医学英语阅读：术前评估
“医学英语阅读：术前评估”相信是准备学习医学英语的朋友比较关注的事情，为此，医学教育网小编整理内容如下：
| Preoperative Assessment | 术前评估 |
| Assessment and Implementation | 评估实施 |
| 1. Use Standard Protocol. | 采用标准护理程序 |
| 2. Determine if the client has any communication impairment and if the client is mentally competent. | 测定病人存在沟通障碍，心智是否健全。 |
| 3. Assess the client's understanding of the intended surgery and anesthesia. | 评估病人是否了解即将进行的手术及麻醉。 |
| 4. Obtain a nursing history: | 获取护理史 |
| A. Condition leading to surgery | 需手术的病情 |
| B. The need for isolation precautions. | 隔离需要 |
| C. Chronic illnesses. | 慢性疾病 |
| D. Last menstrual period （for female clients in childbearing years）. | 末次月经（育龄期女性病人） |
| E. Previous hospitalizations. | 既往住院史 |
| F. Medication history, including prescription and over-the-counter （OTC）, and date/time of last doses. | 用药史，包括处方与非处方药，末次用药日期/时间 |
| G. Previous experience with surgery and anesthesia. | 既往手术及麻醉史 |
| H. Family history of complications from surgery or anesthesia. | 家庭手术或麻醉并发症史 |
| I. Allergies to medications or food, including specific questions about natural rubber latex. | 药物或食物过敏史，包括天然橡胶特种过敏反应 |
| J. Physical impairment. | 身体受损情况 |
| K. Prostheses and implants （e.g., dentures, hearing aid, pacemaker, internal defibrillator, hip prosthesis） | 假体和移植（如义齿、助听器、起搏器、除颤器、人工髋关节） |
| L. Smoking, alcohol, and drug use. | 吸烟、饮酒和吸毒史 |
| M. Occupation | 职业 |
| 5. Assess client's weight, height, and vital signs. | 评估病人体重、身高和生命体征。 |
| 6. Assess client's respiratory status, including character and rate of respirations, oxygen saturation, ability to breathe lying flat, and chest x-ray report. | 评估病人呼吸系统状况，包括呼吸特征与速度，氧饱和度，平卧呼吸能力及胸片。 |
| 7. Assess client's circulatory status, including apical pulse, electrocardiogram （ECG） report, and peripheral pulses. | 评估病人循环系统状况，包括心尖搏动、心电图和周围脉搏。 |
| 8. Determine client's neurological status, including level of consciousness （LOC）. | 测定病人神经学状况，包括神志清醒程度。 |
| 9. Assess client's musculoskeletal system, including range of motion （ROM） of joints. | 评估病人肌骨骼系统，包括关节活动度。 |
| 10. Examine client's skin; identify any breaks in skin integrity and determine level of hydration. | 检查病人皮肤，确认皮肤完整性受损情况，确定水合程度。 |
| 11. Assess client's emotional status, including level of anxiety, coping ability, and family support. | 评估病人情绪状况，包括焦虑程度、应对能力和家庭支援。 |
| 12. Review the results of laboratory tests, including complete blood count （CBC）, electrolytes, urinalysis, and other diagnostic tests. | 审查化验报告，包括全血计数、电解质、尿检和其他诊断试验。 |
| 13. Ask if client has an advanced directive. | 询问病人是否得到事先说明。 |
| 14. Identify the time of client's last intake of food or drink. | 确认病人上次摄食与饮水时间。 |
| 15. Use Completion Protocol. | 采用护理完成标准程序。 |
| Evaluation | 评价 |
| 1. Review records to determine if necessary information has been assessed. | 复查记录，确定必需项目是否得到评估。 |
| 2. Evaluate client's ability to cooperate. | 评价病人合作能力。 |
| Identify Unexpected Outcomes and Nursing Interventions | 确认意外结果与护理措施 |
| Record and Report | 记录与报告 |
| 1. Using agency format （preoperative checklist）, complete all essential information. | 采用机构表格（术前目录单），填写全部重要信息。 |
| 2. Report abnormal laboratory values and other concerns to the surgeon or anesthesiologist. | 向手术医生或麻醉师报告异常化验值及其他问题。 |
以上是医学教育网小编整理的“医学英语阅读：术前评估”全部内容，想了解更多医学英语知识及内容，请点击医学教育网。
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