护理英语.docx

1、护理英语护理英语查房护士：今天看来您精神好一些。病人：是的，不过整天躺着我觉得全身不舒服。护士：您今天可以下床了，但在下床前先要在床边坐坐，没有头晕才能下床。病人：不过我感到腹胀得很。护士：有气从肛门排出吗？病人：没有。护士：可以多翻身，如果伤口不疼可下床活动，那样有助于恢复肠蠕动，使气体排出减轻腹胀。病人：伤口疼，而且有痰又难咳出来。护士：您应该坐起来，那样可以帮助您深呼吸，使痰较容易咳出，以防痰积在肺内引起肺炎。病人：好的。护士：您喝过水了吗？病人：喝过了。护士：您感觉胃胀和恶心吗？病人：没有。护士：那很好，您可以开始吃流质，过两天吃稀饭。病人：谢谢。病人：我住院还需多久？护士：一个星期左

2、右便可出院了。护士：医生，早晨好。医生：早晨好，病人手术后情况如何？护士：伤口有点疼。伤口引流有些渗血，换过一次敷料。医生：那很好。护士：静脉输液和青霉素是否继续给？医生：继续。Nurse:Good morning, doctor.Doctor:Good morning. How is the patient after surgery?N:The patient has a slight pain in the wound. Some blood has been oozing from the draining wound, the dressing has been changed on

3、ce.D:Thats good.N:Does he still need inavenous infusion and penicillin?D:Yes.Nurse:You look a little better today.Patient:Yes, but lying in bed all day, I feel uncomfortable all over.N:You can get out of bed today. First, sit on the edge of the bed and if you dont feel dizzy then you can get out of

4、bed.P:But I feel distended in the abdomen.N:Did you pass any wind by rectum?P:No.N:You can lie on your side more often, and if the wound does not hurt, you can get out of bed and walk around, that will help peristalsis of the intestine which will help to pass gas and lessens distension.P:The wound i

5、s painful and the sputum is difficult to expectorate.N:You should sit up. That will help your deep breathing, and help you to expectorate and prevent the sputum from accumulating in your lungs to cause pneumonia.P:All right.N:Did you drink any water?P:Yes. N:Do you feel distended and nausea?P:No.N:T

6、hats good. You can start on a fluid diet and congee in two days.P:Thank you.P:How long must I stay in hospital?N:You can go home in about a week.护理英语测量体温学生：测体温应该使用什么样的体温计？护士：常用有水银柱的摄氏或华氏体温计测量。学生：测量体温的作用什么？护士：体温和其他生命体征（如：呼吸、脉搏和血压）共风吹草动反应出病人的情况。学生：试口表时有什么禁忌吗？护士：给4-5岁以下的孩子测体温不能使用口表（避免口腔粘膜的损伤，一旦张口造成的不准确

7、，以及咬破体温计的危险。学生：还有哪些病人不能使用口表。护士：由于面部伤残或鼻腔的阻塞，如外伤或鼻腔内有插管，病人不能张口，闭口的不能使用。口腔有感染和昏迷的病人也不能使用口表。student : What kind of thermometer would be used taking a body temperature?Nurse: Aglass-enclosed tube of mercury callibrated on a celsius or Fahrenheit scale is used.S: What is the function of taking the bodys

8、temperature?N: Body temperature is used in conjunction with the other vital signs ( respiration , pulse and blood pressure ) to assess the patients present condition.S: What is contraindication while taking the temperature orally?N: Oral temperature with clinical thermometer should not be taken by c

9、hildren below 4-5 years of age ( danger of injury to mucosa , inaccurate if mouth open and danger of biting thermometer).S: What other kinds of patients can not use oralthermometer?N: The patients who can not open or close their mouth because of facial handicaps or injuries or nasal obstruction due

10、to tubes or injuries.The patients with mouth infections and unconscious can not use oral thermometer.护理英语异常体温护士：发烧或发热指体温高于正常标准。其原因可能是体温调节中枢功能紊乱、热源刺刺激，气温过高或体温逸散功能受损。学生：有几种热型？护士：有三种。即：间歇热、弛张热和回归热。学生：请您解释一下体温过低是什么意思？护士：体温过低是指低于正常低温。nurse: Fever , or pyrexia , is an elevation of the body temperature abo

