2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Cov neeg mob uas muaj lub plawv tsis ua haujlwm lossis cov neeg mob tsis ruaj khov nrog bradycardia yuav tsum tau kho tam sim. Cov tshuaj ntawm kev xaiv feem ntau yog atropine 0.5-1.0 mg muab tso rau hauv lub sijhawm ntawm 3 mus rau 5 feeb, txog li 0.04 mg / kg. Lwm cov tshuaj thaum muaj xwm txheej ceev uas yuav muab tau suav nrog adrenaline (epinephrine) thiab dopamine.
Thaum twg bradycardia xav tau kev kho ACLS?
Symptomatic bradycardia, lub plawv dhia feem ntau <50 neeg ntaus ib feeb nrog pomntawm cov tsos mob, raug txheeb xyuas thiab kho raws li qhov tshwm sim. Khaws ib txoj hlab pa patent nrog kev pab ua pa thaum tsim nyog. Muab cov pa oxygen ntxiv yog tias hypoxic.
Nyob rau hauv qhov xwm txheej twg bradycardia xav tau kev kho mob hypotension?
Muab kev kho tam sim rau cov neeg mob hypotension, mob hloov pauv kev puas siab puas ntsws, mob hauv siab, mob plawv tsis ua hauj lwm, qaug dab peg, syncope, lossis lwm yam cim ntawm kev poob siab ntsig txog bradycardia (Lub thawv 4). AV blocks raug faib ua thawj, thib ob, thiab thib peb degree.
Qhov twg hauv qab no tus kws kho mob ACLS yuav tsum ua thaum kho bradycardia?
ACLS Bradycardia Algorithm
- Tsis txhob ncua kev kho mob tab sis nrhiav qhov tshwm sim ntawm bradycardia siv Hs thiab Ts.
- Tswj txoj hauv kev thiab saib xyuas lub plawv dhia, ntshav siab thiab oxygen saturation.
- Ntxig IV lossis IO rau tshuaj.
- Yogtus neeg mob nyob ruaj khov, hu rau kev sab laj.
Thaum twg koj yuav tsum pib CPR ntawm bradycardia?
Pib CPR yog HR <60/min txawm tias muaj pa oxygenation thiab qhov cua.
Pom zoo:
Qhov xwm txheej ceev thiab xwm txheej zoo li cas?
Qhov txawv ntawm qhov xwm txheej ceev thiab qhov ceev yog qhov thaum muaj xwm txheej ceev yuav muaj kev hem thawj rau lub neej, kev noj qab haus huv, khoom vaj khoom tsev lossis ib puag ncig; hos qhov xwm txheej ceev, tsis muaj kev phom sij los yog kev hem thawj rau lub neej, kev noj qab haus huv, khoom vaj khoom tsev lossis ib puag ncig tab sis yog tias tsis tau saib xyuas nyob rau lub sijhawm, ces qhov xwm txheej yuav tig mus rau … Puas nrawm dua li kev kub ntxhov?
Puas yog kws kho mob kws kho mob kws kho mob hauv Is Nrias teb?
Tus kws kho lub cev puas tuaj yeem hu ua kws kho mob? … Raws li lub koom haum, cov kws kho lub cev tuaj yeem siv lub npe ' Dr' ua ntej lawv lub npe thiab Pawg Kws Kho Mob ntawm Is Nrias teb (MCI) thiab Indian Medical Association (IMA) tsis muaj txoj cai tswjfwm.
Cov xwm txheej kho mob dab tsi ua rau muaj kab mob siab ua rau mob siab?
Tus kab mob siab ua rau mob siab yog ib qho mob tsis tshua muaj sai (feem ntau nyob rau hauv hnub lossis lub lis piam), loj necrosis ntawm daim siab parenchyma thiab txo qis hauv daim siab loj (mob daj atrophy); Nws feem ntau tshwm sim tom qab kis nrog qee tus kab mob siab kab mob siab kab mob siab Cov neeg muaj tus kab mob siab kab mob siab feem ntau rov zoo hauv 4 txog 8 lub lis piam, txawm tias tsis kho.
Qhov kev raug mob twg yuav tsum tau kho los ntawm kev zaws khov kho?
Kev nce ntxiv ntawm cov khoom noj tseem ceeb rau hauv cov ntaub so ntswg ua kom lub cev zoo ntawm cov chaw raug mob. Kev zaws tuaj yeem pab tau ntau yam kev raug mob xws li sprains, strains, tawg pob txha thiab cov leeg kua muag. Thaum twg yog zaws qhia raws li cov leeg mob?
Nyob rau qhov kev xav tau ntawm qhov chaw kho mob uas tsis tau ntsib?
Kev xav tau kev kho mob tsis haum yog txhais raws li cov lus pom zoo ntawm qhov muaj thiab txaus ntawm kev kho mob, tshuaj lossis lwm yam. Kev kho mob yuav tsis muaj nyob rau qee yam kab mob, lossis kev kho mob tab sis tsis muaj txiaj ntsig, lossis kev kho mob muaj tab sis cov txheej txheem xa khoom lossis cov qauv tsim tsis txaus.
