常用医嘱术语[Medical orders]
(1)医嘱术语[medical orders]
•Admit/transfer to[收入(转入)]
•Resident/attending[住院(主诊)医师]
•condition[病情]
▲critical (Imminence)[病危]
▲unstable[不稳定]
▲stable[稳定]
▲general (fair) [一般]
•emergent[急诊]
•Diagnosis[诊断]
•Diet[饮食]
▲full (home) diet[普食]
▲liquid (semi-liquid) diet[流汁(半流汁)饮食]
▲soft diet[软食]
▲low salt and low fat diet[低盐低脂饮食]
▲salt-free diet[无盐饮食]
▲low purine diet[低嘌呤饮食]
▲low (non)-residue diet[少(无)渣饮食]
▲light diet [清淡饮食]
▲high caloric diet[高热量饮食]
▲high protein (protein-rich) diet[高蛋白饮食]
▲diabetic diet[糖尿病饮食]
▲nephritic diet[肾炎饮食]
▲nasal feeding[鼻饲]
▲fasting (NPO, nothing by mouth)[禁食]
▲NPO for 5 hours[禁食5小时]
▲meal standard[伙食标准]
•activity[活动]
▲absolute rest[绝对卧床休息]
▲stay on the bed (yest in bed)[卧床休息]
▲Ad lib[随意活动]
▲In the ward [病房内活动]
•vital signs[生命体征]
•Q shift (q.6h)[每班(每6小时)一次]
•immoblization[制动]
•pressed by sand bag [沙袋压迫]
•I/O (intake and output)[记出入量]
•N/A (non-apply)[不需要]
•parameter: EKG(Bp,SaO2) monitor [其他:心电图(血压,氧饱和度)监
  护]
•allergies[过敏]
•NKA (non-known allergies)[无已知的过敏反应]
•patient identification [病人身份]
•4th floor,room 5 ,bed 2(405-2)[4楼5号房2床]
•Med. Rec#[病历号]
•medical orders[医嘱]
•on general routine[护理常规]
•on grade I (II, III) nuring care[I (I、III)级护理]
•morning (evening) care[晨间(夜间)护理]
•bedsore care[褥疮护理]
•mouth (oral) care[口腔护理]
•CPT( chest physical treatment) [胸部物理]
•O2 inhalation (2-4L/min)[吸氧(2-4升/分)]
•alcohol sponge bath[酒精擦浴]
•cold (hot) compress[冷(热)敷]
•wet (hydropathic) compress by MgSO4[用硫酸镁湿敷]
•change position × qh[每小时更换一次体位]
•gastric lavage with water[用清水洗胃]
•bladder irrigation [膀胱冲洗]
•under water seal drainage of thorax[胸腔水封瓶引流]
•GI decompression [胃肠减压]
•keep warm[保温]医.学 全在.线,提供
•lower temperature by ice-cap[冰帽降温]
•keep bowels open[保持大便通畅]
•keep the airway open[保持气道通畅]
•retention catheterization[留置导尿]
•prevent from bedsore[预防褥疮]
•on bedside isolation[床边隔离]
•P.P sitz bath[高锰酸钾液坐浴]
•raising the head (foot) of the bed[抬高床头(尾)]
•pencillin (procaine, iodine) skin test[青霉素(普鲁卡因,碘)皮试]
•intubate and ventilator support[气管插管及呼吸机支持]
•cleaning (retention) enama[清洁(保留)灌肠]
•soapsuds (saline) enama[肥皂水(盐水)灌肠]
•intradermal injection[皮内注射]
•subcutaneous (hypodermic) injection [皮下注射]
•intramuscular injection( i.m)[肌肉注射]
•intravenous injection(i.v)[静脉注射]
•intravenous drip(ivgtt)[静脉滴入]
•intraarterial injection[动脉注射]
•intraarticular injection[关节内注射]
•intrapleural injection[胸腔内注射]
•intrathecal injection[鞘内注射]
•intraspinal injection[椎管内注射]
•per os(P.O,by mouth[口服]
•inhalation[吸入]
•inunction[涂擦]
•scarification[划痕法]
•by rectum[直肠灌注]
•quaque die (qd)[一天1次]
•bis in die(bid)[一天2次]
•ter in die (tid)[一天3次]
•quater in die (qid)[一天4次]
•quaque hora (qh)[每小时1次]
•quaque quarta hora(q4h)[每4小时1次]
•quaque nocte (qn)[每晚1次]
•quaque mane (qm)[每晨1次]
•ante cibum(ac)[饭前(给药)]
•post cibum (pc)[饭后(给药)]
•hora somni (hs)[临睡时]
•pro re nata (prn)[必要时]
•si opus sit (sos)[必要时只用1次]
•ante meridiem (am)[上午]
•post meridiem (pm)[下午]
•statim (st)[即刻]
(2)辅助检查术语[diagnostic examination]
•CBC (complete blood count) [全血细胞计数]
•WBC (white blood ount)[白细胞数]
•RBC (red blood count) [红细胞数]
•Ret (reticulocyte)[网织红细胞数]
•HCT (hematocrit)[红细胞比积]
•MCV (mean corpuscular volume) [红细胞平均体积]
tilt
•MCH (mean corpuscular hemoglobin)[红细胞平均血红蛋白]
•EC (eosinophic count)[嗜酸粒细胞计数]
•Plt (platelet count)[血小板计数]
•UA (urine analyse)[小便常规]
•SRt (stool routine)[大便常规]
•stool OB [大便隐血]
•stool ova count[大便虫卵计数]
•uric acid [尿酸]
•uric (serum) amylase [尿(血)淀粉酶]
•urine K+ (Na+)[尿钾(钠)测定]
•pregnance test[妊娠试验]
•urine Bence-Jone protein [尿本-周氏蛋白]
•urinary protein electrophoresis[尿蛋白电冰]
•bacterial count of urine [尿菌落数]
•osmotic pressure assay[尿渗透压测定]
•urine (blood, stool) culture [尿(血、大便)培养]
•bone marrow puncture [骨穿]
•iron staining of bone marrow smear [骨髓铁染]
•serum iron assay [血清铁测定]
•Vit B12 and folic acid assay [维生素B12和叶酸测定]
•BT (bleeding time) [出血时间]
•CT (coagulation time) [凝血时间]
•PT (prothrombin time)[凝血酶原时间]
•ACT (activated coagulation time)[活化的凝血时间]
•KPTT(kaolin partial thromboplastin time)[部分凝血活酶时间]
•Fb (fibrinogen)[纤维蛋白原]
•FDP (fibrinogen degradation product)[纤维蛋白原降解产物]
•ABG (arterial blood gas)[血气分析]
•renal function and liver function[肝肾功能]
•D-dimer fragments assay[D-二聚体测定]
•Hcy (homocysteine)[同型半胱氨酸]
•Cr and BuN (creatinine and blood urea nitrogen)[肌酐和尿素氮]
•blood lipid (TG, TC ,HDL, LDL)[血脂(甘油三酯,胆固醇,高密度脂蛋

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