11、ve normalIt may be caused by malfuncton of the temperature regulating center , the response of the center to a pyrogen , exposure to a very high environmental temperature , or impaired dissipation.Student: How many types of fever are there?N: There are three types , intermittent fever , remittent fe

12、ver and relapsing fever.S: Will you please explain the term hypothermia?N: Hypothermia means a subnomal body temperature.护理英语体温监护护士：准确地监护体温是一项重要的护理措施，体温反映人体热量并可以提供病人的信息。学生：人体的正常体温多少？护士：人体的正常体温约为37。直肠温度大约是36.5-37.5。口腔温度比直肠温度低0.3-0.5。腑下温度比口腔温度又低0.2-0.4。学生：那么，哪一个温度最准呢？护士：直肠温度最准。因为它是在体腔内，接近血液温度。学生：一天给病人

13、试几次体温。护士：有些病人一天试两次体温。而另外一些病人4个小时甚至两小时试一次体温。学生：什么时间为病人试表？护士：通常试体温的时间是在上午八点，下午4点。发烧病人应4个小时或两个小时试一次体温。学生：我们测量体温时，是否还要测量脉搏和呼吸？护士：是的。护士不仅测量体温，还要数脉搏和呼吸。护士：你知道测量口表时应注意什么吗？学生：是的，我知道。测口温时要告诉病人闭紧口腔，但要小心不能把体温计咬断。如果将玻璃或水银吞下，那是很危险的。学生：如果病人吞服了水银该怎样处理呢？护士：应该让病人立即喝一些蛋白水或牛奶。nurse: Monitoring body temperature accurat

14、ely is an important nursing measure. Body temperature reflects the heat content of the body and may provide information of the patient.Student: What is the normal temperature of the human body?N: The normal temperature of the human body is about 37. The rectal temperature is about 36.5-37.5. The mou

15、th temperature is 0.3-0.5 lower than the rectal temperature . The axillary temperature is 0.2-0.4 lower than the mouth.S: Then which is standard?N: The rectal temperature is standard , because it is in the cavity of the body and nearly the temperature of the blood.S: How many times a day do we take

16、temperature for the patient?N: Some patients are taken temperature twice a day and others every fourhours or even every two hours.S: When do we take the temperature for the patients?N: Usually we take it at8 a . m. And 4p. M . . The feverish patients should be taken their temperature every four hour

17、s or every two hours daily.S: Sould pulse and respiration be taken while the temperature is being taken?N: Yes , the nurse not only takes the temperature but also counts the pulse and respiration.N: Do you know what are the precautions while taking ones temperature orally?S: Yes . We should tell the

18、 patients to close their mouths and be careful not to break the thermometer and swallow the glass or mercury. It would be very dangerous.S: How do you treat that if the patients swallow the mercury?N: The patient would take some egg white or milk immediately.护理英语输血学生：人类的血型有几种？老师：人类有重要临床意义的4种主要血型是A，B

19、，AB和O型。学生：医院里有血液供给病人吗？老师：每个医院都有大量血液以供输注。学生：存在哪里呢？老师：血液存在医院的血库内。学生：血液是从哪里来的？老师：血献血员供给。学生：对献血员有什么要求吗？老师：要求其年龄在18-65岁之间，身体一身健康，可以通过必需的体格检查。学生：为什么要给献血员做体格检查。老师：在输血前，要给献血员做检查，以便确定其血型和没有任何疾病。这些完成之后，才可以在献血员身上抽血。学生：一个人有什么病不能献血？老师：疟疾、贫血、传染性肝炎、结核等。学生：输血前什么准备工作？老师：我们先给病人验血型，然后，病人的血和献血员的血做交叉凝集试验，凡是无凝集的才能使用。学生：输

20、血需要什么设备？老师：输血设备有：输血管带有两上囊，上囊为过滤器，下囊为点滴速率器。18-20号针头。消毒棉签。止血带。橡皮膏。学生：病人在输血过程中我们应该注意什么？老师：病人用的所有器械都必须进行灭菌处理。认真核对血型。输血前先输少量的生理盐水。输血时我们要注意病人的反应。学生：输血时每分钟滴速是多少？老师：一般滴速每分钟40到60滴。学生：病人在输血过程中为什么出现手足抽搐现象？老师：输血的同时，输入了枸缘酸钠，而枸缘酸钠在体内与游离钙结合，因而血钙下降，故出现四肢抽搐。学生：输血会有哪些反应？老师：过敏反应、循环衰竭、空气栓塞、传染性疾性，如疟疾、传染性肝炎。学生：什么反应较为严重？老

