Ukubukwa: 0 Umbhali: Isikhathi Sokushicilela Sokushicilela: 2023-04-26 Imvelaphi: Isizango
Noma ngabe ungumfundi wezokwelapha noma uthisha obheke ukukhulisa ulwazi lwakho ezinhlelweni zokuqapha ukunakekelwa kweziguli noma umsabalalisi onentshisekelo ofuna ulwazi ngamanani nezici ze-Mecan ngesiguli e-Mecan, sethemba ukuthi le ndatshana inikeza ukuqonda okubalulekile. Umgomo wethu ukusiza abantu bakuqonde kangcono ukubaluleka kokuqapha izimpawu ezibalulekile nokukhetha imishini ethembekile. Ngeminye imibuzo noma ukufunda kabanzi ngemikhiqizo yethu, zizwe ukhululekile ukuxhumana nathi nganoma yisiphi isikhathi.
Yini abaphambukayo beziguli?
I-Monitor Yesineke idivaysi noma uhlelo elenzelwe ukukala nokulawula amapharamitha e-physiological futhi angaqhathaniswa nenani elaziwayo, futhi angazwakala i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona i-alamu uma kukhona kakhulu.
Izinkomba nobubanzi bokusebenzisa
1. Izinkomba: Lapho iziguli zinokungasebenzi kahle kwesitho esibalulekile, ikakhulukazi ukungasebenzi kahle kwenhliziyo kanye nokuxaka, futhi kudinga ukuqapha lapho izimpawu ezibalulekile zingazinzile
2. Isilinganiso sesicelo: Ngesikhathi sokuhlinzwa, ukuhlinzwa, ukunakekelwa kwe-post-care, isifo senhliziyo, izingane ezigula kakhulu, izingane ezisanda kuzalwa, igumbi le-oxygen, igumbi lokulethwa
Isakhiwo esiyisisekelo
Ukwakheka okuyisisekelo kwesiguli Monitor kuqukethe izingxenye ezine: Iyunithi eliphambili, ukuqapha, izinzwa ezahlukahlukene kanye nohlelo lokuxhumana. Isakhiwo esikhulu sifakwe emshinini wonke nangezesekeli.
( MCS0022 ) 12 I-Inch Isiguli Monitor Isiguli Monitor izesekeli
Ukuhlukaniswa kwabaqaphi beziguli?
Kunezigaba ezine ezisuselwa esakhiweni: Abaqaphi abaphathekayo, abaqaphi abangama-plug-in, abaqaphi be-telemetry, kanye ne-holl (namahora angama-24 amahora angama-24 (amahora angama-24 ama-ambulatory ecg) ama-ecg) e-Ecg).
Ngokusho komsebenzi ihlukaniswe izigaba ezintathu: Ukuqapha embhedeni, ukuqapha okuphakathi, nokuqapha kwe-depenct (Monitor ye-Telemetry).
Yini i-Multiparameter Monitor?
Imisebenzi eyisisekelo ye-MultiParameter-Monitor ifaka i-Electrocardiogram (ECG), ukuphefumula (i-resp), i-pulse oxygen gress (SPO2)
Ngasikhathi sinye, umfutho wegazi ohlaselayo (i-IBP) kanye ne-End-Tidal Carbon Dioxide (ETCO2) ingalungiswa ngokwezidingo zomtholampilo.
Ngezansi sichaza izimiso zamapharamitha ayisisekelo alinganiswe ngokuqapha kweziguli kanye nezindlela zokuphepha ukusetshenziswa kwazo.
Ukuqapha i-Electrocardiogram (ECG)
Inhliziyo iyisitho esibalulekile kuhlelo lokujikeleza komuntu. Igazi lingageleza ngokuqhubekayo ohlelweni oluvaliwe ngenxa yomsebenzi we-rythmic systolic and diastolic yenhliziyo. Imisinga kagesi emincane eyenzeka lapho imisipha yenhliziyo ijabule ingaqhutshwa ngokusebenzisa izicubu zomzimba ebusweni bomzimba, okwenza amandla ahlukahlukene akhiqizwe ezingxenyeni ezihlukene zomzimba. I-electrocardiogram (i-ECG) ilinganisa umsebenzi kagesi wenhliziyo futhi ibonise ukubhekwa kwesiguli ngamaphethini namagugu. Okulandelayo incazelo emfushane yezinyathelo zokuthola i-ECG kanye nezingxenye zenhliziyo eziboniswa ku-ECG ngayinye eholayo.
