护患情境会话



·英语学习·

护患情境会话

老年人滥用药物的护理措施

Nursing Interventions for Abuse of Medication by Elderly

背景

病人吴先生，62岁，因不明原因的神志不清半小时收住入院。入院后急查血生化，发现血糖2.6 mmol/L。初步诊断：低血糖昏迷。患者有2年的糖尿病史。经抢救，患者神志逐渐转为清醒。张护士来到吴先生身边。

Background

Patient Mr. Wu, 62 years old, was admitted to the hospital after falling unconscious because of some unknown reason for half an hour. Emergency biochemistry tests were conducted and the results revealed that his blood sugar was only 2.6mmol/L. Initial diagnosis was: hypoglycemia coma. The patient had diabetes mellitus for 2 years. After emergency treatment the patient gradually recovered his consciousness. Nurse Zhang went to talk to him.

交流

护士：吴先生，您好，我是您的床位护士，我姓张，您叫我小张吧。您现在有什么不舒服吗？

病人：就是觉得全身没力，其它没什么。

护士：听您女儿说，您有糖尿病，是吗？

病人：两年前医生就说我有轻度糖尿病，要我饭吃得少一点，平时多点活动，血糖就能控制了。但几天前我有点感冒，来医院验血后发现血糖蛮高的，医生要我吃药，说是可以降血糖的。

护士：您在医院里配医生开给您的药了吗？

病人：没有。听说医院里的药要比外面药店里的药贵一点，我就不在医院里配了，我是自费的，想省点钱。

护士：后来呢？

病人：昨天我拿着医生的处方去我家附近的药店买了药。今天早晨，我想医生说我血糖蛮高的，我就吃了1粒降糖药。没多长时间我觉得心慌，后来就迷迷糊糊了。

护士：您当时有出汗吗？

病人：我出了一身冷汗。张护士，您能告诉我，我生了什么病？

护士：杨先生，您吃的降糖药的量多了一点，使您的血糖降得太低了，就出现了这种情况。

病人：哦，那我下次少吃点，行吗？

护士：不行，您得听医生的，医生要根据您的血糖调整药物用量。另外，您以后身边带点饼干或糖果之类的东西。

Interactions

Nurse: Hello, Mr. Wu. I’m the nurse in charge of your treatment. My last name is Zhang, so you can call me Xiao Zhang. Well, how do you feel now?

Patient: I’m all right except feeling fatigue all over my body.

Nurse: I’ve heard from your daughter that you have diabetes mellitus. Is that true?

Patient: Two years ago my doctor told me that I had mild diabetes. He said that my blood sugar would be controlled if I took a restricted diet and exercised more often. However, I caught a cold a few days ago and had my blood sugar level checked at the hospital, the level was high. The doctor told me to take some medications to lower my blood sugar.

Nurse: Did you buy those drugs the doctor prescribed for you from the hospital pharmacy?

Patient: No, I didn’t. I heard that the price of drugs in the hospital was a little higher than the drug stores outside, so I did not buy them in the hospital. I wanted to save some money because I have to pay all my medical expenses by myself.

Nurse: What happened to you then?

Patient: Yesterday, I bought the drugs as prescribed by my doctor from a drug store near my home. As my doctor told me that the level of my blood sugar was considerably high, I took one pill this morning. I soon felt palpitations and became unconscious.

Nurse: Were you sweating at that time?

Patient: I had cold sweat all over then. Ms. Zhang, could you tell me what my disease is?

Nurse: Mr. Yang, this happened to you because you took an excessive dose of drugs that lowered your blood sugar too much.

Patient: Oh, then I should take less drugs the next time, right?

Nurse: No. You should follow your doctor’s advices. He will adjust the dosage according to your blood sugar level. Moreover, you need to carry some biscuits or candy with you all the time.

(汪小华)