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大家好

这一讲我们来学习急性心力衰竭

急性心力衰竭是指

心力衰竭的症状和体征

急性发作或急性加重的一种临床综合征

包括新(首次)发生心力衰竭和

原有慢性心力衰竭出现急性失代偿

临床上急性左心衰较为常见

以肺水肿或心源性休克为主要表现

是严重的急危重症

抢救是否及时 合理

与预后密切相关

导致急性心衰的病因有哪些呢

主要有以下几个内容

第一 慢性心衰急性加重

第二 与冠心病有关的

急性广泛前壁心肌梗死

乳头肌梗死断裂

室间隔破裂穿孔等

第三 感染性心内膜炎引起的瓣膜穿孔

第四 其他如

高血压心脏病

血压急剧升高

原有心脏病的基础上出现快速心律失常或严重缓慢性心律失常

输液过多过快等

以上都可能导致急性心力衰竭

急性左心衰有哪些临床表现

主要表现在以下几个方面

第一 早期征兆

患者出现原因不明的疲乏

或运动耐力明显减低

心率增加每分钟15到20次

第二 出现急性肺水肿患者典型表现

突发严重呼吸困难

呼吸频率达到每分钟30到50次

端坐呼吸 频繁咳嗽 咳粉红色泡沫痰

烦躁不安 窒息感

极重者可因脑缺氧而致神志模糊

第三 心源性休克 主要表现为持续性低血压

收缩压低于90mm Hg

且持续30分钟以上

急性心衰也有相应的体征

血压一过性升高 之后下降

两肺布满湿啰音和哮鸣音

心率增快

心尖部可闻及

舒张期奔马律

肺动脉瓣区

第二心音亢进

胸部X线片显示

上腔静脉充盈

肺门血管影模糊

严重者满肺弥漫的大片阴影

对于急性左心衰 还有一点很重要

即判断患者血流动力学情况

根据患者临床状况

用“干 湿 冷 暖”评估患者

是否存在淤血和外周组织器官低灌注

将急性心衰患者分为四类

我们看看这个表

用冷暖来评估

外周是否有低灌注

用干湿来评估

患者是否有淤血

急性左心衰的患者

如何进行急救和处理呢

坐位 双腿下垂

开放气道

鼻导管吸氧

使用一线治疗药物时检查药物

静脉注射

关于急性心衰的处理流程

2016年欧洲心脏病协会

心衰指南

推荐了一个流程

第一步 正确体位

立即协助患者取坐位

双腿下垂 以减少静脉回流

第二步 氧疗

首先保证有开放的气道

立即用每分钟6到8升的

高流量给氧

维持血氧饱和度达到百分之九十五以上

给氧方式可以是

鼻导管 面罩

病情特别严重者

应采用面罩呼吸机持续加压

或双水平气道正压给氧

增加肺泡内压

第三步 迅速建立静脉通路并镇静

建立静脉通道后

要遵医嘱给予镇静药

通常使用吗啡3到5毫克静脉注射

三分钟之内推完

吗啡可镇静

降低心率

减少机体氧耗

还可舒张小血管的功能

而减轻心脏的负荷

必要时可

间隔15分钟重复1次

第四步 利尿与强心

采用呋塞米20到40毫克静脉推注

2分钟内推完

强效利尿剂可减轻心脏前负荷 能扩张静脉

有利于缓解肺水肿

洋地黄类药物最适合用于

有心房颤动伴有快速心室率

并已知有心室扩大伴左心室收缩功能不全的患者

首先使用西地兰0.4到0.8毫克静推

必要时2小时再追加一次

0.2到0.4毫克

经过上述的处理 一般来说

急性心衰的症状能够得到有效的控制

但是如果没有得到控制

只要患者的收缩压在90mmHg以上

而且没有禁忌症

就可以应用血管扩张剂

常用的血管扩张剂有三类

硝酸甘油 扩张小静脉

硝普钠为动静脉血管扩张剂

见光易变质分解

且稀释后的硝普钠溶液不稳定

故应用时

应避光滴注

现用现配

重组人脑钠肽

具有扩管 利尿

抑制RAAS和交感活性的作用

应用扩血管药物需严格遵医嘱用药

定时监测血压

并尽量用输液泵控制滴速

根据血压调节剂量

维持收缩压

在90到100mmHg

如果患者为低血压

低心排量 低灌注

应遵医嘱

给予正性肌力药物

患者如果仍然为显著低血压

或心源性休克

给予血管收缩药物

此外 关于急性心力衰竭的处理

还有非药物的治疗

如主动脉球囊反搏 血液净化治疗

心室机械辅助装置等

在救治急性心衰的同时

有几个重要问题需要我们注意

第一 出入量管理

每天液体摄入量在1500毫升以内

不超过2000毫升

保持每天出入量负平衡约500毫升

严重肺水肿者

保持每天水出入量负平衡

1000到2000毫升

有时甚至可达3000到4000毫升

以减少水钠潴留 缓解症状

第二 病情监测

严密监测血压 呼吸 血氧饱和度

心率 心电图 血电解质

血气分析等

对安置漂浮导管

者监测血流动力学指标的变化

准确记录24小时

出入水量

观察意识精神状态

呼吸频率和深度的变化

皮肤颜色及温度等变化

第三 心理护理

窒息感使患者极其恐惧

交感神经系统兴奋性增高

加重呼吸困难

抢救过程中

医护人员必须保持镇静

动作稳准快 忙而不乱

给患者以信任与安全感

勿在患者面前

讨论病情

必要时留陪护

护士与家属密切接触

提供情感支持

关于心力衰竭 我们就学习到这里

谢谢大家

Medical Nursing课程列表:

Unit 1 Care of Patients with Respiratory System Diseases (Part One)

-Introduction to Medical Nursing

--Introduction to Medical Nursing

--Introduction to Medical Nursing

-Chapter 1 Overview of Respiratory System Diseases

--Overview of Respiratory System Diseases

