chăm sóc bệnh nhân tay chân miệng tại bệnh viện đa khoa đức giang

Chuyên Đề
Chuyên Đề
CHĂM SÓC BỆNH NHÂN
CHĂM SÓC BỆNH NHÂN
TAY CHÂN MIỆNG
TAY CHÂN MIỆNG
BỘ GIÁO DỤC ĐÀO TẠO
BỘ GIÁO DỤC ĐÀO TẠO
TRƯỜNG ĐẠI HỌC THĂNG LONG
TRƯỜNG ĐẠI HỌC THĂNG LONG
Khoa Điều Dưỡng
Khoa Điều Dưỡng


Nguyễn Thị Hà
Nguyễn Thị Hà


ThS. Ngô Thị Hiếu Minh
ThS. Ngô Thị Hiếu Minh
ĐẶT VẤN ĐỀ
ĐẶT VẤN ĐỀ
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AHEEI
AHEEI
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J5
J5
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I – TỔNG QUAN
I – TỔNG QUAN
1.1 Khái niệm về bệnh TCM
1.1 Khái niệm về bệnh TCM
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\.)GJ
1.2 Cơ chế bệnh sinh
1.2 Cơ chế bệnh sinh

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Cơ chế lây bệnh
Cơ chế lây bệnh
1.3 Triệu chứng bệnh TCM
1.3 Triệu chứng bệnh TCM
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'6'b#)*#;5

`6.DYdef.-;^
`6.DYdef.-;^
K')
K')
D
D

K*D$%
K*D$%
#^>
#^>
$%$g4FEW5
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
K"DK.'
K"DK.'
),F65
),F65

K-;KD$..
K-;KD$..
-;h>
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?i'>?
?i'>?
.^j-#'
.^j-#'

'6#;'-;
'6#;'-;
i'5
i'5
c')D
c')D

Dk*+P#
Dk*+P#
8lP
8lP
^5
^5

mnD+W
mnD+W

:+W.#:`:#=o
:+W.#:`:#=o
'*,
'*,
(A!V5
(A!V5

=2Dp"'.#
=2Dp"'.#
q#r&3L5
q#r&3L5
O+,!
O+,!

s')D
s')D

t.*$&%D.#'9#9+.#)*'T
t.*$&%D.#'9#9+.#)*'T
9'(W5
9'(W5

U')D +,K!'#[#[
U')D +,K!'#[#[
#*#';#-u'M)*>-;
#*#';#-u'M)*>-;

Chuẩn đoán xác định
Chuẩn đoán xác định
CD%EFG EHI7J
CD%EFG EHI7J
)I&K
)I&K

Chẩn đoán phân biệt
Chẩn đoán phân biệt

K.i'DV'i'@<ZI
K.i'DV'i'@<ZI

$D)*#$&^#V'$'Lv
$D)*#$&^#V'$'Lv

1V'3<'3

1V'3<'3

2%'-.s.#)*%'-.s#V'
2%'-.s.#)*%'-.s#V'
O+,
O+,

:(JD
:(JD
?i'>+Z$5
?i'>+Z$5

:(AD
:(AD

L4MN
L4MN
o
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o
STM8&'&1STPU
STM8&'&1STPU


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'?'7,5,'6'A)*&6?
@K
@K


L4MN
L4MN
o
V6%WJ%J7R+%'1X6J%YM
V6%WJ%J7R+%'1X6J%YM
7-OPQR'1X6J%Z%$+*))8'
7-OPQR'1X6J%Z%$+*))8'
%TW[Q7-OR'1SYPU
%TW[Q7-OR'1SYPU


K
K
o
V6%M*53)\)')>']?2'57
V6%M*53)\)')>']?2'57
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1.4 Phân độ lâm sàng
1.4 Phân độ lâm sàng

Độ 3:
Độ 3:

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!TWaQ7-ORK

=^%]?'78IH)RK
=^%]?'78IH)RK


)&+bK
)&+bK

"'"*>
"'"*>

ES7+
ES7+

b@7.@
b@7.@

Độ 4:
Độ 4:
1S'c0*'B%+'dMeUMf'"'"*K
1S'c0*'B%+'dMeUMf'"'"*K


^
^
Biến chứng thần kinh: Viêm
Biến chứng thần kinh: Viêm
não, viêm thân não, viêm não
não, viêm thân não, viêm não
tủy, viêm màng não.
tủy, viêm màng não.
Biến chứng hô hấp, tim mạch:
Biến chứng hô hấp, tim mạch:
Viêm cơ tim, phù phổi cấp, tăng
Viêm cơ tim, phù phổi cấp, tăng

HA, suy tim, trụy mạch.
HA, suy tim, trụy mạch.


