Video: Koj muab dab tsi rau V tach?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Hauv Tebchaws Meskas, cov tshuaj tua kab mob (IV) antiarrhythmic muaj rau kev tawm tsam ntawm mob monomorphic. VT yog txwv rau procainamide, lidocaine, thiab amiodarone, nrog rau beta-adrenergic thaiv cov kab mob metoprolol, esmolol, thiab propranolol. Bretylium tsis muaj lawm.
Hais txog qhov no, yam tshuaj twg yog qhov xaiv rau ventricular tachycardia?
Txog kev kho mob xwm txheej ceev ntawm kev ruaj khov, hemodynamically ruaj khov ventricular tachycardia, tshuaj tiv thaiv kab mob ntshav qab zib yog kev kho mob xaiv. Feem ntau hauv chav kawm kuv cov tshuaj antiarrhythmic, xws li lidocaine los yog ajmaline, yog qhov nyiam.
Ib tus kuj yuav nug, koj yuav ua dab tsi yog tias tus neeg mob nyob hauv V tach? Mus ntsib koj tus kws kho mob yog koj lossis koj tus menyuam tau ntsib ib yam dab tsi V - tach cov tsos mob. Yog koj qaug zog, ua tsis taus pa los yog mob hauv siab ntev tshaj li ob peb feeb, tau kev saib xyuas xwm txheej ceev, lossis hu rau 911 lossis koj tus lej xwm txheej kub ntxhov hauv nroog. Nrhiav kev saib xyuas xwm txheej ceev rau txhua tus uas muaj cov tsos mob no.
Tsis tas li, koj ua li cas kho v tach nrog mem tes?
Amiodarone 150 mg IV tshaj 10 feeb; rov ua dua li qhov xav tau kom siab tshaj plaws ntawm 2.2 g hauv 24 teev. Npaj rau kev xaiv ua synchronized cardioversion. Tus neeg mob nyob hauv supraventricular tachycardia nrog kev tsis ncaj ncees. Adenosine 6 mg ceev IV thawb Yog tias tsis muaj kev hloov pauv, muab adenosine 12 mg ceev IV thawb; tuaj yeem rov ua dua 12 mg ib zaug.
Muaj pes tsawg tus ntaus ntawm V tach yog qhov tseem ceeb?
Ventricular tachycardia yog pulse ntau tshaj 100 neeg ntaus ib feeb nrog tsawg kawg peb lub plawv dhia tsis sib xws ua ke. Nws tshwm sim los ntawm kev ua haujlwm tsis zoo hauv lub plawv hluav taws xob. Koj lub plawv dhia yog tswj los ntawm kev siv hluav taws xob uas ua rau txhua qhov kev cog lus thiab txiav txim siab ntawm lub plawv.
Pom zoo:
Koj tuaj yeem muab dab tsi rau tus dev rau mob stroke?
Cov ntshav ua kom yuag tuaj yeem txo qis cov ntshav txhaws, thiab tshuaj ntshav siab tuaj yeem muab rau cov dev uas muaj ntshav siab. Tshuaj tua kab mob tej zaum yuav tau sau tseg yog tias tsis tuaj yeem txiav tawm kab mob. Lwm yam tshuaj, phais, lossis kho mob tuaj yeem siv los kho lwm yam mob uas ua rau mob stroke, ib yam
Koj tuaj yeem muab dab tsi rau miv rau qhov ntswg?
Nov yog ob peb lwm yam uas koj tuaj yeem ua los pab koj tus miv pib zoo siab: Khaws lawv lub qhov muag thiab lub qhov ntswg kom tsis txhob siv cov ntaub mos muag los yog ntaub so tes ntub dej sov. Tsis txhob muab tshuaj rau koj miv yam tsis tau tham nrog koj tus kws kho tsiaj, vim ntau tus tib neeg cov tshuaj muaj tshuaj lom rau miv
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 muab tshuaj dab tsi rau pulseless v tach?
Kev kho: Defibrillation
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?'