Cov txheej txheem:
Video: Koj muab tshuaj dab tsi rau pulseless v tach?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Kev kho: Defibrillation
Tom qab ntawd, yuav ua li cas yog tias tus neeg mob nyob hauv V tach?
Kev kho rau V-tach suav nrog:
- Catheter ablation. Cov txheej txheem no feem ntau siv thaum txoj kev hluav taws xob tsis sib xws yog lub luag haujlwm rau lub plawv dhia.
- Tshuaj. Cov tshuaj tiv thaiv tsis tuaj yeem tuaj yeem tiv thaiv lub plawv dhia nrawm thaum noj tas li.
- Implantable cardioverter-defibrillator.
- Kev phais.
Kuj Paub, koj puas ua zaws rau V tach? Pulseless ventricular tachycardia ( VT ) yuav tsum raug kho zoo ib yam li lub ntsws fibrillation (VF) thiab yog li defibrillation yuav tsum yuav tsum tau ua tam sim ntawd. Hauv siab compressions yuav tsum kuj tseem yuav pib tam sim yog tias kev nkag mus rau lub tshuab defibrillator tau ncua.
Tsuas yog li ntawd, koj puas poob siab pulseless v tach?
Hauv lwm yam tsis muaj zog rhythms, xws li ventricular fibrillation thiab pulseless ventricular tachycardia , poob siab tau qhia, tab sis defibrillation yuav ua tsis muaj dab tsi los pab tus neeg mob hauv PEA. Thawj qhov kev kho mob yog nrhiav kom paub qhov ua rau raug ntes.
Lub ventricular tachycardia zoo li cas?
Ventricular tachycardia hais txog qhov dav QRS lub plawv atherosclerosis - uas yog, lub sijhawm QRS dhau 120 milliseconds - los ntawm ventricles ntawm tus nqi ntau dua 100 neeg ntaus ib feeb. Qhov no tuaj yeem yog hemodynamically tsis ruaj khov, ua rau mob hypotension hnyav, thiab yog li tuaj yeem ua rau muaj kev phom sij rau lub neej.
Pom zoo:
Kuv yuav muab dab tsi rau kuv tus dev rau qhov ua xua rau kev txhaj tshuaj?
Cov mob me me lossis qib nruab nrab tuaj yeem kho nrog kev txhaj tshuaj antihistamine thiab/lossis kev txhaj tshuaj cortisone qhov hnyav dua tuaj yeem xav tau epinephrine thiab txhoj puab heev tso dej tawm thiab txhawb nqa
Koj tuaj yeem foob yog tias lub tsev muag tshuaj muab tshuaj tsis raug rau koj?
Yog, kiag li. Koj tuaj yeem foob foob lub tsev muag tshuaj rau ib qho kev puas tsuaj los ntawm kev tau txais cov tshuaj sib txawv dua li qhov tau teev tseg lossis lwm yam ua yuam kev. Qhov tseeb, foob lub tsev muag tshuaj rau muab tshuaj tsis raug rau koj, noj tshuaj tsis raug, lossis qhia tsis raug yog qhov tseem ceeb
Dab tsi yog antiarrhythmic yog muab rau pulseless ventricular tachycardia VT thiab ventricular fibrillation VFIB uas tsis teb rau CPR defibrillation thiab vasopressor?
Amiodarone
Dab tsi tshwm sim rau qhov tshuaj tiv thaiv tus nqi raws li qhov muab cov tshuaj txhuam hniav tawm?
Yuav ua li cas rau cov tshuaj tiv thaiv raws li cov khoom ntawm toothpicks khiav tawm? Tus nqi ntawm cov enzymes qeeb qeeb vim tias koj tsis tuaj yeem rhuav tshem cov tshuaj txhuam hniav yog tias nws twb tawg lawm. Nws yog qhia lub plab zom mov ntawm ib qho enzyme vim nws tawg ua ob chav
Koj muab dab tsi rau V tach?
Hauv United Sates, cov tshuaj tiv thaiv kab mob (IV) tiv thaiv kab mob muaj rau kev tiv thaiv tus mob monomorphic VT raug txwv rau procainamide, lidocaine, thiab amiodarone, nrog rau beta-adrenergic thaiv cov kab mob metoprolol, esmolol, thiab propranolol. Bretylium tsis muaj lawm