1、_ (watch) TV. The wind became much stronger. It _ (blow) fiercely. It became a typhoon. Trees_ (fall) down. Ships and boats _ (sink) in the big waves. The typhoon _ (pass) quickly. The wind became gentler. The big clean-up _ (begin) immediately. Kitty and Ben went outside again.七、阅读理解When you are in
2、 England,you must be very careful(小心)in the streets,because the traffic driver on the left.Before you cross a street,you must look to the right first and then to the left.In the morning and in the evening when people go to or come from work ,the streets are very.Traffic is very dangerous(危险的).When y
3、ou go by bus in England,you have to be careful too.Always remember the traffic goes on the left.So you must be careful .Have a look first or you may go to the wrong way.In many English cities,there are big buses with two floor.You can sit on the second floor.From there you can see the city very well
4、.Its very interesting.( )1、The traffic drives in England. A.on the right B.on the left and right C.on the left( )2、The streets are in the morning and in the evening.( )3、You have to when you take a bus. A.be careful B.be hurry C.be quick( )4、Before you across a street,you must look to A.the left fir
5、st and then to the right B.the right C.the right first and then to the left ( )5、There are big buses with in many English cities. A.one floor B.three floors C.two floors八、句型转换1. The children had a good time in the park.否定句：_一般疑问句：_2. There were about nine hundred people at the concert.否定句：_一般疑问句：_3.
6、 Ann did her homework yesterday evening.否定句：_一般疑问句：_4. Last week I read an English book.否定句：_一般疑问句：_肯定/否定回答：_5. My brother was in the park just now.否定句：_一般疑问句：_九、写出下列动词的第三人称单数形式、过去式形式go _ _ enjoy _ _新-课 -标-第 -一-网buy _ _ eat _ _get _ _ walk _ _take _ _ dance _ _write _ _ run _ _swim _ _ find _ _begin
7、 _ _ eat _ _play _ _ study _ _十、用所给词的适当形式填空。1. Tom and Mary _ (come) to China last month.2. Mike _(not go) to bed until 12 oclock last night. So he _ (get) up late.3. Mary _ (read) English yesterday morning.4. Tom _ (begin) to learn Chinese last year.5. My mother _ (not do) housework yesterday.6. Th
8、ere _ a telephone call for you just now. (be)7. -When _ you _ (come) to china?-Last year.8. _ (be) it cold in your city yesterday?9. How many people _ (be) there in your class last term?10. There _ (be) a football match on TV yesterday evening, but I _ (have) no time to watch it.十一、 翻译下列句子1. 我过了一个忙碌
9、但却刺激的周末。_ _ _ _but exciting weekend.2. 上周六他们做什么了？他们做作业和购物了。What _ they _ _ Saturday?They _ _ homework and _ _ _.3. 今天早上方方得做饭，因为昨晚他父亲不在家。This morning Fangfang _ _ _ _ because his father _ _ _ yesterday.4. 他在打扫教室的时候，发现地上有块表。When he _ the classroom, he _ a watch on the ground.5. 他什么时候出生的？1980年。-Wh急性心梗护
10、理查房 医院急性心肌梗死 | 知识讲座 | 案例分析 | 护理总结 汇报:心内科20 xx.08.08 中国医科大学附属第一医院某分院 目录 CONTENT 简要病史与护理诊断 护理目标与护理措施 心肌梗死病因及临床诊断 心肌梗死治疗要点 01 02 03 04 简要病史与护理诊断 Brief History And Nursing Diagnosis 个体信息 | 病人病史 | 症状描述 | 病情诊断 第一部分 简要病史Brief History Of Patient 患者十余天前无明显诱因情况下出现胸闷痛不适。位于胸 骨中段之后，范围手掌大小，并有出汗，无心悸，无黑朦 及晕厥，无咳嗽及粉红
11、色泡沫样痰，无肩，休息后上述症 状缓解不显著，遂就诊于当地医院，予住院用药治疗（具 体不详），症状缓解，昨夜患者再次出现胸闷痛，性质同 前，程度较前加重明显，遂来我院就诊。 患者，王大锤， 男性， 70岁 ，因“胸痛十天余，加重 一天”，与2018-01-2211:30入院 患者信息 患者病情 查体结果T 36.9 P 84次/分 R 20次/分 BP 133/84mmHg 心电图示窦性心律，V2-V6导联ST段抬高，V2-V5导联可见QS波 护理诊断 中国医科大学附属第一医院某分院Nursing Diagnosis 心 肌 梗 诊 断 疼 痛 胸 闷 心输出量减少 潜在并发症 活动无耐力 有
12、便秘的危险 焦虑恐惧 知识缺乏 胸痛，与心肌缺血坏死有关 与心肌缺血缺氧有关 与心肌坏死心泵血功能下降有关 心力衰竭、心律失常 心肌氧的供需失调有关 与紧张恐惧、卧床、活动少、进食少有关 与剧烈疼痛伴濒死感及担心治疗费用有关 与医疗信息来源受限有关 护理目标与护理措施 Nursing Objectives And Nursing Measures 个体信息 | 病人病史 | 症状描述 | 病情诊断 第二部分 护理目标 中国医科大学附属第一医院某分院Nursing Goal 心肌梗塞 护理目标 01 病人主诉疼痛程度减轻或消失 02 自诉胸闷减轻或消失 03 自觉避免诱发心力衰竭的因素，不发生心
13、力衰竭 04 心律失常能被及时发现和处理 05 主诉活动耐力增强，活动后不适反应减轻或消失 06 能描述预防便秘的措施，不发生便秘 07 患者基本了解冠心病及心肌梗死的基本知识和防治方法 护理措施 中国医科大学附属第一医院某分院Nursing Measures 胸痛评估：评估患者疼痛部位， 性质，持续时间及伴随症状等， 密切观察病人病情变化，24小时 床边心电监护 绞痛发作时立即停止活动，遵医 嘱用药 ，观察用药效果 卧床休息，安慰病人解除紧张情 绪，协助病人满足生活需 要。 给予持续低流量吸氧，24L/min， 以增加心肌氧供，减轻缺血和疼 痛。 01 胸闷，与心肌缺血缺氧有关 给予持续低流量吸氧，24L/min，以增加心肌 氧供，减轻缺血和疼痛。 遵医嘱给予硝酸甘油泵缓解症状 护理评价：患者用药后自诉胸闷缓解，生命体征在正常范围内 严密监测生命体征，尤其是血压的变化 心理护理，减轻紧张情绪，减低心肌耗氧量 02 潜在并发症 ：心率失常 急性期严密心电监测，及时发现心率及心律变化 发现频发室性期前收缩及严重的房室传导阻滞时， 应立即通知医生 遵医嘱使用利多卡因等药物，警惕室颤或心脏停搏 的发生 准备好急救药品和设备，随时准备抢救 0
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