1.5 Biến chứng
1.5 Biến chứng
2.VT
2.VT


R.&
R.&
$g1+'+1%8
$g1+'+1%8
53)h
53)h
i/5/%j5-&5'
i/5/%j5-&5'
Ik
Ik


6)S53)h5H)'
6)S53)h5H)'
l53)hm:\?c
l53)hm:\?c
+1?64
+1?64
%N
%N

1.6 Điều Trị
1.6 Điều Trị
:R.&OK
:R.&OK

:(JD
:(JD

L3)hR8$g@1"&K
L3)hR8$g@1"&K

)*j5-&5$)0#K
)*j5-&5$)0#K

1S1S;G$%773)WQ%OO7-\)SN
1S1S;G$%773)WQ%OO7-\)SN
%mn>K
%mn>K

=1b%K
=1b%K

++%$7ho
++%$7ho

:(AD
:(AD
R.&(w65
R.&(w65


L4MN<53)h54W
L4MN<53)h54W

L4MNLH#;%5-)PQp'"(&K81SB.)
L4MNLH#;%5-)PQp'"(&K81SB.)
#61S
#61S



:(d#FD
:(d#FD
R.&(w6Z&_)^^.
R.&(w6Z&_)^^.
1.7 Phòng bệnh
1.7 Phòng bệnh
1)@o4+WQ.I
1)@o4+WQ.I

2c),'#R.&-&WQ.0x*5
2c),'#R.&-&WQ.0x*5

1)*R'>#)-./#+Wb#
1)*R'>#)-./#+Wb#
Z;(y$.$&7[)-.s5
Z;(y$.$&7[)-.s5

1)+W7.V#(7.$OO#_ZL
1)+W7.V#(7.$OO#_ZL


M $h    ),'  . ^  -  '9
M $h    ),'  . ^  -  '9
$&5
$&5
1.8 Dịch tễ
1.8 Dịch tễ
`>!0+,V,+Dz#{#|.#
`>!0+,V,+Dz#{#|.#
>   +,  , + . o.*# )#
>   +,  , + . o.*# )#
kM#:U5
kM#:U5

612+P0Y8'JHHG#8'ABBd+PQ.
612+P0Y8'JHHG#8'ABBd+PQ.
'R.Z5
'R.Z5

62:_A2-'c
62:_A2-'c
8$jMY8'#8'ABBCffB#8'ABBG
8$jMY8'#8'ABBCffB#8'ABBG
A5BFd#Q.xq8'ABBEfJG5'()*
A5BFd#Q.xq8'ABBEfJG5'()*
47.+,85
47.+,85
1.9 Vai trò của điều dưỡng
1.9 Vai trò của điều dưỡng
o.R.$+SD
o.R.$+SD

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2c&R.$+S
2c&R.$+S
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sR.$+S
sR.$+S
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Uc-68')
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|8')
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U+P
U+P
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iVI <k

iVI <k
2.1.1 Nhận định
2.1.1 Nhận định
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2c&DQ. 
2c&DQ. 
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o.)
o.)
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8'-'Dr..)_#$#V''6#;#.j
8'-'Dr..)_#$#V''6#;#.j
#c')
#c')
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.c$}.
.c$}.
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)JA)5iV
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+A)/,]1@+
+A)/,]1@+
2.1.2 Chẩn đoán điều dưỡng
2.1.2 Chẩn đoán điều dưỡng
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-;^D0^LD)*#.

9 '# -; 8 .* +P#   V Q. 
9 '# -; 8 .* +P#   V Q. 
5
5
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    ^D 0 ^ L D c '
    ^D 0 ^ L D c '
R.# '6 # .  8# ! # ! 
R.# '6 # .  8# ! # ! 
+W#)*-;^,.*6)*5
+W#)*-;^,.*6)*5
2.1.3 Lập kế hoạch chăm sóc
2.1.3 Lập kế hoạch chăm sóc
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M$hDr..)_#7i'#$OO
M$hDr..)_#7i'#$OO
L.*#^
L.*#^
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/
/
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8')Z0
8')Z0
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#6
#6
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#?6
#?6

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