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基础护理学考试知识点辅导:128项护理诊断 | |
作者:佚名 文章来源:医学全在线 点击数 更新时间:2007/6/5 2:05:54 文章录入:凌林 责任编辑:凌云 | |
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营养失调:高于身体需要量(ALTERED NUTRITION:MORE THAN BODY REQUIREMENTS) 营养失调:低于身体需要量(ALTERED NUTRITION:LESS THAN BODY REQUIREMENTS) 营养失调:潜在的高于身体需要量(ALTERED NUTRITION:POTENTIAL FOR MORE THAN BODY REQUIREMENTS) 有感染的危险(RISK FOR INFECTION) 有体温改变的危险(RISK FOR ALTERED BODY TEMPERATURE) 体温过低(HYPOTHERMIA) 体温过高(HYPERTHERMIA) 体温调节无效(INEFFECTIVE THERMOREGULATION) 反射失调(DYSREFLEXIA) 便秘(CONSTIPATION) 感知性便秘(PERCEIVED CONSTIPATION) 结肠性便秘(COLONIC CONSTIPATION) 腹泻(DIARRHEA) 大便失禁(BOWEL INCONTINENCE) 排尿异常(ALTERED URINARY ELIMINATION) 压迫性尿失禁(STRESS INCONTINENCE) 反射性尿失禁(REFLEX INCOMTINENCE) 急迫性尿失禁(URGE INCONTINENCE) 功能性尿失禁(FUNCTIONAL INCONTINENCE) 完全性尿失禁(TOTAL INCONTINENCE) 尿潴留(URINARY RETENTION) 组织灌注量改变:(特定型)(肾、脑、心肺、胃肠、外周血管)[ALTERED TISSUE PERFUSION (SPECIFY TYPE)(RENAL,CEREBRAL,CARDIOPULMONARY,GASTROINTESTINAL,PERIPHERAL)] 体液过多(FLUID VOLUME EXCESS) 体液不足(FLUID VOLUME DEFICIT) 有体液不足的危险(RISK FOR FLUID VOLUME DEFICIT) 心输出量减少(DECREASED CARDIAC OUTPUT) 气体交换受损(IMPAIRED GAS EXCHANGE) 清理呼吸道无效(INEFFECTIVE AIRWAY CLEARANCE) 低效性呼吸型态(INEFFECTIVE BREATHING PATTERN) 不能维持自主呼吸(INABILITY TO SUSTAIN SPONTANEOUS VENTILATION) 呼吸机依赖(DYSFUNCTIONAL VENTILATORY WEANING RESPONSE,DVWR) 有受伤害的危险(RISK FOR INJURY) 有窒息的危险(RISK FOR SUFFOCATION) 有中毒的危险(RISK FOR POISONING) 有外伤的危险(RISK FOR TRAUMA) 有误吸的危险(RISK FOR ASPIRATION) 有废用综合征的危险(RISK FOR DISUSE SYNDROME) 保护能力改变(ALTERED PROTECTION) 组织完整性受损(IMPAIRED TISSUE INTEGRITY) 口腔粘膜改变(ALTERED ORAL MUCOUS MEMBRANE) 皮肤完整性受损(IMPAIRED SKIN INTEGRITY) 有皮肤完整性受损的危险(RISK FOR IMPAIRED SKIN INTEGRITY) 适应能力下降:颅内的(DECRASED ADAPTIVE CAPACITY:INTRACRANIAL) 能量场困扰(ENERGY FIELD DISTURBANCE) 型态2:沟通(COMMUNICATING) 型态3:关系(RELATING) |
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