Peb siv cov ncuav qab zib los txhim kho koj qhov kev paub.Los ntawm txuas ntxiv mus saib lub vev xaib no, koj pom zoo rau peb siv cov ncuav qab zib.Xav paub ntxiv.
Kev sib xyaw ua ke ntawm cov tawv nqaij raug mob, kev kho mob kev tshaj lij, thiab kev saib xyuas tas li ntawm cov kev xav tau ntawm cov neeg mob hnyav tuaj yeem ua rau lub tswb tswj tau qhov kev sib tw loj rau cov chav hlawv.
Raws li ib feem ntawm lub koom haum txoj kev npaj los txo cov kev ceeb toom ntau dhau thiab txo qhov kev pheej hmoo ntawm kev ceeb toom qaug zog, Burns Intensive Care Unit (BICU) ntawm North Carolina tau ua tiav nws cov teeb meem tshwj xeeb.
Cov kev siv zog no tau ua rau muaj kev poob qis tsis tu ncua ntawm lub tswb tsis tuaj yeem thiab txhim kho cov tswv yim tswj lub tswb rau 21-txaj BICU ntawm Jaycee Burn Center hauv North Carolina ntawm Chapel Hill Medical Center ntawm University of North Carolina.Nyob rau hauv txhua ntawm tsib lub sij hawm sau cov ntaub ntawv nyob rau hauv ob lub xyoos, qhov nruab nrab tus naj npawb ntawm lub tswb nyob rau ib hnub tus neeg mob tseem nyob rau hauv lub hauv paus pib.
Qhov "Cov Ntawv Pov Thawj-Raws Li Kev Pabcuam Kom Txo Cov Tswb Fatigue hauv Burn Intensive Care Units" qhia txog cov phiaj xwm txhim kho kev ceeb toom kev nyab xeeb, suav nrog cov kev hloov pauv hauv kev npaj daim tawv nqaij thiab cov tswv yim qhia kev saib xyuas neeg ua haujlwm.Cov kev tshawb fawb tau luam tawm nyob rau lub yim hli ntuj qhov teeb meem ntawm Critical Care Nurses (CCN).
Co-sau Rayna Gorisek, MSN, RN, CCRN, CNL, feem ntau yog lub luag haujlwm rau kev kawm ntawm txhua tus kws saib xyuas neeg mob BICU, kws saib xyuas neeg mob thiab kws kho mob ua pa.Thaum kawm, nws yog ib tug kws kho mob IV nyob rau hauv qhov chaw kub hnyiab.Tam sim no nws yog tus kws saib xyuas mob taub hau hauv phais ICU ntawm VA Medical Center hauv Durham, North Carolina.
Peb tuaj yeem tsim los ntawm peb lub koom haum thoob plaws lub koom haum los hloov pauv los txhim kho kev saib xyuas neeg mob thiab ceeb toom cov tswv yim tswj xyuas tshwj xeeb rau BICU ib puag ncig.Txawm tias nyob rau hauv ib qho tshwj xeeb BICU, los ntawm kev siv cov pov thawj raws li cov lus pom zoo tam sim no, lub hom phiaj ntawm kev txo cov kev raug mob cuam tshuam nrog kev ceeb toom kev kho mob yog ua tiav thiab ruaj khov.”
Lub chaw kho mob tau tsim ib pab pawg neeg saib xyuas kev nyab xeeb ua haujlwm hauv 2015 kom ua tiav pawg neeg sib koom ua ke lub hom phiaj kev nyab xeeb ntawm tus neeg mob hauv lub tebchaws, uas xav kom cov tsev kho mob ua kom ceeb toom kev tswj hwm qhov tseem ceeb rau cov neeg mob kev nyab xeeb thiab siv cov txheej txheem meej los txheeb xyuas thiab tswj qhov ceeb toom tseem ceeb tshaj plaws.Cov pab pawg ua haujlwm tau ua cov txheej txheem txhim kho tas mus li, sim cov kev hloov pauv me me hauv ib tus neeg, thiab siv cov kev paub uas tau kawm mus rau ntau qhov kev sim.
BICU tau txais txiaj ntsig los ntawm kev kawm sib koom ua ke, tab sis ntsib cov teeb meem tshwj xeeb cuam tshuam nrog kev saib xyuas cov neeg mob hnyav nrog cov tawv nqaij puas.
Thaum lub sijhawm 4-lub lim tiam hauv paus sau cov ntaub ntawv nyob rau lub Ib Hlis 2016, qhov nruab nrab ntawm 110 lub tswb tshwm sim ib lub txaj ib hnub.Feem ntau ntawm lub tswb haum rau lub ntsiab lus ntawm lub tswb nrov, qhia tias qhov parameter txav mus rau qhov chaw pib uas yuav tsum tau teb tam sim ntawd lossis lub tswb tseem ceeb.