I. Ukulungiselela isikhumba sokunamathiselwe nge-electrode
Ukuxhumana okuhle kwesikhumba-to-electrode kubaluleke kakhulu ukuqinisekisa isinali elihle le-ECG ngoba isikhumba singumqhubi ompofu kagesi.
1. Khetha isiza ngesikhumba esiqinile futhi ngaphandle kokuhlukunyezwa.
2. Uma kunesidingo, phucula izinwele zomzimba zendawo ehambisanayo.
3. Geza ngensipho nangamanzi, ungashiyi izinsalela zensipho. Ungasebenzisi i-ether noma i-ethanol emsulwa, izomisa isikhumba futhi yandise ukumelana.
4. Vumela isikhumba some ngokuphelele.
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II. Xhuma ikhebula le-ECG
1. Ngaphambi kokubeka ama-electrodes, ukufaka iziqeshana noma izinkinobho ze-snap kuma-electrodes.
2. Beka ama-electrodes esigulini ngokuya ngohlelo lokuhola olukhethiwe lokuhola (bheka umdwebo olandelayo wendlela yokunamathisela okuholela okuholela oku-3, bese uqaphela umehluko kumamaki wemibala ephakathi kwamakhekhe ama-AImeri American areas IEC).
3. Xhuma ikhebula le-electrode kukhebula lesiguli.
Igama lelebula le-electrode | Umbala we-electrode | |||
I-AAMI | EASI | I-IEC | I-AAMI | I-IEC |
Ingalo yangakwesokudla | Mina | Um | Okumhlophe | -Bomvu |
Ingalo kwesobunxele | Ushikukazi | L | -Mnyama | -Qanda |
Umlenze wesobunxele | A | E f | -Bomvu | -Yimpatho |
RL | Ni | Ni | -yimpatho | -Mnyama |
V | E | C | -Nsundu | Okumhlophe |
V1 | C1 | Brown / Ubomvu | Okumhlophe / Okubomvu | |
V2 | C2 | Brown / Yellow | Mhlophe / ophuzi | |
V3 | I-C3 | Nsundu / okuluhlaza | White / Luhlaza | |
V4 | C4 | Brown / Blue | Mhlophe / nsundu | |
V5 | I-C5 | Nsundu / owolintshi | Mhlophe / mnyama | |
V6 | C6 | Nsundu / onsomi | Mhlophe / onsomi |
Ukubhekelwa kokuphefumula (resp) Ukuqapha
ukunyakaza ngesikhathi sokuphefumula kubangela izinguquko ekumelaneni komzimba, futhi igrafu lezinguquko kumanani ashukumisayo ichaza ama-waveform we-waveform wokuphefumula, ongakhombisa amapharamitha wokuphefumula. Ngokuvamile, abaqaphi bazokala ukuvinjwa kodonga lwesifuba phakathi kwalezi zinto ezimbili ze-ECG esifubeni sesiguli ukuze kufinyelelwe ukuqapha kwesilinganiso sokuphefumula. Ngaphezu kwalokho, ushintsho ku-carbon dioxide okuhlushwa ngesikhathi sokuphefumula kungabhekwa ngokubala ngokuqondile isilinganiso sokuphefumula noma ngokubheka ushintsho ekucindezelweni nasekufuneni umoya wesiguli ngesikhathi sokuphefumula.
I. Isikhundla sokuhola ngesikhathi sokubheka ukuphefumula
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II. Amanothi ekuqapheleni ukuphefumula
1. Ukuqapha ukuphefumula akufaneleki ezigulini ezinobubanzi obuhlukahlukene, ngoba lokhu kungaholela kuma-alamu wamanga.
2. Kufanele kugwenywe ukuthi isifunda se-hepatic kanye ne-ventricle sisemugqeni we-elektrodi okuphefumula, ukuze ama-artifacts avela ekuqothulweni kwenhliziyo noma ukuhamba kwegazi kwe-pulsatile kungagwenywa, okubaluleke kakhulu kuma-neonates.
