Hiki i ka mea nānā maʻi ke hōʻike ikaika i nā loli o ka helu o ka puʻuwai o ka mea maʻi, ka pulse, ke koko, ka hanu ʻana, ka saturation oxygen koko a me nā ʻano ʻē aʻe. Hoʻohana nui ʻia nā mea nānā maʻi lawe lima e nā loea lapaʻau noka nānā ʻana i nā palena o nā keiki hānau hou, nā keiki a i ʻole nā mākua. Akā, nui nā mea maʻi a me ko lākou mau ʻohana i maopopo ʻole, pinepine lākou i nā nīnau a i ʻole nā manaʻo hopohopo, a i kēia manawa hiki iā mākou ke hoʻomaopopo pū.
01 Nā ʻāpana o ka monitor ECG
ʻO ka mea nānā maʻi he pale nui, ke alakaʻi ana o ke koko (pili i ka cuff), ke alakaʻi ana o ka oxygen koko (pili i ke clip oxygen koko), ke alakaʻi ana o ka electrocardiogram (pili i ka pepa electrode), ke alakaʻi ana o ka mahana a me ke plug mana.
Hiki ke hoʻokaʻawale ʻia ka pale nui o ka mea nānā maʻi i 5 mau wahi:
1) ʻĀpana ʻike kumu, me ka lā, ka manawa, ka helu moe, ka ʻike hoʻāla, a pēlā aku.
2) Kahi hoʻoponopono hana, i hoʻohana nui ʻia no ka modulation o ka nānā ʻana i ka ECG, hoʻohana ʻia kēia wahi e nā limahana lapaʻau, ʻaʻole hiki i nā mea maʻi a me nā ʻohana ke hoʻololi i ka makemake.
3) Kuapo mana, hōʻailona mana;
4) ʻO ka ʻāpana nalu, e like me nā hōʻailona koʻikoʻi a kaha kiʻi i ka kiʻikuhi nalu i hana ʻia, hiki ke hōʻike pololei i nā loli loli o nā hōʻailona koʻikoʻi;
5) Wahi palena: hōʻike i kahi o nā hōʻailona koʻikoʻi e like me ka helu o ka puʻuwai, ke koko, ka helu hanu a me ka oxygen koko.
ʻO ka mea aʻe, e hoʻomaopopo kākou i ka ʻāpana palena, ʻo ia hoʻi ka mea nui loa no kā mākou mau maʻi a me ko lākou mau ʻohana e hoʻomaopopo i nā "hōʻailona koʻikoʻi" o nā maʻi.
02Wahi palena ---- nā hōʻailona koʻikoʻi o ka mea maʻi
ʻO nā hōʻailona koʻikoʻi, kahi huaʻōlelo lapaʻau, e komo pū ana me: ka mahana o ke kino, ka pulse, ka hanu ʻana, ke koko, ka oxygen koko. Ma ka monitor ECG, hiki iā mākou ke hoʻomaopopo maʻalahi i nā hōʻailona koʻikoʻi o ka mea maʻi.
Maanei mākou e alakaʻi iā ʻoe ma o ka hihia o ka mea maʻi like.
Ke nānā neiʻo nā waiwai koʻikoʻi loa, i kēia manawa ʻo nā hōʻailona koʻikoʻi o ka mea maʻi: ka helu o ka puʻuwai: 83 kuʻi/min, ka saturation oxygen koko: 100%, ka hanu ʻana: 25 kuʻi/min, ke koko: 96/70mmHg.
Hiki paha i nā hoaaloha makaʻala ke haʻi aku
Ma keʻano laulā, ʻo ka waiwai ma ka ʻaoʻao ʻākau o ka ECG a mākou i kamaʻāina ai, ʻo ia ko mākou helu puʻuwai, a ʻo ke ʻano o ka nalu wai, ʻo ia ko mākou saturation oxygen koko a me ka hanu ʻana, ʻo ka pae maʻamau o ka saturation oxygen koko he 95-100%, a ʻo ka pae maʻamau o ka hanu ʻana he 16-20 mau manawa/min. He ʻokoʻa loa nā mea ʻelua a hiki ke hoʻoholo pololei ʻia. Eia kekahi, ua māhele ʻia ke koko i ke koko systolic a me ke koko diastolic, pinepine ʻelua mau waiwai e ʻike ʻia ma ka ʻaoʻao, ke koko systolic ma ke alo, ke koko diastolic ma ke kua.
