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.