Tsis tas li ntawd, kev tshuaj xyuas qhia tau hais tias yuav luag txhua lub tswb tsis raug yog tshwm sim los ntawm kev tshem tawm ntawm electrocardiogram (ECG) kev soj ntsuam coj los yog tsis sib cuag nrog tus neeg mob.
Kev tshuaj xyuas cov ntaub ntawv tau pom tias tsis muaj cov kev coj ua zoo tshaj plaws los txhim kho ECG ua raws li cov ntaub so ntswg kub hnyiab hauv ICU ib puag ncig, thiab coj BICU los tsim cov txheej txheem tshiab ntawm daim tawv nqaij tshwj xeeb rau hauv siab kub hnyiab, tawm hws, lossis Stevens-Johnson syndrome / Cov neeg mob uas muaj tshuaj lom epidermal. necrolysis.
Cov neeg ua haujlwm tau ua raws li lawv lub tswv yim tswj xyuas kev ceeb toom thiab kev kawm nrog American Association of Intensive Care Nurses (AACN) xyaum ceeb toom "Kev tswj cov kev ceeb toom mob hnyav thoob plaws lub neej: ECG thiab pulse oximetry".AACN Practice Alert yog ib qho kev qhia raws li cov ntaub ntawv pov thawj thiab cov lus qhia los coj kev coj ua pov thawj-raws li kev saib xyuas neeg mob hauv chaw ua haujlwm noj qab haus huv.
Tom qab kev cuam tshuam kev kawm thawj zaug, tus naj npawb ntawm cov lus ceeb toom ntawm qhov chaw sau tau poob ntau dua 50% hauv thawj 4 lub lis piam tom qab kev cuam tshuam kev kawm thawj zaug, tab sis nws tau nce ntawm qhov chaw sau thib ob.Qhov rov hais dua ntawm kev kawm hauv cov rooj sib tham cov neeg ua haujlwm, cov rooj sib tham txog kev nyab xeeb, kev tso tus kws saib xyuas neeg mob tshiab, thiab lwm yam kev hloov pauv tau ua rau poob qis ntawm cov lus ceeb toom ntawm qhov chaw sau tom ntej.
Cov pab pawg ua haujlwm thoob plaws hauv lub koom haum kuj pom zoo kom hloov lub tswb ceeb toom ua ntej kom nqaim qhov ntau ntawm lub tswb ntsuas kom txo qis lub tswb tsis ua haujlwm thaum tseem ua kom cov neeg mob muaj kev nyab xeeb.Tag nrho cov ICUs suav nrog BICU tau ua raws li lub tswb ceeb toom tshiab, uas tuaj yeem pab txhim kho ntau lub tswb hauv BICU.
Gorisek tau hais tias "Qhov kev hloov pauv ntawm tus lej ceeb toom nyob rau lub sijhawm ob xyoos qhia txog qhov tseem ceeb ntawm kev nkag siab lwm yam uas yuav cuam tshuam rau cov neeg ua haujlwm, suav nrog cov kab lis kev cai hauv tsev, kev ua haujlwm siab, thiab kev hloov pauv ntawm kev coj noj coj ua," Gorisek tau hais.
Raws li AACN daim ntawv sau tshuaj kho mob ob lub hlis rau cov kws saib xyuas mob xwm txheej ceev thiab mob hnyav, CCN yog qhov chaw ntseeg siab ntawm cov ntaub ntawv ntsig txog kev saib xyuas hauv txaj rau cov neeg mob hnyav thiab mob hnyav.
Tags: kub hnyiab, mob siab rau, kev kawm, qaug zog, kev kho mob, intensive kev saib xyuas, ua tsis taus pa, daim tawv nqaij, kev nyuaj siab, syndrome
Hauv kev xam phaj no, xibfwb John Rossen tau tham txog kev sib txuas ntawm cov tiam tom ntej thiab nws qhov cuam tshuam rau kev kuaj mob.
Hauv kev xam phaj no, Xov Xwm-Kev Kho Mob tau tham nrog xibfwb Dana Crawford txog nws txoj haujlwm tshawb fawb thaum lub sijhawm COVID-19 kis thoob qhov txhia chaw.
Hauv kev xam phaj no, Xov Xwm-Kev Kho Mob tau tham nrog Dr. Neeraj Narula txog cov khoom noj uas tau ua tiav thiab yuav ua li cas qhov no tuaj yeem ua rau koj muaj kev pheej hmoo ntawm kab mob plab hnyuv (IBD).
Xov Xwm-Medical.Net muab cov ntaub ntawv kho mob no ua raws li cov lus qhia thiab cov xwm txheej no.Thov nco ntsoov tias cov ntaub ntawv kho mob ntawm lub vev xaib no yog tsim los txhawb ntau dua li hloov kev sib raug zoo ntawm cov neeg mob thiab kws kho mob / kws kho mob thiab cov lus qhia kho mob uas lawv tuaj yeem muab.
Post lub sij hawm: Aug-30-2021