2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Nyob rau hauv cov neeg mob hypothermia hnyav, mob plawv pacing cardiac pacing Thaum xaus, raug rau qhov siab ntawm 4,000 m saum toj no hiav txwv theemnrog rau qhov tshwm sim hypobaric hypoxemia tsis muaj kev cuam tshuam rau ventricular stimulation qhov pib. Yog li ntawd, hais txog kev nyab xeeb ntawm pacing, cov neeg mob pacemaker tuaj yeem muaj kev nyab xeeb ntawm qhov siab no. https://pubmed.ncbi.nlm.nih.gov › …
Kev cuam tshuam ntawm kev raug mob rau qhov siab siab thiab hypoxemia … - PubMed
yog contraindicated. Hauv cov neeg mob no, bradycardia tuaj yeem yog qhov tshwm sim ntawm lub cev uas tshwm sim los ntawm kev txo qis hauv metabolic. Tsis tas li ntawd, raws li lub cev kub poob, cov ventricles ua rau muaj kev cuam tshuam rau fibrillation thiab tiv taus ntau dua rau defibrillation.
Koj puas tuaj yeem kho tus neeg mob hypothermic?
Kev hloov pauv hauv lub cev yog tsis yog ib txwm ua lossis kev coj ua tau pom zoo hauv cov neeg mob hnyav hnyav nrog hypotension thiab bradycardia. Hauv tsab ntawv ceeb toom no, peb piav qhia txog 2 tus neeg mob uas muaj qhov tsis txaus siab hypothermia, bradycardia, thiab hypotension uas tau teb zoo rau kev hloov pauv hloov pauv.
Koj puas tuaj yeem hloov pauv cov pace asystole?
Transcutaneous pacing zoo nkaus li tsis muaj txiaj ntsig rau cov neeg mob asystolic mob plawv, txawm tias nws tau ua tiav ntxov li sai tau los ntawm EMTs hauv thaj teb.
Koj puas tuaj yeem kov tus neeg mob thaum lub sijhawm hloov pauv?
Nws muaj kev nyab xeeb kovcov neeg mob (piv txwv li ua CPR) thaum lub sijhawm pacing.
Thaum twg yog transcutaneous pacing qhia?
Txawm hais tias kev hloov pauv ntawm lub plawv dhia yog qhia feem ntau raukho bradycardia thiab ntau yam ntawm lub plawv nres, kev sib tshuam overdrive pacing kuj tuaj yeem siv los ua kev kho mob rau ntau yam atrial thiab ventricular. tachycardias (piv txwv li, postoperative atrial flutter thiab monomorphic ventricular…
Pom zoo:
Vim li cas nitrofurantoin contraindicated thaum cev xeeb tub?
Nitrofurantoin siv thaum cev xeeb tub tseem muaj kev txhawj xeeb rau ntau qhov laj thawj. Cov tshuaj tua kab mob no tuaj yeem cuam tshuam rau glutathione reductase kev ua haujlwm thiab yog li tuaj yeem ua rau hemolytic anemia(analogous rau cov teeb meem nws ua rau cov neeg mob uas muaj piam thaj-6-phosphate dehydrogenase deficiency).
Puas transcutaneous pacing ua tsis tiav nyob rau hauv hyperkalemia?
Note widening of the paced QRS which is about 300ms. Cov theem ntawm hyperkalemia ua rau muaj kev hloov pauv ntawm qhov chaw pib sib txawv ntawm tus neeg mob mus rau tus neeg mob. Thaum cov ntshav K siab tshaj 7.0 mEq/L, yuav luag ib txwm muaj qhov nce ntawm qhov pib.
Vim li cas isosorbide mononitrate contraindicated hauv aortic stenosis?
Nitrates yog contraindicated nyob rau hauv hnyav aortic stenosis vim theoretical tseem tsis tau muaj pov thawj txaus ntshai ntawm precipitating profound hypotension. Vim li cas vasodilators contraindicated hauv aortic stenosis? Vasodilators raug suav hais tias yog contraindicated rau cov neeg mob uas muaj mob aortic stenosis vim kev txhawj xeeb tias lawv tuaj yeem ua rau muaj kev phom sij rau lub neej.
Vim li cas thrombolysis yog contraindicated hauv nstemi?
Hauv NSTEMI cov ntshav ntws tam sim no tab sis txwv los ntawm stenosis. Hauv NSTEMI, thrombolytics yuav tsum yog zam vim tsis muaj txiaj ntsig meej ntawm lawv siv. Yog tias tus mob nyob ruaj khov, kev kuaj mob plawv yuav raug muab, thiab yog tias xav tau, kev rov ua kom rov zoo li qub yuav raug coj los ua kom cov ntshav ntws zoo ib yam.
Vim li cas adrenaline yog contraindicated nyob rau hauv hypotensive shock?
Adrenaline yuav tsum tsis siv los tiv thaiv cov hlab ntsha tawglossis hypotension tshwm sim los ntawm phenothiazines; Kev thim rov qab ntawm cov teebmeem ntawm Adrenaline tuaj yeem ua rau txo qis ntshav siab ntxiv. Dab tsi yog qhov contraindications ntawm adrenaline?
