情境模拟: Chapter4 Unit I Dialogue3 as rn alana 采用教材:《涉外护理英语情境对话》,刘晨,外语教学与研究出版社 Dialogue 3: Insulin Therapy (Mr Moore is to be discharged from the hospital tomorrow. Dr. Taylor ordered insulin therapy education to be given to the patient before discharge. RN Alana gives instructions regarding insulin therapy. RN Alana Mr Moore: Great! Thank you, Alana RN Alana Mr Moore: I have to prick my fingers every day? RN Alana Mr. Moore.A lot of needle sticks ha? RN Alana Mr Moore: oK RN Alana (RN Alana gets the glucometer ready. Mr Moore uses a lancet to prick one of his fingers RN Alana Several seconds later, the blood sugar reading displays on the screen.) RN Alana (RN Alana reads the medication administration record for the insulin order. RN Alana Mr Moore: OK
情境模拟：Chapter 4 Unit 1 Dialogue 3 as RN Alana 采用教材：《涉外护理英语情境对话》，刘晨，外语教学与研究出版社 Dialogue 3: Insulin Therapy (Mr. Moore is to be discharged from the hospital tomorrow. Dr. Taylor ordered insulin therapy education to be given to the patient before discharge. RN Alana gives instructions regarding insulin therapy.) RN Alana: Mr. Moore: Great! Thank you, Alana. RN Alana: Mr. Moore: I have to prick my fingers every day? RN Alana: Mr. Moore: A lot of needle sticks, ha? RN Alana: Mr. Moore: OK. RN Alana: (RN Alana gets the glucometer ready. Mr. Moore uses a lancet to prick one of his fingers.) RN Alana: (Several seconds later, the blood sugar reading displays on the screen.) RN Alana: (RN Alana reads the medication administration record for the insulin order.) RN Alana: Mr. Moore: OK
(RN Alana leaves the room, and then comes back with the supplies RN Alana: Mr Moore holds the syringe. RN Alana Mr Moore: That 's serious RN Alana Mr Moore: OK (RN Sandra is asked to come in to check the insulin) RN Sandra: hi Mr Moore. h Sandra: 6 units? RN Sandra: Good RN Alana/ Mr. Moore performs the injection following RN Alana's instructionS) RN Alana (RN Alana brings the lunch tray for Mr Moore) RN Alana Mr Moore: OK RN Alana Mr. Moore: All right
(RN Alana leaves the room, and then comes back with the supplies.) RN Alana: (Mr. Moore holds the syringe.) RN Alana: Mr. Moore: That’s serious RN Alana: Mr. Moore: OK. (RN Sandra is asked to come in to check the insulin.) RN Sandra: Hi. Mr. Moore: Hi. RN Sandra: 6 units? RN Alana: RN Sandra: Good. RN Alana: (Mr. Moore performs the injection following RN Alana’s instructions.) RN Alana: (RN Alana brings the lunch tray for Mr. Moore.) RN Alana: Mr. Moore: OK. RN Alana: Mr. Moore: All right
RN Alana Mr. Moore: All right. Thank you RN Alana
RN Alana: Mr. Moore: All right. Thank you. RN Alana:
情境模拟: Chapter4 Unit I dialogue3 as patient mr. Moore 采用教材:《涉外护理英语情境对话》,刘晨,外语教学与研究出版社 Dialogue 3: Insulin Therapy Mr Moore is to be discharged from the hospital tomorrow. Dr. Taylor ordered insulin therapy education to be given to the patient before discharge. RN Alana gives instructions regarding insulin therapy. N Alana: Mr Moore, to make sure everything will be ok with you at home, I am going to give you instructions on insulin therapy, OK? Mr Moore RN Alana: Sure. First, you need to check your blood glucose level according to the prescribed time and frequency Mr moore RN Alana: Probably 3 to 4 times a day. You will see the exact prescription tomorrow Mr moore Alana: Right. Glucose monitoring is one of the best ways to evaluate how well you control your blood sugar. You will have to convince yourself to do the needle sticks because this will help you control your diabetes Mr Moore: RN Alana: All right. Now I'm going to set up the glucometer. I want you to prick your fingertip and collect the blood sample for testing (RN Alana gets the glucometer ready. Mr Moore uses a lancet to prick one ofhis fingers RN Alana: Good. Put your hand down a little bit. This will help the blood come down to your fingertip. Or you can massage the finger from the base to the tip. OK, this is nice little drop of blood. Apply the blood drop to the testing strip (everal seconds later, the blood sugar reading displays on the screen.)
情境模拟：Chapter 4 Unit 1 Dialogue 3 as Patient Mr. Moore 采用教材：《涉外护理英语情境对话》，刘晨，外语教学与研究出版社 Dialogue 3: Insulin Therapy (Mr. Moore is to be discharged from the hospital tomorrow. Dr. Taylor ordered insulin therapy education to be given to the patient before discharge. RN Alana gives instructions regarding insulin therapy.) RN Alana: Mr. Moore, to make sure everything will be OK with you at home, I am going to give you instructions on insulin therapy, OK? Mr. Moore: RN Alana: Sure. First, you need to check your blood glucose level according to the prescribed time and frequency. Mr. Moore: RN Alana: Probably 3 to 4 times a day. You will see the exact prescription tomorrow. Mr. Moore: RN Alana: Right. Glucose monitoring is one of the best ways to evaluate how well you control your blood sugar. You will have to convince yourself to do the needle sticks because this will help you control your diabetes. Mr. Moore: RN Alana: All right. Now I’m going to set up the glucometer. I want you to prick your fingertip and collect the blood sample for testing. (RN Alana gets the glucometer ready. Mr. Moore uses a lancet to prick one of his fingers.) RN Alana: Good. Put your hand down a little bit. This will help the blood come down to your fingertip. Or you can massage the finger from the base to the tip. OK, this is nice little drop of blood. Apply the blood drop to the testing strip. (Several seconds later, the blood sugar reading displays on the screen.)
