Hiki i ka mea maʻi ke hoʻohālikelike i nā loli o ka puʻuwai o ka mea maʻi, ka pulse, ke koko, ka hanu, ka saturation oxygen koko a me nā ʻāpana ʻē aʻe, a he kōkua maikaʻi ia e kōkua i nā limahana lapaʻau e hoʻomaopopo i ke kūlana o ka mea maʻi. Akā ʻaʻole maopopo ka poʻe maʻi a me ko lākou ʻohana, he nīnau pinepine a hopohopo paha, a i kēia manawa hiki iā mākou ke hoʻomaopopo pū.
01 Nā ʻāpana o ka nānā ECG
Hoʻokumu ʻia ka mea nānā maʻi me ka pale nui, ke alakaʻi ana i ke koko (pili i ka cuff), ke alakaʻi ana o ka oxygen koko (pili i ke koko oxygen clip), ke alakaʻi ana electrocardiogram (pili ʻia me ka pepa electrode), ke alakaʻi ana wela a me ka plug mana.
Hiki ke hoʻokaʻawale ʻia ka pale maʻi monitor i 5 mau wahi:
1) Wahi ʻike kumu, me ka lā, ka manawa, ka helu moe, ka ʻike alarm, etc.
2) Wahi hoʻoponopono hana, hoʻohana nui ʻia no ka modulation o ka nānā ʻana o ECG, hoʻohana ʻia kēia wahi e nā limahana lapaʻau, ʻaʻole hiki i nā maʻi a me nā ʻohana ke hoʻololi i ka makemake.
3) Hoʻololi mana, hōʻike mana;
4) Wahi hawewe, e like me nā hōʻailona koʻikoʻi a kaha kiʻi i ke kiʻikuhi nalu i hana ʻia, hiki ke hōʻike pololei i ka loli ikaika o nā hōʻailona koʻikoʻi;
5) ʻāpana ʻāpana: hōʻike i kahi o nā hōʻailona koʻikoʻi e like me ka puʻuwai, ke koko, ka hanu a me ka oxygen koko.
A laila, e hoʻomaopopo kākou i ka ʻāpana parameter, ʻo ia hoʻi ka mea koʻikoʻi no kā mākou poʻe maʻi a me ko lākou ʻohana e hoʻomaopopo i nā "hōʻailona koʻikoʻi" o nā maʻi.
02ʻāpana palena ---- nā hōʻailona koʻikoʻi o ka maʻi
ʻO nā hōʻailona koʻikoʻi, kahi huaʻōlelo lapaʻau, e pili ana: ka wela o ke kino, ka pulse, ka hanu, ke koko, ka oxygen koko. Ma ka ECG monitor, hiki iā mākou ke hoʻomaopopo i nā hōʻailona koʻikoʻi o ka mea maʻi.
Eia mākou e lawe iā ʻoe i ka hihia o ka mea maʻi like.
NānāʻO nā waiwai koʻikoʻi loa, i kēia manawa nā hōʻailona koʻikoʻi o ka mea maʻi: ka puʻuwai: 83 beats / min, ke koko oxygen saturation: 100%, hanu: 25 beats / min, ke koko: 96/70mmHg.
Hiki i nā hoa makaʻala ke haʻi
ʻO ka mea maʻamau, ʻo ka waiwai ma ka ʻaoʻao ʻākau o ka ECG a mākou i kamaʻāina ai ʻo ko mākou puʻuwai puʻuwai, a ʻo ka nalu wai ko mākou koko oxygen saturation a me ka hanu ʻana, ʻo ke ʻano maʻamau o ke koko oxygen saturation he 95-100%, a me ka laulā maʻamau. ʻO ka hanu ʻana he 16-20 mau manawa / min. Heʻokoʻa loa nā meaʻelua a hiki ke hoʻoholo pololeiʻia. Eia hou, ua māhele ʻia ke koko i ke koko systolic a me ke koko diastolic, ʻelua mau helu i ʻike ʻia ma ka ʻaoʻao, ke koko systolic i mua, ke koko diastolic ma hope.