--Overview of Respiratory System Diseases

--Overview of Respiratory System Diseases

-Chapter 2 Care of Patients with Pneumonia

--Overview of pneumonia

--Overview of pneumonia

--Streptococcal Pneumonia

--Streptococcal Pneumonia

--Other types of pneumonia

--Other types of pneumonia

--The quality and color of sputum

--Care of Patients with Pneumonia

-Chapter 3 Care of Patients with Lung Abscess

--Introduction of lung abscess

--Introduction of lung abscess

--Treatment and nursing of lung abscess

--Treatment and care of nursing abscess

--Care of Patients with Lung Abscess

-Chapter 4 Care of Patients with Pulmonary Tuberculosis

--Etiology and pathogenesis of pulmonary tuberculosis

--Etiology and pathogenesis of pulmonary tuberculosis

--Clinical manifestation of pulmonary tuberculosis (I)

--Clinical manifestation of pulmonary tuberculosis (I)

--Clinical manifestation of pulmonary tuberculosis (II)

--Clinical manifestation of pulmonary tuberculosis (II)

--Treatment and nursing of pulmonary tuberculosis

--Treatment and nursing of pulmonary tuberculosis

--Care of Patients with Pulmonary Tuberculosis

Unit 2 Care of Patients with Respiratory System Diseases (Part Two)

-Chapter 5 Care of Patients with Chronic Obstructive Pulmonary Disease

--Care of patients with chronic bronchitis

--Care of patients with chronic bronchitis

--Care of patients with chronic bronchitis

--Introduction of chronic obstructive pulmonary disease

--Introduction of chronic obstructive pulmonary disease

--Care of chronic obstructive pulmonary disease

--Care of chronic obstructive pulmonary disease

--Oxygen

--Care of Patients with Chronic Obstructive Pulmonary Disease

-Chapter 6 Care of Patients with Bronchial Asthma

--Etiology and pathogenesis of bronchial asthma

--Etiology and pathogenesis of bronchial asthma

--Clinical manifestation of bronchial asthma

--Clinical manifestation of bronchial asthma

--Treatment and nursing of bronchial asthma

--Treatment and nursing of bronchial asthma

--Care of Patients with Bronchial Asthma

-Chapter 7 Care of Patients with Chronic Pulmonary Heart Disease

--Etiology and pathogenesis of chronic pulmonary heart disease

--Etiology and pathogenesis of chronic pulmonary heart disease

--Treatment and nursing of chronic pulmonary heart disease

--Treatment and nursing of chronic pulmonary heart disease

--Care of Patients with Chronic Pulmonary Heart Disease

Unit 3 Care of Patients with Respiratory System Diseases (Part Three)

