胸痛護(hù)理中英文雙語(yǔ)課件

胸痛chest[t?est]胸部,胸腔ischemic[is\kimik]缺血性的

(ischaemic)Herchestpainsoundsischemic.她的胸痛聽(tīng)起來(lái)像是缺血性心絞痛。Hudson赫德森sublingual[s?b\li?ɡw?l]舌下的,舌下腺的GTNtablet硝酸甘油片PleaseputaHudsonmaskonherandgivehalfasublingualGTNtablet.請(qǐng)給她放一個(gè)普通面罩，再給她半片舌下含服的硝酸甘油。dissolve[di\z?lv]溶解chew[t?u]咀嚼;咬vessel[\ves?l]血管,脈管,導(dǎo)管strain[strein]壓力；重負(fù)Pleasedon’tchewit,justletitdissolve.Itshouldopenupyourbloodvesselsandreducesomeofthestrainonyourheart.請(qǐng)不要咀嚼它，讓它自己溶解就行了。它應(yīng)該能擴(kuò)張你的血管。減少一些你的心臟負(fù)擔(dān)。Ifitdoesn’trelieveyourchestpaininafewminutes,Iwillgiveyoumore.如果在幾分鐘之內(nèi)你的胸痛還不能緩解我會(huì)再給你這種藥片的。morphine[\m?:\fi:n]嗎啡

PleasegivehertwopointfivemilligramsofIVmorphine.請(qǐng)給她2.5毫克的靜脈嗎啡。observations(obs)生命體征Ifitdoesn’trelievethepainwithintenminutes,andherobsarestable,thengiveafurthertwopointfivemilligrams.如果她的胸痛在十分鐘內(nèi)不緩解，而且生命體征穩(wěn)定，就再給她2.5毫克。Pleasedon’tchewit,justletitdissolve.Itshouldopenupyourbloodvesselsandreducesomeofthestrainonyourheart.Ifitdoesn’trelieveyourchestpaininafewminutes,Iwillgiveyoumore.via

[\vai?]經(jīng)過(guò)，通過(guò)

vein

[vein]靜脈

Wearegoingtogiveyouasmalldoseofmorphineviathedripintoyourveinandthenseehowyouarefeelinginabouttenminutes.我們要通過(guò)靜脈點(diǎn)滴給你一個(gè)小劑量的嗎啡，然后十分鐘后看你的反應(yīng)。rid

[rid]使擺脫，解除

WearegoingtostartyouonadripofadrugcalledGTN,whichshouldhelptogetridofyourchestpainbyopeningupyourbloodvessels.

我們要給你上硝酸甘油的靜脈輸液，著重要可以擴(kuò)張你的血管，應(yīng)該能幫助你緩解胸痛。gradually

[\gr?dj??l?]逐步地，漸漸地

Wewillgraduallykeepturningitupuntilyourpaingoes.Itcancauseabitoflowbloodpressurethough,soI’llbecheckingyoursveryfrequently.

我們會(huì)逐漸地加大劑量直到你的疼痛消失。但它會(huì)引起一點(diǎn)低血壓，所以我會(huì)經(jīng)常給你測(cè)血壓。paracetamol[p?r?\sit?m?l]撲熱息痛（paracetanol）

It’salsoquitecommontogetaheadacheasasideeffect.IfthishappensletmeknowandI’llgiveyousomepracetamol.

它還有一個(gè)常見(jiàn)的副作用是頭痛。如果這個(gè)副作用發(fā)生請(qǐng)告訴我，我會(huì)給你一些撲熱息痛。Wearegoingtogiveyouasmalldoseofmorphineviathedripintoyourveinandthenseehowyouarefeelinginabouttenminutes.StartheronaGTNinfusionplease,andaslongasherBPremainsstable,youcantitratetheratetoachievecompletereliefofthechestpain.

WearegoingtostartyouonadripofadrugcalledGTN,whichshouldhelptogetridofyourchestpainbyopeningupyourbloodvessels.Wewillgraduallykeepturningitupuntilyourpaingoes.

shrink

[?ri?k]收縮,萎縮

heparin[\hep?rin]肝素

Becausewewantthebloodclottoshrinkandnotgrowinsizewearegoingtostartyouonacontinuousdripofabloodthinningdrugcalledheparin.

因?yàn)槲覀兿胱屇愕难龎K萎縮，不要再擴(kuò)大增多，所以我們開(kāi)始給你持續(xù)靜脈輸注一種稀釋血液的藥物叫做肝素。cannula

[\k?njul?]套管，插管

FirstI’llinjectasmallamountofitstraightintoyourcannula,justtogiveyousomeinstantbloodthinningprotection,ok?

首先我要直接在你的靜脈留置針里靜推小劑量的藥物，就是防止你的血液粘稠，好嗎？anterior

[?n\t??ri:?]位于前部的

elevation

[\el?\ve???n]高處，向上

HehasmarkedanteriorSTelevationonhisECG.

他的心電圖顯示前壁的ST段抬高。thrombolyse

[\θr?mb?u\lais]溶栓

consent

[k?n\sent]贊同,同意

TPA

(tissueplasminogenactivator)

組織纖溶酶原激活物

WewillneedtothrombolysehimwithTPA.I’vealreadyconsentedhim.

我們需要用組織纖溶酶原激活物來(lái)溶栓,我已經(jīng)得到了病人的同意。Wewillneedtotakeseveralbloodtestsfromyoutomakesurethatyourbloodisneithertoothinnortoothick;thefirstonebeingsixhoursafterstartingonit.HehasmarkedanteriorSTelevationonhisECG.WewillneedtothrombolysehimwithTPA.I’vealreadyconsentedhim.bust

[b?st]打破，打碎

I’mnowgoingtogiveyoutheclotbustingdrugthatthedoctorexplainedtoyouabout……Doyouhaveanymorequestionsaboutthetreatmentbeforewegiveit?

我將給你這個(gè)溶栓藥，醫(yī)生給你解釋過(guò)的……在我給藥以前你還有其他的疑問(wèn)嗎？troponin[tr?\p?unin]肌鈣蛋白，肌酐dimer[\daim?]二聚物PleasetakesomebloodforatroponinlevelandaD-dimer.請(qǐng)做一個(gè)血肌酐水平和D-二聚體試驗(yàn)的血液化驗(yàn)。

andtheotheriscalledaD-dimerwhichcandetectthepresenceofabnormalclotsinyourbody,isthatok?

另一個(gè)叫做D-二聚體試驗(yàn)，它能發(fā)現(xiàn)你身體里有沒(méi)有不正常的凝血存在，好嗎？I’mnowgoingtogiveyoutheclotbustingdrugthatthedoctorexplainedtoyouabout……Doyouhaveanymorequestionsaboutthetreatmentbeforewegiveit?PleasetakesomebloodforatroponinlevelandaD-dimer.Thedoctorhasaskedmetotakes