护理医学中医护理学课件-心悸_精品.ppt

Nursing evaluation Introduction on health 积极治疗引起胸痹的有关疾病，如高血压，糖尿病等。 坚持适当的体育锻炼，促进心肺功能，使气血调畅，利于康复。 饮食以素食为主，戒除烟酒等不良嗜好，不偏食偏嗜，不暴饮暴食。 参照《内科护理学》相关知识。 Chest blockage * 眩晕 Dizziness / Vertigo * Dizziness / Vertigo Definition 眩( blurred vision )即眼花，晕(dizziness)即头晕，两者常同时并见，故统称为“眩晕”。轻者闭目可止，重者如坐车，旋转不定，不能站立，或伴有恶心、呕吐、汗出、甚则昏倒等症状。 * Cause of Disease and Pathomechanism 肝阳上亢：hyperactivity of liver-yang 肾精不足：deficiency of renal essence 气血亏虚：asthenia of both qi and blood 痰浊中阻：turbid phlegm obstructing in midst 瘀血内阻：interior retention of blood stasis Dizziness 多为本虚标实，实为风、火、痰、瘀；虚则气血阴阳之虚。病变脏腑涉及肝、脾、肾，三者之中，又以肝为主。 Dizziness / Vertigo * Analyses of pathological conditions Hyperactivity of liver-yang Asthenia of both qi and blood Deficiency of renal essence Turbid phlegm obstructing in midst 瘀血阻络：blood stasis obstructing collaterals Dizziness / Vertigo * Analyses of pathological conditions Hyperactivity of liver-yang 眩晕耳鸣，头痛且胀，每因烦劳或恼怒而头晕头痛加剧，面色潮红，急躁易怒，少寐多梦，口苦，舌质红，苔黄，脉弦。 Asthenia of both qi and blood 眩晕动则加剧，劳累即发，面色少华或萎黄，唇甲色淡，心悸少寐，神倦懒言，纳呆，舌质淡，脉细弱。 Dizziness / Vertigo * Analyses of pathological conditions Deficiency of renal essence 眩晕，目花，健忘少寐，精神萎靡，腰膝酸软，遗精耳鸣。偏阴虚者，兼见五心烦热，舌质红，脉细数。偏阳虚者，兼见四肢不温，形寒怯冷，舌质淡，脉沉细弱。 Dizziness / Vertigo * Analyses of pathological conditions Turbid phlegm obstructing in midst 眩晕而头重昏蒙，胸脘满闷，纳呆，恶心，体倦多寐，苔白腻，脉濡滑。 Blood stasis obstructing collaterals 眩晕头痛，或健忘，失眠，心悸，精神不振，面或唇色紫暗，舌质有瘀斑瘀点，脉弦涩或细涩。 Dizziness / Vertigo * Problems of patients Nursing goals Dizziness / Vertigo * Nursing interventions Hyperactivity of liver-yang Principle of nursing ：平肝潜阳，滋补肝肾 Entirety nursing Life care: Diet care: Drugs care: Other nursing methods: Dizziness / Vertigo * Nursing interventions Asthenia of both qi and blood Principle of nursing ：补益气血，健运脾胃 Entirety nursing Life care: Diet care: Drugs care: Other nursing methods: Dizziness / Vertigo * Nursing interventions Deficiency of renal essence Princi