Hoʻohana ʻia ka mea nānā maʻi e nānā a ana i nā hōʻailona koʻikoʻi o ka mea maʻi e like me ka helu o ka puʻuwai, ka hanu ʻana, ka mahana o ke kino, ke koko, ka saturation oxygen koko a pēlā aku. ʻO ka maʻamau, pili nā mea nānā maʻi i nā mea nānā ma ka ʻaoʻao moe. He mea maʻamau kēia ʻano mea nānā a hoʻohana nui ʻia ma ICU a me CCU ma ka haukapila. E nānā i kēia kiʻi oʻO ka mea nānā maʻi Yonker multi-parameter 15 ʻīniha YK-E15:
ElectrocardiographyʻO ka mea i hōʻike ʻia ma ka pale monitor o ka mea maʻi ʻo ia ka ECG a hōʻike i ke ʻano nui o ka helu o ka puʻuwai, e pili ana i nā kuʻi puʻuwai i kēlā me kēia minuke. ʻO ka pae maʻamau o ka helu o ka puʻuwai e hōʻike ʻia ma ka monitor he 60-100bpm, ma lalo o 60bpm ʻo ia ka bradycardia a ma luna o 100 ʻo ia ka tachycardia. He ʻokoʻa ka helu o ka puʻuwai ma muli o ka makahiki, ke kāne a me nā kūlana olaola ʻē aʻe. Hiki i ka helu o ka puʻuwai pēpē hānau hou ke piʻi ma luna o 130bpm. ʻOi aku ka wikiwiki o ka helu o ka puʻuwai o nā wahine makua ma mua o nā kāne makua. ʻO ka poʻe e hana nui ana i ka hana kino a i ʻole me ka hoʻoikaika kino mau, he lohi ka helu o ka puʻuwai.
Ka helu hanu:ʻO ka mea i hōʻike ʻia ma ka pale monitor o ka mea maʻi ʻo RR a hōʻike i ke ʻano nui o ka hanu ʻana, e pili ana i ka helu hanu o ka mea maʻi i kēlā me kēia anakahi o ka manawa. I ka hanu mālie ʻana, ʻo ka RR o nā pēpē hānau hou he 60 a 70brpm a ʻo ka pākeke he 12 a 18brpm. I ka wā mālie, ʻo ka RR o nā pākeke he 16 a 20brpm, ua like ka neʻe ʻana o ka hanu, a ʻo ka lakio i ka helu pulse he 1:4.
Mahana:ʻO ka TEMP ka mea i hōʻike ʻia ma ka pale monitor maʻi. ʻOi aku ka waiwai maʻamau ma mua o 37.3℃, inā ʻoi aku ka waiwai ma mua o 37.3℃, hōʻike ia i ka kuni. ʻAʻohe o kekahi mau monitor i kēia palena.
Ke koko:ʻO ka mea i hōʻike ʻia ma ka pale monitor o ka mea maʻi ʻo NIBP (non-invasive blood pressure) a i ʻole IBP (invasive blood pressure). Hiki ke kuhikuhi ʻia ke ana maʻamau o ke koko i ke koko systolic ma waena o 90-140mmHg a me ke koko diastolic ma waena o 90-140mmHg.
Ka nui o ka oxygen koko:ʻO ka mea i hōʻike ʻia ma ka pale monitor o ka mea maʻi ʻo SpO2. ʻO ia ka pakeneka o ka nui o ka hemoglobin oxygenated (HbO2) i loko o ke koko i ka nui o ka hemoglobin (Hb) holoʻokoʻa, ʻo ia hoʻi ka nui o ka oxygen koko i loko o ke koko. ʻAʻole pono e emi ka waiwai SpO2 maʻamau ma mua o 94%. ʻO ka emi ʻana o 94% ua manaʻo ʻia he lawa ʻole ka lako oxygen. Ua wehewehe pū kekahi poʻe akamai i ka SpO2 ma lalo o 90% ma ke ʻano he maʻamau o ka hypoxemia.
Inā hōʻike ʻia kekahi waiwai ma kamea nānā maʻi ma lalo a ma luna paha o ka pae maʻamau, e kāhea koke i ke kauka e nānā i ka mea maʻi.
Ka manawa hoʻouna: Malaki-18-2022
