当前课程知识点:Medical Nursing >  Unit 6 Care of Patients with Digestive System Diseases >  Chapter 4 Care of Patients with Hepatic Encephalopathy >  Clinical manifestation,treatment and nursing of hepatic encephalopathy

返回《Medical Nursing》慕课在线视频课程列表

Clinical manifestation,treatment and nursing of hepatic encephalopathy在线视频

下一节: Care of Patients with Hepatic Encephalopathy

返回《Medical Nursing》慕课在线视频列表

Clinical manifestation,treatment and nursing of hepatic encephalopathy课程教案、知识点、字幕

同学们好 我是张老师

上节课

我们学习了肝性脑病的

病因及发病机制

大家还记得要点吗

这节课

我们要接着学习肝性脑病的临床表现

如何进行诊断

治疗和护理的要点

肝性脑病的

临床表现

因原有肝病的性质

肝细胞损害程度

及诱因不同而不一致

急性肝衰竭导致的肝性脑病

可能没有明显的诱因

患者在起病几天内随即会进入昏迷

直至死亡

慢性肝性脑病常有诱因

如大量进食蛋白食物

上消化道出血 感染等

根据意识障碍程度

神经系统体征和脑电图改变

将肝性脑病的临床过程

分为5期

0 期(潜伏期)

又称为轻微肝性脑病

无行为 性格的异常

无神经系统病理征

脑电图正常

只在心理测试

或智力测试时有轻微异常

1 期(前驱期)

轻度精神异常

如焦虑 欣快激动 表情淡漠 健忘等

可有扑翼样震颤

临床表现不明显

脑电图大多正常

重点了解扑翼样震颤

嘱患者两臂平伸

肘关节固定

手掌向背侧伸展

手指分开时

可见手向外侧偏斜

掌指关节 腕关节

甚至肘与肩关节

急促而不规则地扑击样抖动

2 期(昏迷前期)

患者嗜睡 行为异常 言语不清

书写障碍及定向力障碍

有腱反射亢进

肌张力增高

踝阵挛及Babinski征阳性等神经体征

有扑翼样震颤 脑电图特征性异常

3 期(昏睡期)

昏睡 可唤醒

常有神志不清和幻觉

各种神经体征持续存在或加重

肌张力增高

四肢被动运动常有抵抗力

锥体束征成阳性

扑翼样震颤仍可引出

脑电图有异常波形

4 期(昏迷期):

昏迷 不能唤醒

浅昏迷时

对疼痛等强烈刺激尚有反应

腱反射和肌张力仍亢进

深昏迷时

各种反射消失

肌张力降低

由于患者不能合作

扑翼样震颤无法引出

脑电图明显异常

辅助检查

首先是血氨检查

正常空腹静脉血氨

为6-35μmol/L

慢性肝性脑病

尤其是门体分流性脑病患者

多有血氨增高

急性肝性脑病

多正常

其次是进行脑电图检查

典型改变为节律变慢

早期脑电图

出现θ波或三项波

每秒4-7次

昏迷时

表现为高波幅的δ波

每秒少于4次

接着是心理智能测量

适合于轻微肝性脑病的诊断

最后是CT MRI等影像学检查

急性肝性脑病病人

可发现脑水肿

慢性病人有不同程度的脑萎缩

了解了主要的辅助检查之后

我们来了解肝性脑病的诊断依据

主要有6点

①严重肝病

或广泛门体侧支循环形成的基础

及肝性脑病的诱因

②出现精神紊乱 昏睡或昏迷

可有扑翼样震颤

③肝功能生化指标明显异常

及血氨升高

④脑电图异常

⑤心理智能测验

诱发电位

及临界视觉闪烁频率异常

⑥头部CT或MRI排除脑血管意外

及颅内肿瘤等疾病

治疗要点主要有以下7点

第一 要及早识别

及消除诱因

比如

控制感染和上消化道出血

并清除积血

避免快速和大量排钾利尿

和放腹水

纠正水

电解质和酸碱平衡失调

防治便秘 控制使用

麻醉 止痛 安眠 镇静等药物

第二 大家还记得前面讲过的

肝性脑病的发病机制的几大学说吗

根据氨中毒学说

可以减少肠内氮源性毒物的

生成和吸收

比如灌肠或导泻

用生理盐水或弱酸性溶液灌肠

用物准备

(1)治疗盘内备

灌肠筒一套

管(24…26号)

弯盘 血管钳 润滑剂

棉签 卫生纸

橡胶单及治疗巾 水温计

(2)常用灌肠溶液

食醋(20%)

