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1、涉外 护理英语,Unit 3 Administering Medications,对外经济贸易大学出版社,Description,Unit3 Administering Medications Preparing and checking medications Doing a cross check Identifying a patient and administering medications Reading Prescription Chart Giving an oral report of the case,翻译,Description,给 药 准备药物和核对 交叉检查药物 确
2、认患者身份和给药 查看处方单 口头汇报病人病情,Description,Description Ensuring safe and effective administration of medications to clients is an important component of nursing care. Managing medications requires collaboration of many health care providers. Medications are prescribed by a physician, dentist, or other auth
3、orized prescriber such as advanced practice registered nurses as determined by the licensing boards. Medications are prepared and dispensed by a pharmacist. Nurses are responsible for administering medications.,翻译,Description,单元描述 确保安全有效的给药是护理工作的重要组成部分。给药要求相关医疗服务人员的配合。药物由内科医生、牙科医生或其他授权开处方的人，如执业授权委员会
4、确定的高级实践注册护士开出。药物由药剂师准备和分配，护士负责给药。,Work Description Expectations of society and increasing nursing expertise have expanded the registered nurses role from simple administration to collaboration, in which the registered nurse contributes to the design, implementation and evaluation of the clients drug
5、 regimen. The nurse often provides the last opportunity for the health-care team to identify and correct errors in prescribing and distributing medication. Although the physician prescribes the medication and the pharmacist fills the prescription, the nurse usually administers the medication, and al
6、so is the last link in medication administration and a safeguard against errors.,翻译,Work Description,The nurse needs to administer medication according to the medication administration record (MAR) based on the physicians order, which contains the name of the patient, the name and dosage of the medi
7、cation to be administered, frequency/time of administration, and the method of introducing the drug into the patients body (route of administration). Prior to administering medication, the nurse verifies the patients identity. To prevent errors, the nurse uses two sources of identification and check
8、s for matching information. She compares the patients wristband identification with a written document such as an MAR or physicians order. Alternately, the nurse may ask the patient to state his name and birth date and match the information to the patients wristband.,翻译,Work Description,In safely tr
9、eating the patient, the nurse observes six patient rights, ensuring that she administers the right medication, in the right dosage, to the right patient, at the right time, via the right route, in accordance with the physicians orders. She completes the process with the right documentation. In addit
10、ion, before a nurse administers medication, she refers the action and expected effect of the drug. She monitors the patient and reports any adverse reactions to the medication. The nurse verifies medical calculations with a colleague as a part of team and consults the prescribing physician or her nu
11、rsing supervisor if she suspects that a prescribed dosage of medication is unsafe. The nurse also identifies prescribed medications, over-the-counter drugs, and client allergies that can interfere with the physicians recommended drug therapy. She gathers data pertaining to the patients medical histo
12、ry and compares it to the MAR to identify incompatible drug combinations or possible allergic reactions to medication.,翻译,Work Description,单元工作任务描述 社会的期望和护理专业知识的增多将注册护士的角色从简单的给药者转变为协作者。通过协作，护士对患者的给药方案作出计划、实施和评价。 护士通常能为健康照顾团队开药及分发药物把好最后一道关，有机会指出并改正错误。虽然医生开出药物处方，药剂师抓药，但通常情况下由护士给药。护士是给药的最后环节，可防止错误的发生。
13、根据医生医嘱，护士依据给药记录单给药，给药单上包括患者姓名、药物名称、剂量、给药频率/时间、给药途径。,Work Description,给药前，护士识别患者身份，为了防止错误，护士使用两种途径识别身份并通过信息匹配核查。她将患者的腕带识别信息同书面记录如MAR或医生医嘱作对比。另外，护士要求患者陈述姓名、出生日期，然后将其与患者腕带上的信息核对。 在安全治疗方面，护士观察患者的六对，确保根据医嘱给药正确、剂量正确、患者正确、时间正确、给药途径正确，记录正确。除此之外，给药前，护士要了解药物的反应及预期疗效，要密切观察患者，报告对药物的不良反应。 护士同团队中的另一名同事一起核对药量计算是否正
14、确。如果对医嘱中药物剂量的安全性有怀疑，可以向开出医嘱的医生或上级咨询。护士也会确认处方药、非处方药、干扰药物治疗的过敏源。收集患者用药史信息，并将其与医生处方进行对比以确定药物组合是否不相容或者对药物产生过敏反应的可能。,Work Description,Task 1 Preparing and checking medications Description Preparing and checking medications is the step prior to administering medications to a patient. When nurses prepare a
15、nd administer medications, a copy of the order (care plan) should be used as a reference to check the correct dose.,翻译,任务一 准备药物和核对 任务描述 药物准备和核对是给药的首要步骤。当护士备药和给药时，必须参考医嘱（护理计划）以检查药物剂量是否准确。,Related Information Implications for nurses Name recognition is important in drug therapy. The nurse has the resp
16、onsibility of accurately transcribing drug orders, administrating medications correctly, and documenting the patients response. Usually a drug is ordered by the generic name to avoid confusion between brand names that look and sound alike because numerous brand names exist for the same drug. To prevent any error when administering any drug, the nurse checks the drug name at least three times before, during and after obtaining the drug. If the names used for the order and tho
