)、呼吸停止) 不良反应(呕吐、尿潴留等) 病人是否有≥4分以上的疼痛(痛得不能人睡) 评价镇痛泵是否在正常工作 建立沟通渠道(病人与麻醉师),4,电子泵的正常状态,5,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,RUN RESVOL 98 ml,6,护士查泵方法,7,按NEXT键12次,NEXT,8,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Reservoir Volume 98 ml,9,,Reservoir Volume = 镇痛泵内现存的药量,10,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Units Mililiters,11,,Units Mililiters = 单位为毫升,12,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Continuous Rate 2.0 ml,13,,Continuous Rate = 给药速度,14,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Demand Dose 1.0 ml,15,,Demand Dose = 追加量 = 1个PAC量 = 1个DOS量=按1次DOSE键的剂量,16,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Dose lockout 00hrs 10 min,17,,Dose lockout = 追加量限制锁 00hrs 10 min = 2个追加量之间限制时间为10分钟,18,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Dose per Hour 6 / hr,19,,Dose per Hour 6 = 每小时追加量限制为6次(1小时内最多按6次DOSE键),20,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Dose given 4 doses,21,,Dose given 4 doses = 已经给了4个追加量或已经给了4个DOSE剂量了。
22,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Dose Attempted 10 doses,23,,Dose Attempted 10 doses = DOSE 键按压总次数为10次24,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,given 97 ml,25,,Given 97 ml = 镇痛泵已经用了97毫升药了总量为100毫升),26,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Air Detector Off,27,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Upstream Sensor off,28,电子泵的停机状态,29,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,STOPPED,30,STOPPED = 停机 开机 = 按压 键,见屏幕出现 三个●●● ●●● ●●● 为止。
屏幕为以下为正常,STOP START,RUN RESVOL 34 ml,31,电子泵的报警状态,32,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,High pressure,33,处理,High pressure = 高压状态 = 可能是三通开关处于关闭状态,或者是通路锁扣上;输液通路不通;处理:解除梗阻后,要重新开机; 或立即通知麻醉师,34,,,STOP START,,ENTER CLEAR,PRIME,LOCK,NEXT,,ON OFF,DOSE,,,,,Low Vol,35,处理,Low Vol = 镇痛泵药快用完 处理:考虑2~3小时拔泵,36,镇痛泵面板主要键盘的中文说明,STOP START,=,,开机和关机键,ENTER CLEAR,=,确认及清除键,37,镇痛泵面板键盘的中文说明,PRIME,=,,排气键,NEXT,=,查房键,38,镇痛泵面板键盘的中文说明,DOSE,=,,追加药键,=,电源开关键,ON OFF,,39,托起无痛的希望,,40,,托起无痛的希望 谢谢大家!,。