03Nā mālama no ka hoʻohana ʻanamea maʻi nānā
Ma o ka hoʻomaopopo ʻana i ke kaʻina hana ma mua, hiki iā kākou ke hoʻokaʻawale i ke ʻano o ka waiwai i hōʻike ʻia ma ka mea nānā. I kēia manawa, e hoʻomaopopo kākou i ke ʻano o kēia mau helu.
Ka helu o ka puʻuwai
Ka helu o ka puʻuwai - hōʻike i ka helu o nā manawa e kuʻi ai ka puʻuwai i kēlā me kēia minuke.
ʻO ke kumukūʻai maʻamau no nā pākeke: 60-100 mau manawa/min.
ʻO ka helu o ka puʻuwai < 60 beats/min, he mea maʻamau nā kūlana kino maʻamau i nā mea pāʻani, ka poʻe ʻelemakule a pēlā aku; ʻIke pinepine ʻia nā hihia maʻamau ʻole i ka hypothyroidism, nā maʻi cardiovascular, a me ke kūlana kokoke i ka make.
ʻO ka helu o ka puʻuwai > 100 mau kuʻi/min, ʻike pinepine ʻia nā kūlana kino maʻamau i ka hoʻoikaika kino, ka pīhoihoi, ke kūlana kaumaha, ʻike pinepine ʻia nā kūlana maʻamau ʻole i ke kuni, ka haʻalulu mua, nā maʻi cardiovascular, hyperthyroidism, a me nā mea ʻē aʻe.
Ka paʻa ʻana o ka oxygen koko
Hoʻohana ʻia ka saturation oxygen - ka nui 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 emi ʻana o ka saturation oxygen i ke ālai ʻia ʻana o ke alaloa, nā maʻi hanu a me nā kumu ʻē aʻe o ka dyspnea, ka hāʻule ʻana o ka hanu.
Ka helu hanu
ʻO ka helu hanu - hōʻike i ka helu o nā hanu i kēlā me kēia minuke ʻo ka waiwai maʻamau no nā pākeke: 16-20 hanu i kēlā me kēia minuke.
ʻO ka hanu ʻana ma lalo o 12 mau manawa/min ua kapa ʻia ʻo bradyapnea, ka mea i ʻike pinepine ʻia i ka piʻi ʻana o ke kaomi intracranial, ka lāʻau make barbiturate a me ke kūlana kokoke i ka make.
ʻO ka hanu ʻana ma mua o 24 mau manawa/min, i kapa ʻia ʻo hyperrespiration, ʻike pinepine ʻia i ke kuni, ka ʻeha, ka hyperthyroidism a pēlā aku.
* Hoʻopilikia pinepine ka modula nānā 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 ana ʻia ka hanu lima.
Ke koko
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 kino maʻamau i ka hiamoe, ke kaiapuni wela kiʻekiʻe, a me nā mea ʻē aʻe, he mea maʻamau nā kūlana ʻē: ka haʻalulu hemorrhagic, ke kūlana kokoke i ka make.
Hoʻonui ʻia ke koko, ʻike ʻia nā kūlana physiological maʻamau: ma hope o ka hoʻoikaika kino, ka pīhoihoi, ʻike ʻia nā kūlana maʻamau ʻole i ka hypertension, nā maʻi cerebrovascular;
Nui nā kumu e hoʻopilikia ai i ka pololei o ke ana ʻana o ka mea nānā ECG, a e hōʻike kikoʻī ʻia nā hana palekana pili i lalo.
Ka manawa hoʻouna: ʻAukake-14-2023
