资源描述:
《MEWS评分表讲课讲稿.doc》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、早期预警评分表(MEWS评分表)评分3210123体温(。C)≤35.035.1—3636.1—3838.1—38.5≥38.6呼吸(次/分)≤89—1415—2021—29≥30脉搏(次/分)≤4041—5051—100101—110111—129≥130收缩压(mmHg)≤7071—8081—100101—199≥200清醒程度完全清醒对声音有反应对疼痛有反应无反应排尿(ml/小时)无<304或5分值班医生需评估病人状况,按需处理30分钟内≥6分由科室内较有经验的医生再初步评估,必要时咨询其他临床科室15分钟内SPO2(氧饱)≤84%85—89%9
2、0—95%96—100%血糖(mmol/L)≤2.82.9—3.33.4—3.83.9—6.1MEWS预警评分与护理干预分值病人情况护理处理措施<4分病情稳定按级别护理巡视观察4分病情可能恶化报告主管医生,加强交接班,重点观察标识清楚。建,议提升护理级别,增加巡视观察次数5—7分病情重,潜在危险大建立并保持静脉通路,高年资护士负责,上报护士长和责任组长密切观察病情变化,加强交接班,加强与患者家属的沟通≥8分病情危重至少建立2条静脉通路,抢救车,吸痰器备于床旁,密切观察病情变化,加强交接班培根OfStudies原文及三个版本的汉译【原文】Studiess
3、ervefordelight,forornament,andforability.Theirchiefusefordelight,isinprivatenessandretiring;forornament,isindiscourse;andforability,isinthejudgmentanddispositionofbusiness.Forexpertmencanexecute,andperhapsjudgeofparticulars,onebyone;butthegeneralcounsels,andtheplotsandmarshallin
4、gofaffairscomebestfromthosethatarelearned.Tospendtoomuchtimeinstudiesissloth;tousethemtoomuchforornamentisaffection;tomakejudgmentwhollybytheirrulesisthehumorofascholar.Theyperfectnatureandareperfectedbyexperience:fornaturalabilitiesarelikenaturalplants,thatneedpruningbystudy,an
5、dstudiesthemselvesdogiveforthdirectionstoomuchatlarge,excepttheybeboundedinbyexperience.Craftymencontemnstudies,simplemenadmirethem,andwisemenusethem,fortheyteachnottheirownuse;butthatisawisdomwithoutthemandabovethem,wonbyobservation.Readnottocontradictandconfuse;nortobelieveand
6、takeforgranted;nortofindtalkanddiscourse;buttoweighandconsider.Somebooksaretobetasted,otherstobeswallowed,andsomefewtobechewedanddigested;thatissomebooksaretobereadonlyinparts;otherstoberead,butnotcuriously;andsomefewtobereadywholly,andwithdiligenceandattention.Somebooksalsomayb
7、ereadbydeputyandextractsmadeofthembyothers;butthatwouldbeonlyinthelessimportantarguments,andthemeanersortofbooks;elsedistilledbooksare,likecommondistilledwaters,flashythings.Readingmakesafullman;conferenceareadyman;andwritinganexactman.Andtherefore,ifamanwritelittle,hehadneedhav
8、eagreatmemory;ifheconferlittle,hehadneedhaveapr