Video: Puas yog atropine ua rau tachycardia?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Atropine tshuaj -tus mob parasympathetic inhibition tuaj yeem ua ntej los ntawm ntu ntu ntawm kev txhawb siab, tshwj xeeb tshaj yog ntawm lub plawv qhov twg cov tshuaj me me ua ntej qeeb tus nqi ua ntej tus yam ntxwv tachycardia txhim kho vim tuag tes tuag taw ntawm kev tswj qhov chaw mos. Qee zaum, koob tshuaj loj tuaj yeem ua tau ua atrioventricular (A-V) thaiv thiab nodal atherosclerosis.
Kuj paub yog, atropine cuam tshuam li cas rau lub plawv?
Kev siv ntawm atropine tshuaj hauv cov kab mob plawv yog qhov tseem ceeb hauv kev tswj hwm cov neeg mob nrog bradycardia. Atropine tshuaj tsub kom plawv dhia thiab txhim kho kev coj ua atrioventricular los ntawm kev thaiv cov kab mob parasympathetic cuam tshuam rau ntawm plawv.
Qhov thib ob, cov kev mob tshwm sim ntawm atropine yog dab tsi? Cov kev mob tshwm sim ntawm atropine sulfate suav nrog:
- qhov ncauj qhuav,
- qhov muag tsis pom kev,
- rhiab heev rau lub teeb,
- tsis muaj tawm hws,
- kiv taub hau,
- xeev siab,
- poob qhov nyiaj tshuav,
- hypersensitivity tshua (xws li pob tawv nqaij), thiab.
Ntxiv mus, ntau npaum li cas atropine nce lub plawv dhia?
Txhaj tshuaj ntawm atropine yog siv hauv kev kho mob ntawm bradycardia ( lub plawv dhia < 60 neeg ntaus ib feeb).
Dab tsi yog atropine rau lub plawv?
Cov Tshuaj Tshwj Xeeb thiab Kev Qhia Kho Mob Atropine tshuaj yog muscarinic receptor antagonist uas tau siv los txwv qhov cuam tshuam ntawm kev ua kom lub qhov ncauj ntau dhau ntawm plawv , uas tau tshwm sim ua sinus bradycardia thiab AV nodal block.
Pom zoo:
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Hypernatremia yog "teeb meem dej," tsis yog teeb meem ntawm sodium homeostasis. Txoj kev loj hlob ntawm hyperosmolality los ntawm dej poob tuaj yeem ua rau lub hlwb tsis zoo thiab ua rau lub hlwb raug mob. Kev poob ntim tuaj yeem ua rau muaj teeb meem hauv lub cev (piv txwv li, tachycardia, hypotension)
Puas yog beta agonists ua rau tachycardia?
Sab-cuam tshuam Beta2 agonist bronchodilators tau tsim los khi xaiv rau beta2 receptors hauv lub ntsws. Kev txhawb nqa ntawm sympathetic receptors hauv lub plawv tuaj yeem ua rau tachycardia lossis arrhythmia, thiab stimulation ntawm receptors hauv cov leeg pob txha tuaj yeem ua rau tshee
Dab tsi yog antiarrhythmic yog muab rau pulseless ventricular tachycardia VT thiab ventricular fibrillation VFIB uas tsis teb rau CPR defibrillation thiab vasopressor?
Amiodarone
Cov teeb meem ntsws puas tuaj yeem ua rau tachycardia?
Tachycardia yog lub plawv dhia ntau tshaj 100beats ib feeb. Hauv qee tus neeg, tachycardia yog qhov tshwm sim ntawm lub plawv arrhythmia (lub plawv-tsim abnormality ntawm lub plawv dhia los yog atherosclerosis). Tachycardia tuaj yeem tshwm sim los ntawm teeb meem hauv lub ntsws, xws li mob ntsws lossis ntshav khov hauv ib qho ntawm lub ntsws cov hlab ntsha
Puas yog tachycardia yog ib qho kev mob tshwm sim?
Yog tias ntshav siab txo qis, lub plawv dhia nrawm dua inan sim tsa nws. Qhov no hu ua reflex tachycardia.Nws ua npaws, ua pa ntau dhau, mob raws plab thiab mob hnyav ua rau cov hlab ntsha tuaj yeem ua rau tachycardia, feem ntau yog vim xav tau cov tshuaj tsis txaus hauv lub cev