RN Alana: OK. It's 210. That's a little high. Let's check the doctor's order to see how much insulin you will need before lunch (RN Alana reads the medication administration record for the insulin order. RN Alana: You will need 6 units of regular insulin before lunch according to the sliding scale that the doctor ordered. The lunch trays are coming to the floor. Let's get ready for the shot. I'll bring the syringe and insulin for you and let you do the shot, OK? Mr moore (RN Alana leaves the room, and then comes back with the supplies.) RN Alana: Get the syringe, Mr. Moore. I'll let you draw 6 units of insulin from the bottle Mr. Moore holds the syringe. RN Alana: Use the alcohol wipe to clean the top of the bottle first. Draw 6 units of air into the syringe. Yes. OK, inject the air into the bottle. Now, draw up 6 units of insulin into the syringe. Check if it is exactly 6 units. Let me see it. Hold on, I will have another licensed staff check the dose for you. Two licensed nurses must check the dose before administering insuli RN Alana: Yes. But when you are at home, you don t usually have others to check the amount for you. You need to be very careful to draw the correct amount, OK? Mr Moore (RN Sandra is asked to come in to check the insulin) RN Sandra: Hi Mr Moore: Hi RN Alana: Yes. 6 units regular
RN Alana: OK. It’s 210. That’s a little high. Let’s check the doctor’s order to see how much insulin you will need before lunch. (RN Alana reads the medication administration record for the insulin order.) RN Alana: You will need 6 units of regular insulin before lunch according to the sliding scale that the doctor ordered. The lunch trays are coming to the floor. Let’s get ready for the shot. I’ll bring the syringe and insulin for you and let you do the shot, OK? Mr. Moore: (RN Alana leaves the room, and then comes back with the supplies.) RN Alana: Get the syringe, Mr. Moore. I’ll let you draw 6 units of insulin from the bottle. (Mr. Moore holds the syringe.) RN Alana: Use the alcohol wipe to clean the top of the bottle first. Draw 6 units of air into the syringe. Yes. OK, inject the air into the bottle. Now, draw up 6 units of insulin into the syringe. Check if it is exactly 6 units. Let me see it. Hold on, I will have another licensed staff check the dose for you. Two licensed nurses must check the dose before administering insulin. Mr. Moore: RN Alana: Yes. But when you are at home, you don’t usually have others to check the amount for you. You need to be very careful to draw the correct amount, OK? Mr. Moore: . (RN Sandra is asked to come in to check the insulin.) RN Sandra: Hi. Mr. Moore: Hi. RN Sandra: 6 units? RN Alana: Yes, 6 units, regular
RN Sandra: Good RN Alana: Thank you, Sandra. Now, Mr Moore, I want you to clean your abdomen where you are going to give yourself the injection. Use the alcohol wipe. Good. Pinch the skin that you just cleaned. Inject the needle into the skin at a 90-degree angle Push the end of the plunger to send the insulin into your body (Mr. Moore performs the injection following RN Alana's instructions) RN Alana: OK, now slowly withdraw the syringe. Press the injection site into an alcohol wipe for a little bit. Good. The insulin you just had is regular insulin, which has a rapid onset. So you should eat your lunch within 15 minutes to avoid hypoglycemia, as well as to make full use of the insulin. I'll get the tray for you (RN Alana brings the lunch tray for Mr. Moore) Alana: Mr Moore, when you are at home doing your self-injection, do make sure you are giving the right type of insulin with the right amount Mr moore ana: If you feel dizzy or hungry after the injection of insulin, you need to eat something right away ight be experiencing low-blood sugar Its very dangerous when your blood sugar drops too low. If the blood sugar level is low, you might need to take glucose tablets RN Alana: Dr. Taylor might want to have blood drawn from your veins several times a year to check how well the blood glucose is controlled. He will tell you how often you need to make appointments with him Mr Mo RN Alana: You are welcome
RN Sandra: Good. RN Alana: Thank you, Sandra. Now, Mr. Moore, I want you to clean your abdomen where you are going to give yourself the injection. Use the alcohol wipe. Good. Pinch the skin that you just cleaned. Inject the needle into the skin at a 90-degree angle. Push the end of the plunger to send the insulin into your body. (Mr. Moore performs the injection following RN Alana’s instructions.) RN Alana: OK, now slowly withdraw the syringe. Press the injection site into an alcohol wipe for a little bit. Good. The insulin you just had is regular insulin, which has a rapid onset. So you should eat your lunch within 15 minutes to avoid hypoglycemia, as well as to make full use of the insulin. I’ll get the tray for you. (RN Alana brings the lunch tray for Mr. Moore.) RN Alana: Mr. Moore, when you are at home doing your self-injection, do make sure you are giving the right type of insulin with the right amount. Mr. Moore: RN Alana: If you feel dizzy, sweaty, or hungry after the injection of insulin, you need to eat something right away. You might be experiencing low-blood sugar. It’s very dangerous when your blood sugar drops too low. If the blood sugar level is low, you might need to take glucose tablets. Mr. Moore: RN Alana: Dr. Taylor might want to have blood drawn from your veins several times a year to check how well the blood glucose is controlled. He will tell you how often you need to make appointments with him. Mr. Moore: RN Alana: You are welcome