-Chapter 8 Care of Patients with Primary Bronchogenic Carcinoma

--Etiology and pathogenesis of primary bronchogenic carcinoma

--Etiology and pathogenesis of primary bronchogenic carcinoma

--Clinical manifestation and auxiliary examination

--Clinical manifestation and auxiliary examination

--Treatment and nursing of primary bronchogenic carcinoma

--Treatment and nursing of primary bronchogenic carcinoma

--Care of Patients with Primary Bronchogenic Carcinoma

-Chapter 9 Care of Patients with Pleural Effusion

--Etiology, pathogenesis and clinical manifestations

--Etiology, pathogenesis and clinical manifestations

--Treatment and nursing of pleural effusion

--Treatment and nursing of pleural effusion

--Determination of the nature of pleural effusion

--Care of Patients with Pleural Effusion

-Chapter 10 Care of Patients with Respiratory Failure and Acute Respiratory Distress Syndrome

--Etiology and pathogenesis of respiratory failure

--Etiology and pathogenesis of respiratory failure

--Treatment and nursing of respiratory failure patients

--Treatment and nursing of respiratory failure patients

--Care of Patients with Respiratory Failure

--Introduction of acute respiratory distress syndrome

--Introduction of acute respiratory distress syndrome

--Treatment and nursing of acute respiratory distress syndrome

--Treatment and nursing of acute respiratory distress syndrome

--Care of Patients with Respiratory Failure

--Care of Patients with Acute Respiratory Distress Syndrome

-Unit Test: Respiratory System

-Unit Assignment: Respiratory System

Unit 4 Care of Patients with Cardiovascular System Diseases (Part One)

-Chapter 1 Care of Patients with Cardiovascular System Diseases

--Overview of Cardiovascular System

--Overview of Cardiovascular System

--Overview of Cardiovascular System

-Chapter 2 Care of Patients with Heart Failure

--Overview of heart failure

--Overview of heart failure

--Chronic heart failure (1)

--Chronic heart failure (1)

--Chronic heart failure (2)

--Chronic heart failure (2)

--Acute heart failure

--Acute heart failure

--Heart Failure

-Chapter 3 Care of Patients with Arrhythmia

--Overview of arrhythmia

--Overview of arrhythmia

--Sick sinus syndrome

--Sick sinus syndrome

--Supraventricular tachycardia

--Supraventricular tachycardia

--Atrial fibrillation

--Atrial fibrillation

--Ventricular tachycardia

--Ventricular tachycardia

--Atrioventricular block

--Atrioventricular block

--Nursing care of patients with arrhythmia

--Nursing care of patients with arrhythmia

--Cardiac arrhythmia

Unit 5 Care of Patients with Cardiovascular System Diseases (Part Two)

-Chapter 4 Care of Patients with Coronary Artery Disease

--Overview of coronary heart disease

--Overview of coronary heart disease

--Stable angina pectoris

--Stable angina pectoris

--Unstable angina pectoris

--Unstable angina pectoris

--Acute myocardial infarction (1)

--Acute myocardial infarction (1)

--Acute myocardial infarction (2)

--Acute myocardial infarction (2)

--Acute myocardial infarction (3)

--Acute myocardial infarction (3)

--Coronary Artery Disease

--Difference between angina pectoris and myocardial infarction

-Chapter 5 Care of Patients with Hypertension

--Primary hypertension (1)

--Primary hypertension (1)

--Primary hypertension (2)

--Primary hypertension (2)

--Primary hypertension

--Safe nursing for patients with hypertension

-Chapter 6 Care of Patients with Myocardial Diseases

--Myocardial Diseases (1)

--Myocardial Diseases (1)

--Myocardial Diseases (2)

--Myocardial Diseases (2)

