Ukubeka iliso kwiiparamitha ezininzi kunokubonelela ngolwazi olubalulekileyo lwesigulane sokuxilongwa kwezonyango kunye nokubeka iliso.Ibona iiparamitha ezibalulekileyo ezifana neempawu ze-ECG, izinga lokubetha kwentliziyo, ukugcwala kweoksijini yegazi, uxinzelelo lwegazi, izinga lokuphefumula kunye nobushushu bomzimba ngexesha langempela.Sisixhobo esiqhelekileyo kwiiyunithi zokhathalelo olunzulu (ICUs), amagumbi okusebenza, amasebe kaxakeka, kunye nezinye iisetingi zempilo.
Ziziphi iingongoma eziphambili zokusebenza ezingenakungahoywa, xa usebenzisa iliso lesigulane.
1) Kutheni kucetyiswa ukuba unxibe i-oxygen saturation finger cuffs kuqala?
Ngenxa yokuba ukunxiba umnwe we-oksijini we-oksijini ukhawuleza kakhulu kunokudibanisa i-ECG yocingo olukhokelela, izinga le-pulse yesigulane kunye ne-blood saturation ye-oksijeni inokujongwa ngexesha elifutshane, kwaye abasebenzi bezonyango banokugqiba ngokukhawuleza uvavanyo lwezona mpawu zisisiseko zesigulana.
2) Ngaba i-cuff yeminwe ye-SpO2 kunye ne-cuff yoxinzelelo lwegazi ibekwe kwinqanaba elifanayo?
Ukuhamba kwegazi kwe-Arterial kuya kuvalwa ngexesha lokulinganisa uxinzelelo lwegazi, okukhokelela ekuzalisekeni kwe-oksijini yegazi engafanelekanga ngexesha lokulinganisa uxinzelelo lwegazi.Ngoko ke, akukhuthazwa ngokweklinikhi ukuba i-blood oxygen saturation finger cuffs kunye ne-othomathikhi yeekhafu zokujonga uxinzelelo lwegazi zibekwe kwilungu elifanayo.
3) Uthini umahluko phakathi kwe-ECG ye-3-lead kunye ne-5 ekhokelayo?
I-ECG ekhokelayo ye-3-lead inokufumana kuphela i-ECG ku-I, II, kunye ne-III, ngelixa i-ECG ehamba phambili ye-5 inokufumana i-ECG ku-I, II, III, AVR, AVF, AVL, V.
Ukuze kuququzelelwe kunye nokudibanisa ngokukhawuleza, sisebenzisa indlela yokumakisha umbala ngokukhawuleza ukunamathisela i-electrode pads kwiindawo ezihambelanayo.I-3-lead ECG ikhokelela kumbala obomvu, ophuzi, oluhlaza okanye omhlophe, omnyama, obomvu;I-5-lead ECG ehamba phambili inemibala enemibala emhlophe, emnyama, ebomvu, eluhlaza, emdaka.
Izikhundla ze-electrode pads ezibekwe kwiingcingo zombala ofanayo kwiinkcukacha ezimbini zokukhokela azifani.Ukusetyenziswa kwezifinyezo zesiNgesi RA, LA, RL, LL, kunye no-C ukumisela isikhundla sithembeke ngakumbi kunokukhumbula umbala.
4) Ipharamitha nganye inoluhlu lwe-alamu, indlela yokuyibeka?
Imigaqo yokubeka i-alamu: qinisekisa ukhuseleko lwezigulane, ukunciphisa ukuphazamiseka kwengxolo, kwaye ungavumeli ukuba umsebenzi we-alamu ucinywe, ngaphandle kokuba unokuvalwa okwethutyana ngexesha lokuhlangula.Ukusetwa koluhlu lwe-alamu ayiloluhlu oluqhelekileyo, kodwa uluhlu olukhuselekileyo.
Iiparamitha ze-alamu: izinga lentliziyo li-30% ngaphezulu nangaphantsi kwesantya sentliziyo;uxinzelelo lwegazi lubekwe ngokomyalelo kagqirha, imeko yesigulane kunye noxinzelelo lwegazi olusisiseko;i-oxygen saturation ibekwe ngokwemeko;umthamo we-alamu kufuneka uvakale ngaphakathi kwendawo yokusebenza yomongikazi;uluhlu lwe-alarm kufuneka lube nangaliphi na ixesha ngokwemeko Lungisa kwaye ujonge ubuncinane kanye kwishifti nganye.
5) Ziziphi izizathu zokuba i-ECG esweni ingabonakalisi i-waveform?
① Ii-electrode azincamatheliswanga kakuhle.
Isikrini sokubonisa sibonisa ukuba izikhokelo ziwile, okubangelwa ukuba iipads ze-electrode zingaxutywanga ngokufanelekileyo, okanye i-electrode pads ixutywe ngenxa yomsebenzi wesigulane.
② Ukubila, ubumdaka
Isigulana siyabila okanye ulusu aluhlambulukanga, kwaye akulula ukuqhuba umbane, obangela ngokungathanga ngqo ukudibana okungalunganga kwee-electrode pads.
③ Umgangatho wee-electrode zentliziyo
Ezinye ii-electrode azigcinwa ngokungafanelekanga, ziphelelwe lixesha okanye ziyaguga.
④ Indlela yoqhagamshelwano ayichanekanga
Ukuze usindise ingxaki, abanye abahlengikazi basebenzisa kuphela uqhagamshelo olukhokelela kwiindlela ezintathu zokukhokela kwimowudi ye-monitor, kwaye akufuneki kubekho i-waveform.
⑤ Ucingo oluphantsi aluqhagamshelwanga
Ucingo lomhlaba ludlala indima ebaluleke kakhulu ekuboniseni okuqhelekileyo kwe-waveform.
Ukungabi nacingo oluphantsi kwakhona yinto ebangela ukuba i-waveform ingabonakali.
⑥ Ikhebula indala okanye yophukile.
⑦ Indawo ye-electrode pad ayilungile
⑧Ibhodi ye-ECG, ibhodi yokulawula umgca wokudibanisa ibhodi ye-ECG, kunye nebhodi yokulawula eyona nto iphosakeleyo.
Ixesha lokuposa: Jun-20-2023