03E mālama pono i ka hoʻohana ʻanahoomanawanui kiaʻi
Ma o ka hoʻomaopopo ʻana i ka ʻanuʻu mua, hiki iā mākou ke ʻike i ke ʻano o ka waiwai i hōʻike ʻia ma ka mea hana nānā. ʻĀnō e hoʻomaopopo kākou i ke ʻano o kēia mau helu.
Ka helu puʻuwai
Ka helu o ka naʻau - hōʻike i ka helu o ka manawa o ka puʻuwai e paʻi i kēlā me kēia minuke.
ʻO ka waiwai maʻamau no nā mākua: 60-100 mau manawa / min.
ʻO ka puʻuwai <60 beats / min, maʻamau nā kūlana physiological maʻamau i nā mea pāʻani, nā ʻelemakule a pēlā aku; ʻIke pinepine ʻia nā hihia maʻamau i ka hypothyroidism, ka maʻi cardiovascular, a me ke kūlana kokoke i ka make.
ʻO ka puʻuwai puʻuwai> 100 beats / min, ʻike pinepine ʻia nā kūlana physiological maʻamau i ka hoʻomaʻamaʻa ʻana, hauʻoli, ke kūlana koʻikoʻi, ʻike pinepine ʻia nā kūlana kūlohelohe i ke kuni, ka haʻalulu mua, ka maʻi cardiovascular, hyperthyroidism, etc.
ʻO ke koko oxygen saturation
Hoʻohana ʻia ka Saturation Oxygen - ke ʻano o ka oxygen i loko o ke koko - e hoʻoholo ai inā he hypoxic ʻoe a ʻaʻole paha. ʻO ka waiwai maʻamau o ka oxygen koko: 95% -100%.
ʻIke pinepine ʻia ka hoʻohaʻahaʻa ʻana o ka oxygen saturation i ke keʻakeʻa ʻana i ke ea, nā maʻi hanu a me nā kumu ʻē aʻe o ka dyspnea, ka hanu ʻana.
Laki hanu
ʻO ka hanu hanu - hōʻike i ka helu o nā hanu i kēlā me kēia minuke ka waiwai maʻamau no nā mākua: 16-20 hanu i kēlā me kēia minuke.
ʻO ka hanu ʻana ma lalo o 12 mau manawa/min kapa ʻia ʻo bradyapnea, ka mea maʻamau i ʻike ʻia i ka piʻi ʻana o ke kaomi intracranial, ka ʻawaʻawa barbiturate a me ke kūlana kokoke i ka make.
ʻO ka hanu ʻana > 24 manawa/min, kapa ʻia ʻo hyperrespiration, ʻike pinepine ʻia i ke kuni, ʻeha, hyperthyroidism a pēlā aku.
* Hoʻopilikia pinepine ka ʻōnaehana hanu o ka monitor ECG i ka hōʻike ma muli o ka neʻe ʻana o ka mea maʻi a i ʻole nā kumu ʻē aʻe, a pono e kau ʻia i ke ana hanu lima.
Paʻi koko
ʻO ke koko - ʻo ke koko maʻamau no nā pākeke he systolic: 90-139mmHg, diastolic: 60-89mmHg. ʻO ka hoʻemi ʻana o ke koko, nā kūlana physiological maʻamau i ka hiamoe, ka ʻāina wela kiʻekiʻe, a me nā mea ʻē aʻe, nā kūlana maʻamau: hemorrhagic shock, kokoke i ka make.
ʻO ka piʻi ʻana o ke koko, ʻike ʻia nā kūlana physiological maʻamau: ma hope o ka hoʻoikaika kino, hauʻoli, ʻike ʻia nā kūlana maʻamau i ka hypertension, nā maʻi cerebrovascular;
Nui nā kumu e pili ana i ka pololei o ke ana ʻana o ka monitor ECG, a e wehewehe ʻia nā ʻōlelo mālama kūpono ma lalo nei.
Ka manawa hoʻouna: ʻAukake-14-2023
