西安医学院护理系：《临床护理学》课程教学资源（PPT课件）Chapter 13 氧合 Oxygenation

Chapter 13 Oxygenation 氧合 ●●●●● Nursing faculty Xi an medical college 2021/1/26

2021/1/26 2 Chapter 13 Oxygenation 氧合 Nursing faculty, Xi’an medical college

●●● ● ●● ● Key terms ypoventilation n肺通气不足 Hyperventilation n.医通气过度;强力呼吸 Hypoxia n氧不足;医组织缺氧;低 ypoxenla n低氧血症 vanosis n紫绀 Dyspnea n呼吸困难 Nebulization n雾化吸入 Suctioning n吸痰术 Oxygen toxicit!y氧中毒 Cardiopulmonary resuscitation(CPR)心肺复苏术 202

2021/1/26 3 Key Terms Hypoventilation n. 肺通气不足 Hyperventilation n. [医]通气过度；强力呼吸 Hypoxia n. 氧不足；[医]组织缺氧；低氧 Hypoxemia n.低氧血症 Cyanosis n.紫绀 Dyspnea n.呼吸困难 Nebulization n.雾化吸入 Suctioning n.吸痰术 Oxygen toxicity 氧中毒 Cardiopulmonary resuscitation （CPR） 心肺复苏术

●●● ● ●● ● Key terms hypoventilation Hyperventilation Hypoxia hypoxemia Cvanosis Dyspnea Nebulization S auctioning Oxygen toxicity Cardiopulmonary resuscitation ( CPR) 202

2021/1/26 4 Key Terms Hypoventilation Hyperventilation Hypoxia Hypoxemia Cyanosis Dyspnea Nebulization Suctioning Oxygen toxicity Cardiopulmonary resuscitation （CPR）

●●● ●●●● Content ●●●●● ●●●● ●●●●● ●●●● e 1. Physiological and anatomical knowledge base 2. Nursing ● mplementation ● Skills o Nebulization Suctioning ● Administering oXygen Cardiopulmonary resuscitation 2021/1/26

2021/1/26 5 Content ⚫ 1.Physiological and anatomical knowledge base ⚫ 2.Nursing ⚫ Implementation ⚫ Skills ⚫ Nebulization ⚫ Suctioning ⚫ Administering oxygen ⚫ Cardiopulmonary resuscitation

●●● ●●●● Section 1 Scientific knowledge baseggio ●● ● ●● ●● o Cardiovascular Anatomy and Physiology o The heart 主勤瞼弓 ° The blood vel 肺動脈幹 上腔静脈 肺勤脈 ● Blood 肺静瞪 肺静脈 肺勤瞪 左心房 肺勤脈幹 右心孱 主勤脈瓣 尖 尖瓣 2021/1/26 右心室 左心室

2021/1/26 6 Section 1 Scientific knowledge base ⚫ Cardiovascular Anatomy and Physiology ⚫ The Heart ⚫ The Blood Vessels ⚫ Blood

●●● ●●●● ●●●●● ●●●● Respiratory Anatomy and Physiology :98p. 昴腔 咽喉 氣管 支氣管 肺部 小支氣管 2021/1/26

2021/1/26 7 Respiratory Anatomy and Physiology ⚫ 结构 ⚫ 功能 ⚫ 调节

●●● ●●●● ●●●●● ●●●● Factors Influencing Oxygenation出:° ●● o 1. Physiological Factors o 2. Developmental Factors ●3 Lifestyle o 4 Environmental Factors o 5.Stress and Coping 2021/1/26

2021/1/26 8 Factors Influencing Oxygenation ⚫ 1.Physiological Factors ⚫ 2.Developmental Factors ⚫ 3.Lifestyle ⚫ 4.Environmental Factors ⚫ 5.Stress and Coping

肺部氧气交换 在 肺内,血液中的二氧化碳与薄壁进入血液,二氧化碳则以相反 空气中的氧气发生交换,此方向通过肺泡壁从血液进入肺泡, 1. Physiological Fact 交换发生在数以百万计的称为肺吸气使氧气进入肺,而呼气则排出 泡的小气囊中,氧气通过肺泡的二氧化碳 肺泡 o 1)Alterations in Circulat 毛细血管 血管 通往心脏 细小的血管所组成的 网络(称毛细血管网) o Cardiac Output 覆盖着每个肺泡 氧气 吸收进入血液 二氧化碳 排出血液 .(1)Hypoventilation 氧气的流动 来自心脏 (2) Hy perventilation血您 毛细血管 复杂的血管网运送到全身各处, (3) Hy poxia≠ Hypoxem 脏的静脉;以及遍布全身组织 并且连接动脉和静脉的毛细血管 血液循环路径 人体内血液循环主 要沿两条路径 是心脏和肺部之间 的循环,它使血液 毛细血管 2021/1/26 脏和全身组织之间 的循环,它将氧气 和养料运输到全身 组织 血液的 刻量心率

2021/1/26 9 1.Physiological Factors ⚫ 1）Alterations in Circulatory Functioning ⚫ 2）Alterations in Respiratory ⚫ 3）Other Physiology Factors ⚫ 吸入性中毒、贫血、呼吸道阻塞、胸廓运动受 限、发热、中枢神经功能障碍 ⚫ Cardiac Output ⚫ Impaired Tissue Perfusion ⚫ Blood Alteration ⚫ （1）Hypoventilation ⚫ （2）Hyperventilation ⚫ （3）Hypoxia ≠ Hypoxemia

●●● ●●●● ●●●●● ●●●● 2. Developmental Factors ●●●●● ●●●● ●● ● After Birth ● nfants and toddlers e School-age Children and Adolescents e Young and middle-age Adult ° older Adults 2021/1/26 10

2021/1/26 10 2.Developmental Factors ⚫ After Birth ⚫ Infants and Toddlers ⚫ School-age Children and Adolescents ⚫ Young and Middle-age Adult ⚫ Older Adults

●●● ●●●● ●●●●● Section 2 Nursing process ●●●● ●●●●● ●●●● ●● ° Assessment ● DIagnOsIS Plan ● ntervention ● Evaluation 2021/1/26

2021/1/26 11 Section 2 Nursing process ⚫ Assessment ⚫ Diagnosis ⚫ Plan ⚫ Intervention ⚫ Evaluation