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同学们好

上节课我们学习了

帕金森病的概述

病因与发病机制

临床表现和诊断要点

今天

我们一起来学习帕金森病的治疗和护理

帕金森病的治疗

分为药物治疗 外科治疗和

康复治疗

帕金森病早期无需药物治疗

当疾病影响

患者日常生活时

适当的药物治疗

可减轻症状

但不能完全控制

疾病进展

下面我们来看看治疗帕金森病的主要药物有哪些

第一类是抗胆碱能药物

常用药物有苯海索

商品名为安坦

适用于震颤明显的

年轻患者

其作用机理是

协助维持纹状体的递质平衡

第二类是促多巴胺释放药物

常用药物是金刚烷胺

它可促进神经末梢

释放多巴胺

并阻止其再吸收

对活动慢 强直

震颤均有改善作用

第三类是 左旋多巴类制剂

这也是治疗帕金森病最基本

最有效的药物

左旋多巴是多巴胺的前体

当经过血脑屏障时

经多巴脱羧酶作用转化成多巴胺

其常用药物是多巴丝肼

一旦开始服用

需终身用药

2-5年后可出现药效衰退

第四类是多巴胺受体激动剂

其作用是

直接激动纹状体

生和多巴胺作用相同的药物

常用药物有

普拉克索和吡贝地尔

第五类是儿茶酚胺-氧位-甲基转移酶抑制剂

其作用是

抑制左旋多巴在外周的代谢

增加入脑量

常与左旋多巴制剂合用

代表药物是恩他卡朋

第六类是

单胺氧化酶B抑制剂

其作用是抑制多巴胺分解代谢

同时 可保护多巴胺能神经元

常用药物是司来吉兰

二 外科治疗

外科治疗适用于

药物治疗疗效减退

同时出现异动症的患者

但手术只能改善症状

术后仍需药物治疗

手术方法有

立体定向神经核毁损术

脑深部刺激术

目前正在探索

干细胞移植结合基因治疗

三 康复治疗

包括肢体运动训练

语言训练 进食训练等

可改善患者生活质量

减少并发症

帕金森病患者的护理问题有哪些呢 主要有以下三个

1.躯体活动障碍

与黑质病变

锥体外系功能障碍所致震颤

肌强直 体位不稳

随意运动异常有关

2.自尊低下

与震颤 流涎

面肌强直等身体形象改变和言语障碍

生活依赖他人有关

3.知识缺乏

缺乏本病相关

知识与药物治疗知识

另外

患者可能还有营养失调

低于机体需要量 便秘

语言沟通障碍及

潜在并发症

跌倒 压疮 感染等问题

那么 我们该如何护理帕金森病患者呢

首先 一般生活方面

我们要加强巡视

指导和鼓励患者自我护理

做好安全防护

增进患者舒适

具体来讲 第一

指导患者注意个人卫生

经常清洁皮肤 更换衣物

第二 卧床患者垫气垫床

定时翻身 拍背

预防压疮

第三

给患者提供生活方便

如给起坐困难者配备高位坐厕

带扶手的高脚椅 卫生间扶手

使用手杖

床铺护栏等

因患者完成精细动作困难

指导家属给患者穿

宽松便于穿脱的衣服

不用系鞋带的鞋子

另外 还需准备大手柄的勺子

固定碗碟的防滑垫等

第四 保持大小便通畅

由于自主神经功能障碍

年龄大 活动少

很多患者都有便秘

为了预防便秘

饮食上 要多食新鲜蔬菜水果

也可顺时针按摩腹部

必要时

使用开塞露

或遵医嘱服用麻仁软胶囊

第五 安全方面

上肢有明显颤抖者

应避免接触热水及汤水

以免烫伤及灼伤

并使用不锈钢餐具

第六

若患者有幻觉

错觉 抑郁

精神错乱

应有专人陪护

保证药服到口

免自伤 伤人

坠床 坠楼等

第二个方面 饮食护理

首先

饮食原则

“四高两低一适量易消化”

