Asthma Pathway哮喘临床路径 Alexandra Hospital (Ward Pathway)病房路径
亚历山大医院
DRUG ALLERGY药物过敏
PATIENT’S STICKY LABEL病人标签
WARD / BED NO病区/床号. :_______________
Inclusion Criteria纳入标准
Patient admitted to the general wards with principal diagnosis of asthma. 病人入住普通病房,主要诊断为哮喘。
Exclusion Criteria排除标准
1) Patients with other significant co-morbidity requiring concurrent management. 2) Patients requiring HD or ICU care.
3) Patients with Pneumonia or Respiratory Failure. 4) Patients under the care of Geriatric Medicine. 1）病人患有其它重要疾病需要同时管理。 2）病人需要血透或加护病房照顾。 3）肺炎或呼吸衰竭患者。 4）病人在老年病科照顾。
Recommendation for Asthma therapy哮喘推荐治疗方案
1. Oral corticosteroids for up to 10 days 2. Discharge with steroid inhaler. 1.10天以上的口服类固醇。 2.出院带类固醇吸入剂。
Guidelines for Use使用指南
1. When to start the Pathway? 1.何时启用路径？ Can be started on any day during the admission episode 可在住院的任何一天开始启用
2. How to use the Pathway? 2.如何使用路径？
??Tick & sign all required standard orders (SN will only carry out orders as ticked & signed by doctors) ??Enter additional orders in the space provided, indicate date & time of entry
??Write your name, MCR No.and sign on the daily Pathway, after completing the order(s)
在所有标准规程（医嘱）上打勾并签字，护士仅执行医生打勾并签字后的规程（医嘱） 在提供的空白处增加额外的医嘱，注明日期、时间
For Nurses & Other Allied Healthcare Professionals针对护士和其他辅助医疗人员
??Carry out orders as ticked & signed by doctor
??Consult Doctor / Case Manager In-charge if there is any problem with the documentation of the Pathway. ??Put a “√” in the if action/intervention is done ??Put a “-” in the if not applicable
??Put an “X” in the for actions /interventions not done/achieved and document the reason(s). Pass over to the next shift
to follow up with the care/interventions 执行由医生打勾签字的医嘱
咨询医生/个案主管，如果有任何路径文件的问题 措施/干预工作?执行完毕后打“√” 不适用则写 “ —”
没有执行的打“×”，并记录原因，并向下一班交班需要做的措施与干预。
For all Health Care Professionals针对所有卫生保健人员
??Report on the Pathway during inter-shift handover /doctors’ ward round ??Discuss the following with the Multidisciplinary Team:
i) Plan of care iv) Discharge plans ii) Critical events v) ELOS
iii) Progress of the patient vi) Patient/family’s needs 在交接班和医生查房时报告路径（的情况） 与多学科团队讨论： 1.护理计划 2.重要事件 3.病人的进展 4.出院计划 5. ELOS 6.病人/家庭需要
3. What to do if patient is taken off the Pathway?如果病人要退出路径，怎么做？
??Exit from the Pathway completely and revert to the usual documentation ??Document the reason(s) for exiting from the Pathway
??Continue to monitor key indicators as stated in the Pathway ??Complete the Variance Record Form
从路径退出，恢复常规记录 记录退出路径的原因 继续监测路径规定的关键指标 填写变异记录表
Note:注意
i) This Pathway serves as a guide and communication tool for healthcare professionals to co-ordinate patient care.
ii) It is not intended or construed as the standard of medical care. iii) It may be modified to meet individual patient’s need.
1.此路径可作为医疗专业人员的指导与交流工具，以统筹病人的管理。 2.此路径并非医疗护理的标准。
3.此路径可修改，以适应病人的个性化需求。 Caution提醒
Beware of drug interactions when using Theophylline together with other drugs, e.g. Erythromycin, Quinolones, Warfarin. Consult pharmacist for clarification.
注意茶碱与其它药物如红霉素、喹诺酮类、华法林的相互作用，请咨询药剂师。