--Myocardial Diseases (3)

--Myocardial Diseases (3)

--Myocardial Diseases

-Unit Assignment: Cardiovascular System

Unit 6 Care of Patients with Digestive System Diseases

-Chapter 1 Overview of Digestive System

--Overview of digestive system(I)

--Overview of digestive system(I)

--Overview of digestive system(II)

--Overview of digestive system(II)

--Overview of Digestive System

-Chapter 2 Care of Patients with Peptic Ulcer

--Etiology and clinical manifestation of peptic ulcer

--Etiology and clinical manifestation of peptic ulce

--Treatment and nursing of peptic ulcer

--Treatment and nursing of peptic ulcer

--Recurrence of peptic ulcer

--Care of Patients with Peptic Ulcer

-Chapter 3 Care of Patients with Hepatic Cirrhosis

--Etiology and clinical manifestation of hepatic cirrhosis

--Etiology and clinical manifestation of hepatic cir

--Treatment and nursing of hepatic cirrhosis

--Treatment and nursing of hepatic cirrhosis

--Cirrhosis

--Care of Patients with Hepatic Cirrhosis

-Chapter 4 Care of Patients with Hepatic Encephalopathy

--Etiology and pathogenesis of hepatic encephalopathy

--Etiology and pathogenesis of hepatic encephalopath

--Clinical manifestation,treatment and nursing of hepatic encephalopathy

--Clinical manifestation,treatment and nursing of he

-- Care of Patients with Hepatic Encephalopathy

-Chapter 5 Care of Patients with Upper Gastrointestinal Hemorrhage

--Upper gastrointestinal hemorrhage(I)

--Upper gastrointestinal hemorrhage(I)

--Upper gastrointestinal hemorrhage(II)

--Upper gastrointestinal hemorrhage(II)

--Upper gastrointestinal hemorrhage(Ⅲ)

--Upper gastrointestinal hemorrhage(Ⅲ)

--Upper gastrointestinal hemorrhage

--Care of Patients with Upper Gastrointestinal Hemorrhage

-Unit Test: Digestive System

-Unit Assignment: Digestive System

Unit 7 Care of Patients with Urinary System Diseases

-Chapter 1 Overview of Urinary System

--Overview of Urinary System

--Overview of Urinary System

--Overview of Urinary System

-Chapter 2 Care of Patients with Glomerular Diseases

--Care of Patients with Glomerular Diseases

--Care of Patients with Glomerular Diseases

--Care of Patients with Glomerular Diseases

--Acute Glomerulonephritis

--Acute Glomerulonephritis

-- Acute Glomerulonephritis

-- Rapidly Progressive Glomerulonephritis

--Rapidly Progressive Glomerulonephritis

--Rapidly Progressive Glomerulonephritis

--Chronic Glomerulonephritis

--Chronic Glomerulonephritis

--Chronic Glomerulonephritis

-Chapter 3 Care of Patients with Nephrotic Syndrome

--Nephrotic Syndrome

--Nephrotic Syndrome

--Nephrotic Syndrome

Unit 8 Care of Patients with Urinary System Diseases

-Chapter 4 Care of Patients with Urinary Tract Infection

--Care of Patients with Urinary Tract Infection

--Care of Patients with Urinary Tract Infection

--Care of Patients with Urinary Tract Infection

--Care of Patients with Urinary Tract Infection

--Care of Patients with Urinary Tract Infection

-Chapter 5 Care of Patients with Chronic Renal Failure

--Care of Patients with Chronic Renal Failure

--Care of Patients with Chronic Renal Failure

--Care of Patients with Chronic Renal Failure

--Care of Patients with Chronic Renal Failure

--Care of Patients with Chronic Renal Failure

--Unit Assignment: Urinary System

-Chapter 6 Care of Patients with Systemic Lupus Erythematosus

--Care of Patients with Systemic Lupus Erythematosus

--Care of Patients with Systemic Lupus Erythematosus

--Care of Patients with Systemic Lupus Erythematosus

--Care of Patients with Systemic Lupus Erythematosus

--Care of Patients with Systemic Lupus Erythematosus

--Care of Patients with Systemic Lupus Erythematosus

--Care of Patients with Systemic Lupus Erythematosus

Unit 9 Care of Patients with Hematologic and Hemopoietic System Diseases (Part One)