四高是指 高热量 高维生素 高纤维素 高钙

两低是低盐 低脂

一适量是指适量优质蛋白

而不是高蛋白饮食

因为过多蛋白质消化产生中性氨基酸

可与左旋多巴类药物竞争入脑

降低疗效

第二 饮食内容

以五谷类为主

多食粗粮和新鲜蔬果

多喝水

适量奶制品

忌辛辣

(因为辛辣刺激可能加重便秘)

戒烟 戒酒

需特别注意的是

不要食用槟榔

可降低

抗胆碱能药物的疗效

第三 饮食方法

用餐时抬高床头

保持坐位或半坐位

给予患者充足的时间

不催促

不打扰患者进食

指导患者少量分次吞咽

有饮水呛咳

进食困难者

要插胃管予鼻饲

第三个方面 运动护理

我们要告知患者

运动锻炼的目的是

防止和推迟关节强直和肢体挛缩 防止便秘

保持并增强自我照顾能力

早期的患者 应指导其

培养业余爱好

鼓励参与社交活动

坚持适当运动锻炼

可选择下棋 打太极拳等

中期患者

已出现某些功能障碍

因此要进行有目的的锻炼

如练习起坐动作

利用椅子进行平衡功能的锻炼

走路时目视前方

双臂摆动

转弯时以弧线形式前移等

运动过程中

应有护士或家属在旁陪同

预防跌倒

疾病晚期的患者

运动障碍明显卧床不起

应帮助患者采取舒适卧位

被动活动关节

按摩四肢肌肉

第四个方面 药物护理

告知患者

需要长期服药

让患者了解

用药原则

常用药物的不良反应

和服药注意事项

一 用药原则

从小剂量开始

逐步缓慢加量直至有效维持

避免使用维生素B6 氯丙嗪

利血平等药物

第二 服药过程中要进行疗效观察

观察震颤 肌强直

和其他运动功能

语言功能的改善程度

观察病人起坐的速度

步行的姿态

讲话的音调与流利程度 写字 梳头

扣纽扣 系鞋带以及进食动作等

三 药物不良反应的观察

常见药物的作用

不良反应及注意事项

见下表

需要特别注意的是

多巴丝肼需服用数天后才有效

要避免嚼碎药片

避免与高蛋白食物一起服用

避免突然停药

多巴丝肼的不良反应有

恶心 呕吐 便秘

眩晕 幻觉

异动症和开-关现象

什么是异动症和开关现象呢

异动症表现为舞蹈症

或手足徐动样不自主运动

肌强直或肌阵挛

可累及头面部

四肢和躯干

有时表现为单调刻板的不自主动作

或肌张力障碍

开-关现象指

症状在突然缓解 开期 与加重 关期 两种状态之间波动

一般“关期”表现为

严重的帕金森症状

持续数秒或数分钟后

突然转为“开期”

常伴异动症

多见于病情严重者

一般与服药时间和剂量无关

不可预料

处理比较困难

适当加多巴胺受体激动剂

可以防止或减少发生

其他药物的注意事项有

普拉克索首次服药后 应卧床休息

避免开车或操作机械

尽量在上午服药

司来吉兰尽量在上午服药

以免影响睡眠

恩他卡朋需和

多巴丝肼一起服用

安坦不可突然停药

应缓慢减量

盐酸金刚烷胺尽量在黄昏前使用

以免失眠

第五个方面 心理护理

细心观察

患者心理反应

鼓励患者表达心理感受

对身体健康状况改变带来的影响

给予积极引导

并指导家属多关心

鼓励患者

帕金森病

是一种慢性进展性疾病

无法根治

晚期可出现功能残障

因此 健康指导显得尤为重要

帕金森病的健康指导包括安全指导 饮食指导

皮肤护理指导和康复锻炼指导

其中

康复锻炼指导尤为重要

这节课我们学习了

帕金森病的治疗和护理

帕金森病以药物治疗为主

康复治疗和手术治疗为辅

患者的主要护理问题有

躯体活动障碍 自尊低下 知识缺乏

和营养失调 低于机体需要量

我们应当从一般生活护理

饮食护理 运动护理 药物护理 心理护理这几个方面护理患者

并做好患者和家属的健康指导工作

就是今天的全部内容 同学们 再见

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

Care of Patients with Parkinson Disease(II)笔记与讨论

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