成人每次用量为500…1000ml

小儿用量酌减

溶液温度以39…41℃为宜

(3)其他 便器及便器巾

输液架

(1)核对解释

备齐用物携至床旁

核对病人床号 姓名

并向病人及家属解释目的和需配合事项

以取得合作

(2)安置卧位

协助病人取左侧卧位

双膝屈曲

脱裤至膝部

臀部移至床沿

臀下垫橡胶单和治疗巾

臀边放弯盘

(3)润管排气

挂灌肠筒于输液架上

筒内液面距肛门40~60cm

润滑肛管前端

连接肛管

排净管内空气

夹管

(4)插管灌液

分开臀部 显露肛门

嘱病人深呼吸

右手持肛管

轻轻插入直肠7…10cm

固定肛管 去钳松管

使溶液缓缓流入

待溶液即将灌完时夹管

(5)拔出肛管

用纸巾包住肛管

轻轻拔出置弯盘内

擦净肛门

协助平卧

嘱病人尽量忍耐5~10min后

再排便

(6)整理记录

协助病人穿裤

使病人取舒适体位

整理床单位

开窗通风换气

注意观察粪便的性质 颜色和量

必要时留取标本送检

口服或鼻饲25%硫酸镁

30-60ml导泻

还可以使用抑制肠道产尿素酶细菌的抗生素

如新霉素 甲硝唑等

另外口服乳果糖或乳梨醇

乳果糖可降低肠道pH值

抑制细菌的生长

使氨产生减少

并可减少氨的吸收

促进血液中的氨

渗入肠道

再者

益生菌制剂

也可以起到抑制有害菌群的生长

减少毒素吸收的作用

第三 促进体内氨的代谢

临床上常用降氨药物有

谷氨酸钠/钾等

目前有效的最常用为

L-鸟氨酸-L-天冬氨酸

促进体内的尿素循环

而降低血氨

第四 调节神经递质

根据γ-氨基丁酸/苯二氮卓(GABA/BZ)学说

使用复合受体拮抗剂

氟马西尼是BZ受体拮抗剂

对3期 4期患者

有促醒作用

根据假性神经递质学说

减少或拮抗假神经递质

支链氨基酸制剂

竞争性抑制芳香族氨基酸进入大脑

减少假神经递质

第五 采用人工肝支持治疗的方式

比如 血浆置换 血透

血液灌流 分子吸附再循环系统

第六 肝移植是终末期肝病的

一种有效手段

适用于严重和顽固性的

肝性脑病有肝移植指征者

第七 并发症治疗

因为重度肝性脑病的患者

常常并发脑水肿和多器官衰竭

所以要积极防治各种并发症

关于肝性脑病患者的护理

根据以下几个方面进行

首先是根据消化系统疾病

护理常规进行一般护理

另外注意休息与活动

将患者安置于重症监护室

由专人护理

特别注意

患者安全

保持室内空气新鲜

环境安静

限制探视

饮食方面

限制蛋白摄入

供给足够的热量和维生素

以碳水化合物为主

不用维生素B6

因为其会影响中枢神经系统的

正常传导递质

去除和避免诱因

比如清除患者胃肠道内积血

减少氨的吸收

避免快速利尿和大量放腹水

避免应用催眠镇静药 麻醉药等

防止及控制感染

保持排便通畅

防止便秘等

第二大护理措施是病情观察

及对症护理

病情观察

是指尽早发现肝性脑病的征象

观察患者思维及认知的改变

评估患者意识障碍的程度

监测患者的血压 脉搏 呼吸

体温及瞳孔变化

定期复查血氨

肝 肾功能 电解质等

对症护理方面

①对于昏迷患者

安置患者取仰卧位

头略偏向一侧

以防舌后坠

阻塞呼吸道

保持呼吸道通畅和防止感染

② 对于脑水肿患者

用冰帽降低颅内温度

保护脑细胞功能

遵医嘱静脉滴注

甘露醇等脱水剂

注意严格控制滴速

观察尿量

③ 对于兴奋 烦躁不安或抽搐的患者

注意安全保护

取去患者的义齿

加床档 必要时使用约束带

第三大护理措施就是心理护理

患者因为病情重 病程长

久治不愈 医疗费较高等原因

常常会出现烦躁 焦虑 悲观的情绪

甚至不配合治疗

所以应密切关注

患者及家属的心理状态

第四大护理措施是用药护理

用谷氨酸钾或谷氨酸钠时

其比例应根据

血清钾 钠浓度

和病情而定

尿少时少用钾剂

腹水和水肿明显时

慎用钠剂

用精氨酸时

滴速不宜过快

且不宜与碱性溶液配伍使用

大量输注葡萄糖时

应警惕低钾血症

心力衰竭和脑水肿

最后是健康教育

向患者及家属讲解本病的发生 发展过程

及治疗 预后

指导患者按医嘱规定的

药物 剂量 用法服药

了解药物的不良反应

避免应用诱发肝性脑病的药物

教会患者家属

识别肝性脑病的早期征象

及时到医院就诊

总之

肝性脑病的预后

主要取决于肝衰竭的程度

今天的课程就到这里

我们下次课再见

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

Clinical manifestation,treatment and nursing of hepatic encephalopathy笔记与讨论

也许你还感兴趣的课程:

© 柠檬大学-慕课导航 课程版权归原始院校所有,
本网站仅通过互联网进行慕课课程索引,不提供在线课程学习和视频,请同学们点击报名到课程提供网站进行学习。