-Chapter 1 Overview of Hematologic System

--Overview of hemopoietic system diseases (I)

--Overview of hemopoietic system diseases (I)

--Overview of hemopoietic system diseases (II)

--Overview of hemopoietic system diseases (II)

--Overview of hemopoietic system diseases (I)

--Overview of hemopoietic system diseases (II)

-Chapter 2 Overview of Anemia

--Overview of Anemia

--Overview of Anemia

--Overview of Anemia

-Chapter 3 Care of Patients with Iron Deficiency Anemia

--Overview,etiology and pathogenesis,clinical manifestation,auxiliary examination and diagnosis of iron deficiency anemia

--Overview,etiology and pathogenesis,clinical manifestation,auxiliary examination and diagnosis of iron deficiency anemia

--Treatment and nursing of iron deficiency anemia

--Treatment and nursing of iron deficiency anemia

--Nutrition and Anemia

--Iron Deficiency Anemia (I)

--Iron Deficiency Anemia(II)

-Chapter 4 Care of Patients with Aplastic Anemia

--Definition, etiology,clinical manifestation,auxiliary examination and diagnosis of aplastic anemia

--Definition, etiology,clinical manifestation,auxiliary examination and diagnosis of aplastic anemia

--Treatment and nursing of aplastic anemia

--Treatment and nursing of aplastic anemia

--Pancytopenia

--Care of Patients with Aplastic Anemia

-Chapter 5 Care of Patients with Hemolytic Anemia

--Nursing of patients with hemolytic anemia

--Nursing of patients with hemolytic anemia

--Care of Patients with Hemolytic Anemia

Unit 10 Care of Patients with Hematologic and Hemopoietic System Diseases (Part Two)

-Chapter 6 Care of Patients with Hemorrhagic Diseases

--Overview of hemorrhagic diseases

--Overview of hemorrhagic diseases

--Nursing of patients with idiopathic thrombocytopenic purpura

--Nursing of patients with idiopathic thrombocytopenic purpura

--Nursing of patients with anaphylactoid purpura

--Nursing of patients with anaphylactoid purpura

--Overview of hemorrhagic diseases

--Nursing of patients with idiopathic thrombocytopenic purpura

--Nursing of patients with anaphylactoid purpura

-Chapter 7 Care of Patients with Leukemia

--Definition, etiology and classification of leukemia

--Definition, etiology and classification of leukemia

--Definition and clinical manifestation of acute leukemia

--Definition and clinical manifestation of acute leukemia

--Auxiliary examination of acute leukemia

--Auxiliary examination of acute leukemia

--Nursing of acute leukemia(I)

--Nursing of acute leukemia(II)

--Nursing of acute leukemia

--Definition ,clinical manifestation and auxiliary examination of chronic myeloid leukemia

--Definition ,clinical manifestation and auxiliary examination of chronic myeloid leukemia

--Treatment and nursing ofchronic myeloid leukemia

--Treatment and nursing ofchronic myeloid leukemia

--Bone Pain

--Care of Patients with Leukemia

-Chapter 8 Care of Patients with Lymphoma

--Definition ,clinical manifestation, auxiliary examination,treatment and nursing of lymphoma

--Definition ,clinical manifestation, auxiliary examination,treatment and nursing of lymphoma

