Timagwiritsa ntchito makeke kuti tikulitse zomwe mumakumana nazo.Mukapitiliza kuyang'ana webusayiti iyi, mukuvomera kugwiritsa ntchito makeke.Zambiri.
Kuphatikiza kwa khungu lovulala, chithandizo chamankhwala cha akatswiri, ndi kuyang'anitsitsa mosalekeza zosowa za odwala omwe akuwotchedwa kwambiri kungapangitse kuti ma alarm asamavutike kwambiri pamagulu oyaka.
Monga gawo la ndondomeko yamakampani yochepetsera kuchenjeza mopitirira muyeso komanso kuchepetsa chiopsezo cha kutopa, Burns Intensive Care Unit (BICU) ya North Carolina inathetsa bwino nkhani zake zokhudzana ndi unit.
Zoyesayesa izi zachititsa kuchepa kosalekeza kwa ma alarm osagwira ntchito komanso njira zowongolera ma alarm a 21-bed BICU ku Jaycee Burn Center ku North Carolina ku Chapel Hill Medical Center ku University of North Carolina.Pazigawo zisanu zosonkhanitsira deta pazaka ziwiri, chiwerengero cha ma alarm pa tsiku la odwala chinakhala pansi pa chiyambi choyamba.
"Pulogalamu Yozikidwa pa Umboni Yochepetsera Kutopa Kwa Alarm M'magawo Osamalira Odwala Kwambiri" mwatsatanetsatane ndondomeko yowonjezera chitetezo cha alamu, kuphatikizapo kusintha kwa machitidwe okonzekera khungu ndi njira zophunzitsira ogwira ntchito unamwino.Kafukufukuyu adasindikizidwa mu August nkhani ya Critical Care Nurses (CCN).
Wolemba nawo Rayna Gorisek, MSN, RN, CCRN, CNL, ali ndi udindo wophunzitsa anamwino onse a BICU, othandizira unamwino ndi othandizira kupuma.Pa phunziro, iye anali chipatala IV namwino mu kuwotcha likulu.Pakali pano ndi namwino wamkulu wachipatala ku ICU ya opaleshoni ya VA Medical Center ku Durham, North Carolina.
Titha kulimbikira pagulu lathu lonse kuti tisinthe kusintha momwe tingayang'anire odwala komanso njira zowongolera zochenjeza za chilengedwe cha BICU.Ngakhale mu BICU yodziwika bwino kwambiri, pogwiritsa ntchito ndondomeko zamakono zowonetsera umboni, cholinga chochepetsera kuvulala kokhudzana ndi machitidwe ochenjeza zachipatala ndi chotheka komanso chokhazikika.”
Chipatala chachipatala chinakhazikitsa gulu lachidziwitso chachitetezo chamagulu ambiri mu 2015 kuti akwaniritse zolinga za komiti yogwirizana za chitetezo cha odwala, zomwe zimafuna kuti zipatala zikhale zofunikira kwambiri pa chitetezo cha odwala ndikugwiritsa ntchito njira zomveka bwino kuti azindikire ndi kuyang'anira Chidziwitso chofunika kwambiri.Gulu logwira ntchito lidachita njira yopititsira patsogolo, kuyesa kusintha kwakung'ono m'magulu ang'onoang'ono, ndikugwiritsira ntchito chidziwitso chomwe chaphunziridwa pamayesero ambiri.
BICU imapindula ndi kuphunzira kwapaguluku, koma imakumana ndi zovuta zapadera zomwe zimayenderana ndi kuwunika odwala omwe ali ndi khungu lowonongeka.
Pa nthawi yosonkhanitsa deta ya masabata a 4 mu January 2016, pafupifupi ma alarm a 110 anachitika pabedi pa tsiku.Ma alarm ambiri amafanana ndi tanthawuzo la alarm alarm, kusonyeza kuti parameter ikupita kumalo omwe amafunikira kuyankha mwamsanga kapena alamu yovuta.
Kuphatikiza apo, kusanthula kukuwonetsa kuti pafupifupi ma alarm onse osavomerezeka amayamba chifukwa cha kuchotsedwa kwa ma electrocardiogram (ECG) kuyang'anira kutsogolera kapena kutaya kukhudzana ndi wodwalayo.
Kuwunika kwa mabuku kunawonetsa kusowa kwa njira zabwino zopititsira patsogolo kutsata kwa ECG ndi minofu yowotcha m'malo a ICU, ndipo zidatsogolera BICU kupanga njira yatsopano yokonzekera khungu makamaka chifukwa cha kutentha pachifuwa, kutuluka thukuta, kapena matenda a Stevens-Johnson / Odwala omwe ali ndi epidermal oopsa. necrolysis.
Ogwira ntchitowo adagwirizanitsa njira yawo yoyang'anira tcheru ndi maphunziro awo ndi American Association of Intensive Care Nurses (AACN) chenjezo la "Kusamalira zidziwitso zachisamaliro m'moyo wonse: ECG ndi pulse oximetry".AACN Practice Alert ndi malangizo ozikidwa pa umboni wofalitsidwa ndi malangizo otsogolera mchitidwe wa unamwino wozikidwa pa umboni pamalo ogwirira ntchito.
Pambuyo pa kulowererapo koyambirira kwa maphunziro, chiwerengero cha zidziwitso pa malo osonkhanitsira chinatsika ndi 50% m'masabata oyambirira a 4 pambuyo pa kulowererapo koyambirira kwa maphunziro, koma chinakwera pamtunda wachiwiri.Kugogomezeranso kwa maphunziro pamisonkhano ya ogwira ntchito, misonkhano yachitetezo, malo atsopano a anamwino, ndi kusintha kwina kunapangitsa kuti chiwerengero cha zidziwitso chichepetse pa malo otsatirawa.
Magulu ogwira ntchito m'bungwe lonse adalimbikitsanso kusintha ma alarm osasinthika kuti achepetse zizindikiro za alamu kuti achepetse ma alarm osagwira ntchito pamene akutsimikizira chitetezo cha odwala.Ma ICU onse kuphatikiza BICU akhazikitsa ma alarm atsopano, omwe angathandize kupititsa patsogolo kuchuluka kwa ma alarm mu BICU.
"Kusinthasintha kwa chiwerengero cha machenjezo pazaka ziwiri kumatsimikizira kufunika komvetsetsa zinthu zina zomwe zingakhudze antchito, kuphatikizapo chikhalidwe chamagulu, kukakamizidwa kwa ntchito, ndi kusintha kwa utsogoleri," adatero Gorisek.
Monga magazini ya AACN ya bimonthly clinic practice for emergency and intensive care journal, CCN ndi gwero lodalirika la chidziwitso chokhudzana ndi chisamaliro chapafupi ndi bedi kwa odwala kwambiri komanso odwala kwambiri.
Tags: kutentha, chisamaliro champhamvu, maphunziro, kutopa, chisamaliro chaumoyo, chisamaliro champhamvu, unamwino, kupuma, khungu, nkhawa, syndrome
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News-Medical.Net imapereka zidziwitso zachipatalazi molingana ndi izi.Chonde dziwani kuti zambiri zachipatala zomwe zili patsamba lino ndizothandiza m'malo mosintha ubale pakati pa odwala ndi madotolo/madokotala komanso malangizo azachipatala omwe angapereke.
Nthawi yotumiza: Aug-30-2021