How to write a general care record for a patient with intracerebral hemorrhage 50

Nursing principles for patients with early intracerebral hemorrhage: ensure the absolute silence of patients and prevent 6**; To prevent the occurrence of 5 aspiration R pneumonia, patients with dysphagia should be inserted into a nasogastric tube to ensure the supply of nutrients, and the Q weight of 5 is heavy; Keep the airway open, and intubate the trachea 7 if necessary; Prevent the occurrence of 2 bedsores; If there is urinary retention, the urinary catheter should be kept to prevent 1 urinary tract infection. As for the format of Q's nursing record, I really don't know it, you can 3 ask other people Q and then consult a b under c.

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Now it is required to be written simply, you just need to fill it in with the corresponding numbers according to the format on the general nursing record, as for the condition, you do not need to describe it, only when there is a change. Notification to the doctor is also indicated by ticking. The effect of special medication must be stated.

Write nursing records and **, catheters, and medication records on the reverse side, and also fill in with numbers (corresponding).

1. Vital signs.

2. Consciousness, including reactions, pupils, etc.

3. Application of liquids and drugs.

4. Eating, drinking, and Lazar.

5. **Situation.

The specific time of nursing operation is recorded, so that medical staff can understand the patient's bleeding and nursing effect. 2.Patient Information:

Record basic information such as the patient's name, gender, age, and hospitalization number. 3.Bleeding:

The patient's bleeding was recorded, including the bleeding site, the amount of bleeding, the nature of bleeding, and the bleeding time. 4.Take action:

Record the measures taken by health care providers, including the use of hemostatic drugs, surgical management, blood transfusions, etc. 5.Treatment Effect:

The effect of care after the measures taken were recorded, including the degree of improvement in bleeding, changes in the patient's condition, etc. 6.Paramedic signature:

Record the name, signature, date and other information of the nursing staff so that the medical staff can understand the specific operation and effect of the nursing staff. The exact writing and content of the Bleeding Care Record may vary depending on the patient's condition and the hospital's requirements. When filling in the bleeding nursing record form, the nursing staff needs to carefully observe the patient's condition and nursing effect, accurately record the bleeding situation and take measures, and timely feedback to the medical staff in order to adjust the ** plan and nursing plan in time.

Fellow, I really didn't understand, I can be more specific.

2.Patient information: record the patient's name, gender, age, hospitalization number and other basic information.

3.Bleeding: Record the bleeding of the sick person, including the bleeding site, the amount of bleeding, the nature of bleeding, the bleeding time, etc.

4.Take measures: Document the actions taken by health care providers, including the use of hemostatic drugs, surgical management, blood transfusions, etc.

5.Nursing effect: record the nursing effect after taking measures, including the degree of improvement in bleeding, changes in the patient's condition, etc.

6.Nursing staff signature: Record the name, signature, date and other information of the nursing staff, so that the medical staff can understand the specific operation and effect of the nursing staff.

The exact writing and content of the Bleeding Care Record may vary depending on the patient's condition and the hospital's requirements. When filling in the bleeding nursing record form, the nursing staff need to carefully observe the condition and nursing effect of the sick and stuffy person, accurately record the bleeding situation and take measures, and timely feedback to the medical staff, so as to adjust the ** plan and nursing plan in time.

Summary. Hello, I'm glad to answer for you: Bleeding care record sheets can be written in the following format:

Record basic information such as the patient's name, ward, bed number, and hospitalization number. Record information such as the time, location, amount, color, and smell of bleeding. Record the nursing measures taken, including observing the condition, cleaning the respiratory tract, administering oxygen, keeping ** clean, monitoring vital signs, etc.

The patient's condition changes and reactions were recorded, including state of consciousness, pain level, vital signs, blood transfusion, etc. Record the causes, effects, existing problems, and solutions of nursing measures. Record the family's cooperation and psychological state, and give corresponding nursing measures and psychological support.

Indicate the time of recording and sign for confirmation. The above is the writing format of the bleeding care record sheet, which can be appropriately adjusted and supplemented according to the specific situation.

Hello, I am glad to answer for you: the bleeding nursing record sheet can be written in the following format: record the patient's name, ward, bed number, hospitalization number and other basic information.

Record information such as the time, location, amount, color, and smell of bleeding. Record the nursing measures taken by the world, including observing the condition, cleaning the respiratory tract, giving oxygen, keeping ** clean, monitoring vital signs, etc. The patient's condition changes and reactions were recorded, including state of consciousness, pain level, vital signs of Chuntuan, blood transfusion, etc.

Record the causes, effects, existing problems, and solutions of nursing measures. Record the family's cooperation and psychological state, and give corresponding nursing measures and psychological support. Indicate the time of recording and sign for confirmation.

The above is the writing format of the bleeding care record sheet, which can be appropriately adjusted and supplemented according to the specific situation.

Fellow, I really didn't understand, I can be more specific.

Hello, I am glad to answer for you: the bleeding nursing record sheet can be written in the following format: record the patient's name, ward, bed number, hospitalization number and other basic information.

Record information such as the time, location, amount, color, and smell of bleeding. Record the nursing measures taken by the world, including observing the condition, cleaning the respiratory tract, giving oxygen, keeping ** clean, monitoring vital signs, etc. The patient's condition changes and reactions were recorded, including state of consciousness, pain level, vital signs of Chuntuan, blood transfusion, etc.

Record the causes, effects, existing problems, and solutions of nursing measures. Record the family's cooperation and psychological state, and give corresponding nursing measures and psychological support. Indicate the time of recording and sign for confirmation.

The above is the writing format of the bleeding care record sheet, which can be appropriately adjusted and supplemented according to the specific situation.