ʻIli - clammy

Anuanu kaʻili o Clammy, mākū, a mae wale.

Kūleʻa paha kaʻili Clammy. Kāhea i kāu kahu mālama ola a i ʻole kāu helu pilikia kūloko, e like me 911.

ʻO nā kumu o ka ʻili clammy e:

• Hoʻouka hopohopo
• Maʻi hohola
• Luhi wela
• Koko kūloko
• Nā pae oxygen haʻahaʻa haʻahaʻa
• Ka hopena o ka lāʻau
• Sepsis (maʻi ākea ākea)
• ʻO ka hopena maʻi maʻi (anaphylaxis)
• ʻEha nui
• Pākuʻi (hoʻohaʻahaʻa koko)

Pili ka mālama ʻana i ka home i ka mea e kumu i ka ʻili clammy. Kāhea i ke kōkua lapaʻau inā ʻaʻole ʻoe maopopo.

Inā manaʻo ʻoe ua pūʻiwa ke kanaka, moe iā ia ma ke kua a hoʻāla i nā wāwae ma kahi o 12 ʻīniha (30 kenimika). Kāhea i kāu helu pilikia kūloko (e like me 911) a i ʻole lawe i ke kanaka i ka haukapila.

Inā pili ka ʻili clammy i ka luhi o ka wela a ala ke kanaka a hiki ke ale.

• Inu i ke kanaka e inu i ka nui o nā wai (ʻaʻole ʻona)
• E hoʻoneʻe i ke kanaka i kahi anuanu a malu hoʻi

E ʻimi koke i ke kōkua lapaʻau inā loaʻa kekahi i kekahi o nā hōʻailona aʻe a i ʻole nā ​​hōʻailona.

• Ke kūlana olakino i loli a i ʻole hiki i ka noʻonoʻo
• ʻO ka umauma, ʻōpū, a ʻeha hoʻi a hōʻoluʻolu ʻole paha
• ʻEha poʻo
• ʻO ka hele o ke koko i loko o ka pahu: ka noho ʻeleʻele, i ʻulaʻula a i ʻole ke koko maroon
• ʻO ka luaʻi hoʻomau a hoʻomau ʻana paha, ʻo ke koko hoʻi
• Hiki i ka hōʻino lāʻau
• Pokole o ka hanu
• Nā hōʻailona o ka haʻalulu (e like me ka huikau, ka pae o ka makaʻala i lalo, a i ʻole ka pulupulu nāwaliwali)

E kāhea mau i kāu kauka a i ʻole hele i ka ʻoihana pilikia inā ʻaʻole hele wikiwiki nā ʻōuli.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i nā ʻōuli a me ka mōʻaukala olakino o ke kanaka, e like me:

• Pehea ka wikiwiki o ka ulu ʻana o ka ʻili clammy?
• Ua hana ʻia ma mua?
• Ua ʻeha ke kanaka?
• ʻEha ke kanaka?
• ʻIke paha ke kanaka a hopohopo paha?
• Ua hōʻike ʻia ke kanaka i nā mahana wela kiʻekiʻe?
• He aha nā hōʻailona ʻē aʻe e kū nei?

Hiki i nā hoʻokolohua a me nā hōʻailona ke komo pū:

• Kākoʻo Airway, e like me ka oxygen, paipu hanu ma o ka waha (intubation), a me ka mīkini hanu (ventilator)
• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Pākuʻi x-ray
• ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā Fluids ma o kahi aa (intravenous a i ʻole IV)
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli

Aia ka nānā i ke kumu o ka ʻili clammy. E kōkua ka hoʻokolokolo ʻana a me nā hopena hoʻāʻo e hoʻoholo koke i nā kuanaʻike lōʻihi a lōʻihi hoʻi.

Pāʻau - anuanu; ʻIli Clammy; ʻO ka hou anu

Brown A. Mālama koʻikoʻi. I: Cameron P, Jelinek G, Kelly A-M, Brown A, Little M, eds. Puka o ka Medicine Emergency Emergency. ʻEhā ed. Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 2.

Brown A. Hoʻomaha hou. I: Cameron P, Jelinek G, Kelly A-M, Brown A, Little M, eds. Puka o ka Medicine Emergency Emergency. ʻEhā ed. Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 1.

ʻO Marik PE. Endocrinology o ka pane stress i ka manawa o ka maʻi koʻikoʻi. I: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Manaʻo koʻikoʻi koʻikoʻi nephrology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 76.

Puskarich MA, Jones AE. Pāhaʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 6.