Video: Yuav ceev npaum li cas yog saline?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Ib 20 ml/kg 0.9% dej qab zib li qub bolus (siab tshaj 999 mL) yuav siv ntau tshaj 1 teev. Qhov no yuav ua raws D5-0.9% dej qab zib li qub ntawm tus nqi txij nkawm (ntau tshaj 55 mL / h). 60 mL/kg 0.9% dej qab zib li qub bolus (ntau tshaj 999 mL) tshaj 1 teev yuav raug muab.
Hais txog qhov no, koj tuaj yeem muab cov kua dej sai npaum li cas?
Txoj kev thiab tus nqi ntawm Dej Administration Standard, loj (piv txwv li, 14- rau 16-gauge) peripheral IV catheters txaus rau feem ntau kua resuscitation. Nrog lub twj tso kua mis, lawv feem ntau tso cai rau 1 L ntawm crystalloid hauv 10 txog 15 feeb thiab 1 chav ntim cov qe ntshav liab hauv 20 feeb.
Tsis tas li ntawd, kuv noj saline ntau npaum li cas? Kev sib xyaw ua ke ntawm 0.9% ntsev (kev kho lub cev qhuav dej) thiab 0.18% ntsev (txij nkawm kua) qhov nruab nrab kwv yees li 0.45% (ib nrab-ib txwm) ntsev . Qhov kwv yees no tau txais vim tias lub raum yuav txheeb xyuas seb yuav khaws dab tsi thiab yuav tso tawm dab tsi.
Tsis tas li lo lus nug yog, dab tsi yog ib qho saline bolus?
Bolus kua kev kho (FBT) yog tus txheej txheem kev saib xyuas hauv kev tswj hwm tus mob septic, hypotensive, tachycardic thiab/lossis tus neeg mob oliguric. Qhov nruab nrab dej bolus yog 500 ml ( ntau 100 mus rau 1,000 ml) muab ntau tshaj 30 feeb ( ntau 10 txog 60 feeb) thiab feem ntau yog siv kua yog 0.9% sodium chloride tov.
Cov kua IV puas tuaj yeem muab tau sai heev?
Cov teeb meem cuam tshuam nrog rau txoj cai ntawm kua dej suav nrog muab ib yam nkaus ntau kua sai heev , ua kua overload. Kev tswj hwm ntawm cov kua dej tso rau hauv ntawm IV infusion yog ntau thiab muaj kev nyab xeeb heev. Yog tias koj pom qhov ntws zoo li mus ceev dhau los yog ib yam nkaus qeeb, nug koj tus kws saib xyuas mob txhawm rau txheeb xyuas qhov ntws.
Pom zoo:
Dab tsi yog lub tshuab ceev ceev siv rau?
Lub tshuab ceev ceev yog lub cuab yeej siv tau zoo rau kev tshem tawm cov ntaub so ntswg kom zoo thiab nrawm nrog yam tsis muaj qhov kub, cua sov lossis kev co thiab txiav cov hniav zoo li butter. Txawm li cas los xij cov khoom siv tes no yuav tsum tau siv nrog ceev faj
Yuav ceev npaum li cas aconite tua?
Cov tsos mob tuaj yeem tshwm sim yuav luag tam sim, feem ntau tsis pub dhau ib teev, thiab 'nrog kev txhaj tshuaj loj tuag yuav luag tam sim ntawd'. Kev tuag feem ntau tshwm sim nyob rau hauv ob mus rau rau teev nyob rau hauv kev tuag lom lom (20 mus rau 40 ml ntawm tincture yuav ua pov thawj tuag)
Kev kub ceev handpiece tig ceev npaum li cas?
Dab tsi yog High Speed Handpiece? Ib txhais tes tuav, feem ntau yog cua-uas tau tsav (tseem tuaj yeem yog hluav taws xob), uas tig txiav txiav tawm ntawm kwv yees li 400,000 RPM
Dab tsi yog cov lus teb ceev ceev?
Rapid ventricular rate los yog teb (RVR) Cov chambers fibrillate, lossis quiver, sai. Qhov tshwm sim yog kev tso ntshav nrawm los ntawm lub plawv sai thiab tsis xwm yeem. Hauv qee kis ntawm AFib, kev mob fibrillation ntawm atria ua rau lub plawv, lossis qis dua ntawm lub plawv, kom nrawm nrawm
Lub hom phiaj ntawm qhov chaw kuaj mob qhov muag ceev thaum muaj xwm ceev yog dab tsi?
Lub hom phiaj ntawm chaw nres tsheb qhov muag thaum muaj xwm ceev yog dab tsi? kom yaug qhov muag nrog dej tepid thaum plua plav, khaus khaus, lwm yam khoom uas muaj peev xwm kis tau los yog cov tshuaj phem nkag mus rau qhov muag