--Superficial Lymphadenopathy

--Care of Patients with Lymphoma

-Unit Test: Hematologic System

-Unit Assignment: Hematologic System

Unit11 Care of Patients with Endocrine System Diseases and Metabolic Disorders

-Chapter1 Overview of Endocrine ystem

--Overview of Endocrine System

--Overview of Endocrine System

--Overview of Endocrine System

-Chapter2 Care of Patients with Hypercortisolism

--Care of Patients with Hypercortisolism 1

--Care of Patients with Hypercortisolism 1

--Care of Patients with Hypercortisolism 2

--Care of Patients with Hypercortisolism2

--Care of Patients with Hypercortisolism

--Care of Patients with Hypercortisolism

-Chapter3 Care of Patients with Hyperthyroidism

--Care of Patients with Hyperthyroidism 1

--Care of Patients with Hyperthyroidism 1

--Care of Patients with Hyperthyroidism 2

--Care of Patients with Hyperthyroidism 2

--Care of Patients with Hyperthyroidism

--Care of Patients with Hyperthyroidism

-Chapter4 Care of Patients with Diabetes Mellitus

--Care of Patients with Diabetes Mellitus1

--Care of Patients with Diabetes Mellitus 1

--Care of Patients with Diabetes Mellitus2

--Care of Patients with Diabetes Mellitus 2

--Care of Patients with Diabetes Mellitus 3

--Care of Patients with Diabetes Mellitus 3

--Care of Patients with Diabetes Mellitus 4

--Care of Patients with Diabetes Mellitus 4

--Care of Patients with Diabetes Mellitus 5

--Care of Patients with Diabetes Mellitus 5

--Care of Patients with Diabetes Mellitus

--Care of Patients with Diabetes Mellitus

-Unit Review: Endocrine System

--Unit Assignment: Endocrine System

--Unit Test: Endocrine System

Unit 12 Care of Patients with Infectious Diseases (Part One)

-Chapter 1 Overview of Infectious Diseases

--Overview of Infectious Diseases 1

--Overview of Infectious Diseases 1

--Overview of Infectious Diseases 1

--Overview of Infectious Diseases 2

--Overview of Infectious Diseases 2

--Overview of Infectious Diseases 2

--Overview of Infectious Diseases

-Chapter 2 Care of Patients with Viral Hepatitis

--Care of Patients with Viral Hepatitis 1

--Care of Patients with Viral Hepatitis 1

--Care of Patients with Viral Hepatitis 1

--Care of Patients with Viral Hepatitis 2

--Care of Patients with Viral Hepatitis 2

--Care of Patients with Viral Hepatitis 2

--Care of Patients with Viral Hepatitis 3

--Care of Patients with Viral Hepatitis 3

--Care of Patients with Viral Hepatitis 3

--Care of Patients with Viral Hepatitis 4

--Care of Patients with Viral Hepatitis 4

--Care of Patients with Viral Hepatitis 4

--Care of Patients with Viral Hepatitis

-Chapter 3 Care of Patients with Hemorrhagic Fever with Renal Syndrome

--Care of Patients with Hemorrhagic Fever with Renal Syndrome 1

--Care of Patients with Hemorrhagic Fever with Renal Syndrome 1

--Care of Patients with Hemorrhagic Fever with Renal Syndrome 1

--Care of Patients with Hemorrhagic Fever with Renal Syndrome 2

--Care of Patients with Hemorrhagic Fever with Renal Syndrome 2

--Care of Patients with Hemorrhagic Fever with Renal Syndrome 2

-Chapter 4 Care of Patients with Acquired Immune Deficiency Syndrome

--Care of Patients with Acquired Immune Deficiency Syndrome 1

--Care of Patients with Acquired Immune Deficiency Syndrome 1

--Care of Patients with Acquired Immune Deficiency Syndrome 1

--Care of Patients with Acquired Immune Deficiency Syndrome 2

--Care of Patients with Acquired Immune Deficiency Syndrome 2

--Care of Patients with Acquired Immune Deficiency Syndrome 2

-Chapter 5 Care of Patients with Rabies

--Care of Patients with Rabies 1

--Care of Patients with Rabies 1

--Care of Patients with Rabies 1

--Care of Patients with Rabies 2

--Care of Patients with Rabies 2

--Care of Patients with Rabies 2

--Care of Patients with Rabies

Unit 13 Care of Patients with Infectious Diseases (Part Two)

