Video: Cov tshuaj twg tuaj yeem siv tau los ntawm lub raj endotracheal?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov tshuaj uas tuaj yeem siv los ntawm txoj kev siv lub qhov txhab muaj xws li epinephrine , atropine sulfate, lidocaine hydrochloride, naloxone hydrochloride, thiab metaraminol bitartrate. Endotracheal xa cov ntsev ntsev, sodium bicarbonate, thiab bretylium tosylate tsis pom zoo.
Ib yam li ntawd, koj yuav siv tshuaj endotracheal li cas?
Xyuas kom muaj cov pa txaus thiab ua pa ntawm tus neeg mob lub ntsws. Npaj cov tshuaj yog li ntawd nws yog 2 zaug ntawm cov koob txhaj tshuaj, thiab yaug nrog txog 10 ml NS. Hyperventilate tus neeg mob lub ntsws. Tshem tawm BVM los ntawm ET raj thiab txhaj tshuaj tshuaj ncaj qha mus rau hauv lub raj ua raws li ib txwm saline flush.
Tsis tas li ntawd, Dopamine puas tuaj yeem siv los ntawm cov raj endotracheal? Nws yog tswj hwm IV zog or ntawm ua ET cev thaum tsim nyog. Qhov ntau npaum li cas yog 2 txog 5 mcg/kg/min muab nyob rau hauv ib tug nruam IV drip. Cov tshuaj tau siab li 50 mcg/kg/min. Dopamine yog sib xyaw: 400mg (2x 200mg vials) hauv 500ml ntawm D5W.
Hais txog qhov no, puas tuaj yeem muab Adrenaline los ntawm lub raj endotracheal?
Adrenaline (epinephrine), lidocaine (lignocaine) thiab atropine (atropine sulfate monohydrate) tuaj yeem yog muab los ntawm endotracheal tube , tab sis lwm yam tshuaj mob plawv yuav tsum TSIS TAU muab endotracheally raws li lawv yuav ua rau mucosal thiab alveolar puas.
Dab tsi ntawm cov tshuaj hauv qab no yuav tsum tsis txhob siv los ntawm lub raj endotracheal thaum muaj xwm txheej ceev?
Cov endotracheal kev siv xwm ceev tshuaj. Cov tshuaj ntawd yuav tsum tsis yog muab los ntawm endotracheal txoj hauv kev suav nrog bretylium, diazepam, ntsev ntsev, isoproterenol, norepinephrine, thiab sodium bicarbonate.
Pom zoo:
Koj puas tuaj yeem siv tshuaj dawb los ntawm cov tshuaj lom cov ntoo ntoo?
Tsis yog, qhov kev nkag siab yuam kev ntau yog tias koj yuav tsum siv tshuaj dawb los ntawm cov tshuaj lom cov kab mob. Kev siv cov tshuaj dawb rau cov tshuaj lom cov ntoo tuaj yeem zoo li txhim kho sai kom tshem tawm cov roj ua rau pob, tab sis koj tuaj yeem ua kev puas tsuaj ntxiv rau koj lub cev. Thaum koj thov tshuaj dawb ncaj qha rau ntawm daim tawv nqaij, nws tshem tawm txheej txheej saum toj kawg nkaus uas ua rau khaus
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