21、师：溶血反应。学生：什么药物可以预防输血反应？老师：苯海拉明、盐酸异丙嗪和氟美松。student: How many types of blood are there in the numan being?Teacher: The four major blood types of clinical importance in this genetic system are A, B, AB and O.S: Are there any blood for the patient in the hospital?T:Every hospital has a lot of blood for t

22、he transfusion.S: Where is it preserved?T: The blood is preserved in the blood bank of the hospital.S: Where is the blood from?T: It is given by the donor.S: What is the requirement to the donor?T: A person 18 to 65 years old with a negative medical history, capable of passing the required physical

23、examination.S: Why is the donor given physical examination?T: Before giving blood, the donor is given tests to determine his blood group and make sure he is not suffering from certain disease . When this has been done his blood can be taken.S: A person with what disease can not be taken the blood?T:

24、 Malaria, anemia, infectious hepatitis, tuberculosis and so on.S: What is the preparation before blood transfusion?T: First, we get blood group of patient. And then the patients and donors blood make crossmatching. If it is negative it can be used.S: What are the equipments for transfusion?T: The eq

25、uipments for transfusion are:Tubing with attached two chambers; an upper filter chamber and a lower drip-rate chamber.Needle 18 to 20 gauge.Antiseptic pledget.tourniquet.adhesive plaster.S: What attention should we pay to blood transfusion for the patient?T: All the instruments that come into contac

26、t with the patient must be sterilised.Check up blood group earnestly.Transfuse a little normal saline before blood transfusion.During the blood transfusion, we should pay attention to reaction of patient.S: How many drips a minute in the blood transfusion.T: The usual rate of infusion is from 40 to

27、60 dropsper minute.S: Why do the arms and legs twitch during the blood transfusion?T: Some citrate have been transfused into the body during the blood transfusion. The sodium citrate combines with free calcim into the body. So blood calcim descend and the twitch of arms and legs appear.S: What are t

28、he reactions in the blood transfusion?T: Allergic reactions, circulatory overload, airembolism, infectious diseases, such as malaria and infective hepatitis.S: What reaction is severe during the blood transfusion?T: Hemoly sis reaction.S: What medicine may be used to prevent the reaction of blood tr

29、ansfusion?T: Benadzy1, Promethazine and Dexamethasoul. 护理英语吸氧治疗老师：吸氧治疗在18世纪就开始应用了。今天差不多用于所有形式的急性呼吸衰竭。学生：有多少种设备可用来为病人输氧？老师：为自动呼吸的病人输送氧气的设备有三组：氧罩。鼻管。氧气帐及氧气盒。学生：湿化很重要吗？老师：是的，最常用的是湿化瓶，它只是在室温下把干燥的氧气在水瓶中滤过。techer: Oxygen therapy has been used in patient care in the 18th century and today it is used in alm

30、ost all forms of acute respiratory failure.Student: How many linds of equipment are used to deliver oxygen to patient?T: There are three functional groups which are designed to deliver oxygen to the spontaneously breathing patient:Face masks.Nasal cannulae.Tents and boxes.S: Is humidification very i

31、mportant?T: Yes, the most well known example is the woulfe bottle. It works simply by bubbling the dry gas through water at room temperature.护理英语输氧护士：让我给您多垫一个枕头，您得吸点儿氧。病人：我要做什么呢？护士：我给您下鼻管，再把软管粘在您的脸上。病人：哎呀，我的鼻眼可真是碰不得。护士：不用担心，我给您试试氧气罩。不过，我想您还是不用氧气室，对不对？病人：那当然，如果那样，我就没救了。n: Let me put another pillow under your head. You have to breathe some oxygen.P: What shall I do then?N: No, Ill put nasal cannulae into your nostrils and tape the tubes onto your cheek.P: Well, my nostrils are very sensitive.N: Dont worry. Ill try the mask. And I don