-Chapter 6 Care of Patients with Epidemic Encephalitis B

--Care of Patients with Epidemic Encephalitis B 1

--Care of Patients with Epidemic Encephalitis B 1

--Care of Patients with Epidemic Encephalitis B 2

--Care of Patients with Epidemic Encephalitis B 2

--Care of Patients with Epidemic Encephalitis B

-Chapter 7 Care of Patients with Epidemic Cerebrospinal Meningitis

--Care of Patients with Epidemic Cerebrospinal Meningitis 1

--Care of Patients with Epidemic Cerebrospinal Meningitis 1

--Care of Patients with Epidemic Cerebrospinal Meningitis 2

--Care of Patients with Epidemic Cerebrospinal Meningitis 2

--Care of Patients with Epidemic Cerebrospinal Meningitis

-Chapter 8 Care of Patients with Cholera

--Care of Patients with Cholera

--Care of Patients with Cholera

--Care for patients with cholera

-Chapter 9 Care of Patients with Bacillary Dysentery

--Care of Patients with Bacillary Dysentery

--Care of Patients with Bacillary Dysentery

--Care of Patients with Bacillary Dysentery

-Chapter 10 Care of Patients with Schistosomiasis

--Care of Patients with Schistosomiasis 1

--Care of Patients with Schistosomiasis 1

--Care of Patients with Schistosomiasis 2

--Care of Patients with Schistosomiasis 2

--Care for patients with schistosome

-Chapter 11 Care of Patients with COVID-19

--Care of Patients with COVID-19

--Care of Patients with COVID-19

-Chapter 12 Psychological Coping Modes to the Epidemic of COVID-19

--Psychological Coping Modes to the Epidemic of COVID-19

--Psychological Coping Modes to the Epidemic of COVID-19

-Unit Test: Infectious Diseases

--Unit Test: infective disease

-Unit Assignment: Infectious Diseases

--Unit Assignment: Infectious Diseases

Unit 14 Care of Patients with Nervous System Diseases (Part One)

-Chapter 1 Overview of Nervous System Diseases

--Overview of Nervous System Diseases(I)

--Overview of Nervous System Diseases(I)

--Overview of Nervous System Diseases(I)

--Overview of Nervous System Diseases(II)

--Overview of Nervous System Diseases(II)

--Overview of Nervous System Diseases(II)

-Chapter 2 Care of Patients with Facial Neuritis

--Care of Patients with Facial Neuritis

--Care of Patients with Facial Neuritis

--Care of Patients with Facial Neuritis

-Chapter 3 Care of Patients with Cerebrovascular Diseases (Episode 1)

--Overview of Cerebral Vascular Diseases (I)

--Overview of Cerebral Vascular Diseases (I)

--Overview of Cerebral Vascular Diseases (I)

--Overview of Cerebral Vascular Diseases(II)

--Overview of Cerebral Vascular Diseases(II)

--Overview of Cerebral Vascular Diseases(II)

--Intracerebral Hemorrhage(I)

--Intracerebral Hemorrhage(I)

--Intracerebral Hemorrhage(I)

--Intracerebral Hemorrhage(II)

--Intracerebral Hemorrhage(II)

--Intracerebral Hemorrhage(II)

Unit 15 Care of Patients with Nervous System Diseases (Part Two)

-Chapter 4 Care of Patients with Cerebrovascular Diseases (Episode 2)

--Subarachnoid Hemorrhage

--Subarachnoid Hemorrhage

--Subarachnoid Hemorrhage

--Transient Ischemic Attack

--Transient Ischemic Attack

--Transient Ischemic Attack

--Cerebral Thrombosis(I)

--Cerebral Thrombosis(I)

--Cerebral Thrombosis(I)

--Cerebral Thrombosis(II)

--Cerebral Thrombosis(II)

--Cerebral Thrombosis(II)

-Chapter 5 Care of Patients with Epilepsy

--Care of Patients with Epilepsy(I)

--Care of Patients with Epilepsy(I)

--Care of Patients with Epilepsy(II)

--Care of Patients with Epilepsy(II)

--Care of Patients with Epilepsy

-Chapter 6 Care of Patients with Parkinson Disease

--Care of Patients with Parkinson Disease(I)

--Care of Patients with Parkinson Disease(I)

--Care of Patients with Parkinson Disease(II)

--Care of Patients with Parkinson Disease(II)

--Care of Patients with Parkinson Disease

-Unit Assignment: Nervous System

--Unit Assignment: Nervous System

Acute heart failure笔记与讨论

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