I-O Oksijini yegazi (SPO2) Ukuqapha
i-Oxygen yegazi (SPO2) isilinganiso se-hemoglobin esogwini esine-oxygen Izinhlobo ezimbili ze-hemoglobin egazini, i-hemoglobin ephilayo (HBO2) ne-hemoglobin (HB) encishisiwe, zinamakhono ahlukene wokuthola ukukhanya (660 NM) kanye nokuKhanya kwe-infrared (910 NM). IHemoglobin encishisiwe (HB) ithola ukukhanya okubomvu okwengeziwe nokukhanya okuncane kwe-infrared. Okuphambene nalokho kuyiqiniso nge-hemoglobin e-oxygenated (HBO2), edonsa ukukhanya okubomvu okuncane nokukhanya okuthe xaxa. Ngokubeka ukukhanya okubomvu kwe-LED kanye ne-infrared eholwa endaweni efanayo ye-nail oximeter, lapho ukukhanya kungena ohlangothini olulodwa komunwe kuya kolunye uhlangothi futhi kutholwa yi-PhotoDiode, kungenziwa i-voltage ehambisanayo. Ngemuva kokuguqulwa kwe-algorithm, umphumela wokuphuma uboniswa esikrinini se-LCD, esiboniswa njengegeji ukukala inkomba yezempilo yabantu. Okulandelayo incazelo emfushane yezinyathelo zokuthi ungaluthola kanjani umoya-mpilo wegazi (SPO2), kanye nezici ezithinta ukuqapha komoya-mpilo wegazi.
I. Gqoka inzwa
1. Susa izipikili ezinemibala ezivela endaweni egqokile.
2. Beka inzwa ye-SPO2 esigulini.
3. Qinisekisa ukuthi i-lumunous tube kanye ne-light areiver aqondaniswe komunye nomunye ukuqinisekisa ukuthi konke ukukhanya okukhishwe kusuka kushubhu elikhanyayo kufanele kudlule izicubu zesiguli.
II. Izici ezithinta ukuqapha i-oxygen yegazi
1. Isikhundla senzwa asisekho noma isiguli sihamba kancane.
2. I-Isimelital Arm Freescieng noma i-Isasetal Lateral Ring Compression.
3. Gwema ukuphazamiseka kwesiginali ngemvelo ekhanyayo ekhanyayo.
4. Ukujikeleza okuphezulu okuphelele: njengokuthuthumela, izinga lokushisa lomunwe eliphansi.
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I-6. Ukujova kwe-intravenous kwezidakamizwa ezinemibala.
7. Ayikwazi ukuqapha isayithi elifanayo isikhathi eside.
Ingcindezi yegazi elingahlaseli (NIBP) Ukuqapha
umfutho wegazi yingcindezi eyasemuva endaweni ngayinye yeyunithi endaweni yegazi ngenxa yokugeleza kwegazi ngenxa yokugeleza kwegazi. Kukalwa ngokwesiko kumamilimitha eMercury (MMHG). Ukuqapha umfutho wegazi ongabonakali kwenziwa yi-Koch Sound Way (Manual) kanye nendlela yokushaqeka, esebenzisa ingcindezi ye-arterial (MP) ukubala izingcindezi ze-Systolic (DP) kanye ne-Diastolic (DP) kanye ne-Diastolic (DP).
I. Ukuqapha
1. Khetha uhlobo olufanele lwesiguli.
2. Gcina izinga le-cuff nenhliziyo.
3. Sebenzisa usayizi ofanele bese ubopha ukuze kuthi ukuthi i- 'index line ' ingaphakathi kwe- 'ibanga '.
I-4. I-cuff akufanele iqine kakhulu noma ikhululekile kakhulu, futhi kufanele iboshwe ukuze umunwe owodwa ufakwe.
5. Iphawu le-cuff kufanele libheke i-artery ye-brachial.
6. Isikhathi sokulinganisa sokulinganisa okuzenzakalelayo akufanele sibe mfushane kakhulu.
II. Izingcindezi zegazi ezingahlaseli ezinomthelela othonya izici
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2. I-hypotension eqinile
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