Video: Koj ua dab tsi rau V fib ACLS?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Kev kho mob: Cardiopulmonary resuscitation
Hauv qhov no, dab tsi yog refractory ventricular fibrillation ACLS?
Refractory ventricular fibrillation (RVF) yog qhov ua rau muaj kev phom sij rau lub plawv tsis ua haujlwm tsis zoo rau cov txheej txheem ib txwm muaj ntawm defibrillation thiab kev txhawb nqa lub plawv siab ( ACLS ).
Ib sab saum toj no, koj puas poob siab V fib? Pulseless ventricular tachycardia thiab ventricular fibrillation raug kho nrog unsynchronized poob siab , kuj tseem hu ua defibrillation. EKG synchronization tsis tuaj yeem ua tau nrog VF, vim nws yog qhov tsis sib xws, tsis sib xws.
Tom qab ntawd, dab tsi yog amiodarone siv rau hauv ACLS?
Tsis pub dhau ACLS , amiodarone yog siv rau nws cov khoom antiarrhythmic thiab zoo rau kev kho mob ntawm supraventricular arrhythmias thiab ventricular arrhythmias. Amiodarone hmoov yog xwb siv tom qab defibrillation (lossis cardioversion) thiab epinephrine (thawj kab tshuaj) tsis hloov VT/VF.
Koj muab ACLS li cas?
Koob thiab Kev Tswj: Neeg Laus ACLS : Nrog lub plawv dhia: Muab 1-2g qeeb IV / IO infusion tshaj 5-60 feeb, ua raws li kev saib xyuas ntawm 0.5-1g / teev. (Magnesium yuav tsum tau diluted hauv 50-100ml D5W.) Lub plawv nres: Muab 1-2gm qeeb IV/IO infusion dhau 5-20 feeb.
Pom zoo:
Dab tsi tshwm sim rau koj lub cev thaum koj poob siab?
Kev poob siab tuaj yeem tshwm sim los ntawm kev raug mob, cua sov, poob ntshav, ua xua, mob hnyav, lom, kub hnyiab lossis lwm yam ua rau. Thaum ib tus neeg poob siab, nws lub cev tsis tau ntshav lossis oxygen txaus. Yog tias tsis kho, qhov no tuaj yeem ua rau lub cev puas tsuaj tas mus li lossis tseem tuag taus
Dab tsi yog lub hauv paus ntawm lub cev rau amenorrhoea tom qab xeeb menyuam thiab lwm yam dab tsi uas tuaj yeem ua rau amenorrhoea?
Amenorrhea cov lus tseeb Genetic los yog yug hauv tsev yog qhov ua rau pom thawj zaug ntawm tus mob amenorrhea. Amenorrhea tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm zes qe menyuam, pituitary caj pas, hypothalamus, lossis lub tsev menyuam. Kev qoj ib ce hnyav, hnyav hnyav, mob lub cev, thiab kev nyuab siab tuaj yeem ua rau muaj kev tsis txaus ntseeg
Dab tsi yog qhov txiaj ntsig ib txwm rau PaO 2 Dab tsi yog qhov txiaj ntsig rau kev txiav txim siab qhov hnyav ntawm hypoxemia?
Zoo li feem ntau qhov kev kho mob ib txwm muaj txiaj ntsig thiab ntau yam, lub ntsiab lus tuaj yeem sib txawv me ntsis, tab sis feem ntau cov ntsiab lus hauv qab no siv: Ua rau me me hypoxemia: PaO2 = 60 txog 79 mmHg. Qhov nruab nrab hypoxemia: PaO2 = 40 txog 59 mmHg. Hypoxemia hnyav: PaO2 <40 mmHg
Dab tsi yog cov lus nug uas koj yuav tsum nug koj tus kheej thaum koj ntsuas koj tus kheej rau kev ntxhov siab?
Hauv qab no pom peb lo lus nug Hanna qhia koj tus kheej thaum koj muaj kev ntxhov siab txhawm rau ua kom koj tus kheej rov qab los. 'Qhov kev nyuab siab no puas yog kuv lub siab lossis lwm tus?' 'Kuv puas tuaj yeem pab tau?' 'Kuv yuav tsum tsim kom muaj ciam teb dab tsi?'
Dab tsi ua rau tub ceev xwm saib xyuas tshuaj rau dab tsi?
Qhov feem ntau raug zam txim thiab raug tshuaj ntsuam xyuas thiab ntsuas cawv yog: 5-panel panel drugurine test, uas txheeb xyuas cov zis zis rau cov yeeb tshuaj xas, cocaine, PCP, amphetamines, thiab opiates. Ntau qhov kev sim tshuaj ntsuam xyuas kev sim tshuaj kuj tseem ntxiv cawv rau 5-paneltest