2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Lactated Ringer's solution yog cov khoom siv dav tshaj plaws thiab nquag siv ntsev ntsev tov rau cov kua dej resuscitation hauv hemorrhagic shock. Nws muaj kev nyab xeeb thiab pheej yig, thiab nws sib npaug sai thoob plaws hauv lub cell sab nraud, rov ua kom cov kua dej tsis txaus cuam tshuam nrog cov ntshav poob.
Yuav tsum muaj kua dej ntau npaum li cas rau kev poob siab hemorrhagic?
Cov neeg laus raug muab 1 L ntawm crystalloid (20 mL / kg hauv cov menyuam yaus) lossis, hauv hemorrhagic shock,5 txog 10 mL / kg ntawm colloid lossis cov qe ntshav liab, thiab tus neeg mob rov ntsuam xyuas dua. Ib qho kev zam yog tus neeg mob uas muaj kev poob siab cardiogenic uas feem ntau tsis xav tau qhov ntim loj.
Yuav ua li cas kho hemorrhagic shock?
Txoj kev kho mob rau hemorrhagic shock yog tso dej (IV) kua thiab resuscitation los ntawm kev tswj hwm cov khoom siv ntshav. Qee zaum, koj yuav tau txais cov tshuaj uas ua rau koj cov ntshav siab, xws li norepinephrine lossis vasopressin. Cov no yog hu ua vasopressors.
Dej resuscitation hauv poob siab yog dab tsi?
Cov kua dej hauv kev poob siab yog ib qho ua rau muaj kev phom sij rau lub neej, feem ntau ntawm cov hlab ntshav tsis ua haujlwm hauv cov neeg mob hnyav, uas feem ntau yog tswj hwm los ntawm infusing kua kom nce siab tso zis thiab muab cov pa oxygen thov.
Thaum twg thiaj li muaj dej resuscitation?
xav tau cov kua dej resuscitation
Qhov taw qhia tias tus neeg mobtej zaum yuav xav tau cov kua dej resuscitation xws li: systolic BP <100mmHg; lub plawv dhia >90bpm; capillary refill >2s lossis peripheries txias kom kov; Ua pa tus nqi >20 ua pa ib feeb; Xov xwm ≥5; 45o passive leg raising qhia ua kua dej.
Pom zoo:
Puas yog cov dej khib nyiab rov ua dua rau hauv cov dej haus?
Cov txheej txheem ntawm kev siv cov dej khib nyiab kho rau cov dej haus yog hu ua cov dej rov siv dua. Kev siv dej rov qab siv tau yog lwm txoj hauv kev los nthuav dav thaj av cov peev txheej dej. Puas dej khib nyiab dhau los ua dej haus?
Yuav ua li cas txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau pom kev pom?
Txawm li cas los xij, corneal collagen cross-linking - cov txheej txheem qib siab tau pom zoo los ntawm US Food and Drug Administration (FDA) hauv xyoo 2016 - tuaj yeem txhim kho qhov pom kev hauv cov neeg mob txhua hnub nyoog. Corneal collagen cross-linking (CXL) tsis yog kho rau keratoconus, tab sis nws tuaj yeem pab tiv thaiv tus mob kom tsis txhob mob hnyav.
Puas yog cov kua dej nres lub hwj chim tswj cov kua dej?
Cov kua nplaum thiab lub hwj chim tswj cov kua dej yogob lub kua siv hauv lub tshuab hydraulic hauv cov tsheb niaj hnub, tab sis qhov zoo sib xws tsis mus deb tshaj qhov ntawd. Nres thiab lub hwj chim tswj cov kua dej tau tsim thiab ua kom zoo nyob rau ntau xyoo los ua haujlwm sib txawv hauv cov tsheb, thiab lawv tsis hloov pauv.
Puas yog cov roj cholesterol ua kom cov kua dej ua kua dej?
Thaum qhov kub thiab txias, cov roj cholesterol ua rau cov kua dej ua kom cov kua dej ntau dualos ntawm kev tiv thaiv cov lipids los ntawm kev ntim khoom sib ze. Thaum qhov kub thiab txias, cov roj (cholesterol) yuav txo qis hauv daim nyias nyias.
Koj puas tuaj yeem tso cov kua dej vaporizing rau hauv lub tshuab ua kom muaj cua sov?
Teb: Koj tuaj yeem siv the Vicks VapoSteamnrog koj Vicks Vaporizer lossis lwm yam kub / sov chav humidifiers txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau moisten qhuav, khaus ua pa thiab ib ntus. txo qhov hnoos vim mob caj pas me thiab bronchial irritation txuam nrog mob khaub thuas.
