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1、儿科常用护理诊断(2013年修订)一、支气管肺炎(一)气体交换受损与肺部炎症有关(二)清理呼吸道无效与呼吸道分泌物过多、粘稠、患儿体弱、无力排痰有关(三)体温过高与肺部感染有关(四)营养失调:低于机体需要量与摄入不足、消耗增加有关哮喘加低效性呼吸型态与支气管痉挛、气道阻力增加有关护理措施:1、环境调整与休息。2、氧疗3、保持呼吸道通畅体位引流有效拍背4、观察病情二、上呼吸道感染(一)体温过高与上呼吸道感染有关(二)舒适的改变与咽痛鼻塞等有关(三)口腔粘膜改变与咽部充血、口腔粘膜溃疡有关(四)潜在并发症高热惊厥护理措施:降温
2、促进舒适(口护鼻部护理)观察病情三、新生儿高胆红素血症(一)潜在并发症胆红素脑病(二)知识缺乏与黄疸认识不足有关护理措施:保暖、合理喂养、使用肝酶诱导剂观察病情:神志哭声大小吸允力肌张力抽搐地形平坦开阔,地层由第四系全新冲积层,第四系上更新统冲层组成,局部表覆第四系全新统人工堆积层。第四系全新统冲积层厚度约25~50m,岩性主要为黏土、粉质黏土、粉土、粉砂、细砂;第四系上更新统冲积层厚度大于50m,岩性主要为黏性土、粉土、粉细砂等。管桩深度范围内地层主要为:粉土、黏土、粉质黏土,局部表层为杂填土。couplingCentr
3、eshallbechecked,thesecondpouredconcretestrengthofmorethan70%.Intheprocessofreamingorboring,apartfromthespecialprovisionsinfactory,doesnotallowanyworkthatmayaffectthecouplingCentre,suchasirrigation,tocylinderconnectionstofloodthecondenserpipesandsoon.Wellboring,hin
4、geboltholeflangewithcouplingofvertical,notoblique.Mountingboltsshouldbeaddedlubricants,typinggentlywithasmallhammer,nottoolooseortootight,packedtheboltswiththecorrespondingsealscrewholeshouldbemarked.6.4.5.4.2couplingreamedandpairingsisclosetothediameterofboltbear
5、inggoodhingeholes,dressedwithagoodtwocouplingboltsbeforeyoucanmovetherotor,boring-reamingholeinturn.Couplingboltsmustbetightcouplingissymmetricaldiameter,inboring,reaming,twoboltsout.Wellboring,hingeboltholeflangewithcouplingofvertical,notoblique.Duetothecouplingb
6、oltsinaccordancewithhingeholescorrespondingtothediameterofthescrewholesonebyoneafterprocessing,processingbackboltinstallationlocationcannotbechanged,soaccordingtoboltaftertheactualweightdifferenceofnutandlockwashertomatch.Generalrequirementsforcouplingtwosymmetric
7、aldiameterbolt,nutandlockwasher'stotalweightdifferenceshouldnotbegreaterthan10gandknocksstampedmark.(SeeFigure18)Thecouplingboltsapplylubricant,andthengentlywithcopperhome,nottoolooseortootight.BoltAssemblyisfinished,symmetricaltighteningallboltsto30%,50%,70%,100%
8、force,andcheckthecouplingflutterandbeforeconnectingthecirclegraduallychangesitsvalueshouldbelessthan0.02mm.Tighteningtorqueofthecouplingboltsshallcomply