心内科实习心得.doc

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1、 心内科实习心得 心内科是我实习的第5站。因为之前在急诊已接触过高血压、心力衰竭的病人,来到心内科的我对于该科的病人显得不是那么茫然。就如我说的,心内科收治的病人主要是高血压、冠心病、心力衰竭的病人。心内科的药物种类特别多,大体分为活络通血、改善循环、扩张血管、降压。单硝酸异山梨酯,俗称消心痛,在该科随处可见,它为小静脉扩张剂,此药静点时应严格控制滴速。 心内科的最大亮点是使用微量泵,持续静推的多巴胺、硝普钠、快速利尿剂呋塞米、洋地黄制剂西地兰都应控制速度,以避免大剂量药液进入体内,引起生命体征的变化。 心内科的急诊急救特别多,这就要求护士本身素质高、反应快、与医生合作密切。我在心内科值夜班时

2、,陆续就有三位患者来急诊。当病人来到科室,马上安排房间给患者平卧休息,建立静脉通路,吸氧,遵医嘱准确用药,密切监测生命体征的变化。这一句句话看似简单,但对护士服务要求高。在临床工作中,我们只有自己不断训练自己的反应,提高业务能力,积累经验。事后,李坤老师对我说,心内科不同于其他科室,我们只有动作快、反应灵敏,才有资格与死神抗争。生与死的抉择也许就在我们迟疑的一刻发生变化,所以我们必须快。 说实话,对于心内科,让我震撼的东西比我学的知识多,它让我重新认识护士这一职业,重新认识生命。守护生命这一职责犹如一座山重重地压在我们的肩上,即使它很沉,但我们还是会背着它一路前行。29C91AFE4CED1B

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