Papa ʻokikene pae

Anter

• He aha ka hoʻokolohua pae o ka oxygen koko?
• No ke aha ia e hoʻohana ai?
• No ke aha wau e pono ai i kahi hoʻokolohua pae oxygen oxygen?
• He aha ka hana i ka wā o ka hoʻokolohua pae o ka oxygen koko?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻokolohua pae o ka oxygen koko?
• Nā kūmole

He aha ka hoʻokolohua pae o ka oxygen koko?

ʻO kahi hoʻokolohua pae oxygen koko, i ʻike ʻia ma ke ʻano he aniani koko, ana i ka nui o ka oxygen a me carbon dioxide i loko o ke koko. Ke hanu ʻoe, lawe kou mau māmā i loko (inhale) oxygen a hanu i waho (exhale) carbon dioxide. Inā loaʻa kahi kaulike ʻole o ka oxygen a me nā pae kalapona i loko o kou koko, hiki ke manaʻo ʻaʻole holo pono kāu mau māmā.

ʻIke pū kekahi i ka pae o ka oxygen oxygen i ke kaulike o nā waikawa a me nā kumu, ʻike ʻia ʻo ke kaulike pH, i loko o ke koko. ʻO ka nui a ʻemi paha o ka waikawa i ke koko e hiki ke manaʻo he pilikia me kou mau māmā a me nā puʻupaʻa.

Nā inoa ʻē aʻe: hoʻāʻo kinoea koko, nā ʻeaea koko arterial, ABG, kālailai kinoea koko, hoʻāʻo saturation oxygen

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi hoʻokolohua pae oxygen e nānā i ke ʻano o ka hana a kou mau māmā a ana i ke kaulike acid-base i loko o kou koko. Hoʻokomo pinepine ka hōʻike i nā ana aʻe:

• ʻImi oxygen (O2CT). Ana kēia i ka nui o ka oxygen i loko o ke koko.
• Oxygen ma saturation (O2Sat). Ana kēia i ka nui o ka hemoglobin i kou koko. He protein ʻo Hemoglobin i loko o kou mau ʻulaʻula e lawe i ka oxygen mai kou mau māmā a i ke koena o kou kino.
• Puʻe hapa o ka oxygen (PaO2). Ana kēia i ke kaomi o ka oxygen i hoʻoheheʻe ʻia i loko o ke koko. Kōkua ia e hōʻike i ke ʻano o ka neʻe ʻana o ka oxygen mai kou mau māmā a i kāu kahawai.
• Paʻa puʻe o ke kalaponaʻokikene (PaCO2). Ana kēia i ka nui o carbon dioxide i loko o ke koko.
• pH. Ana kēia i ke kaulike o nā waikawa a me nā kumu i ke koko.

No ke aha wau e pono ai i kahi hoʻokolohua pae oxygen oxygen?

Nui nā kumu i kauoha ʻia ai kēia hōʻike. Pono ʻoe i kahi hoʻāʻo pae oxygen koko inā ʻoe:

• E pilikia i ka hanu ʻana
• Loaʻa i nā manawa pinepine o ka nausea a me / a i ʻole ka luaʻi
• Mālama ʻia no kahi maʻi pūkahū, e like me ka hānō, maʻi pulmonary obstructive maʻi (COPD), a i ʻole cystic fibrosis. Hiki i ka hōʻoia ke kōkua inā ʻike ke holo nei ka lāʻau.
• I kēia manawa ua hōʻeha i kou poʻo a i ʻole ʻāʻī, hiki ke hoʻopili i kou hanu ʻana
• Loaʻa i kahi lāʻau lāʻau
• Ke loaʻa nei iā oxygen therapy ʻoiai ma ka haukapila. Hiki ke kōkua i ka hōʻoia inā e loaʻa ana ka nui o ka oxygen iā ʻoe.
• Loaʻa ka lāʻau make kalapona
• Loaʻa i kahi ʻeha inhalation uahi

Pono paha i kahi pēpē hānau hou kēia hōʻike inā pilikia ʻo ia i ka hanu ʻana.

He aha ka hana i ka wā o ka hoʻokolohua pae o ka oxygen koko?

Lawe ka hapa nui o nā hoʻokolohua koko i kahi laʻana mai kahi aa. No kēia hōʻoia, e lawe kahi mea mālama ola i kahi laʻana o ke koko mai kahi aʻa. ʻO ia no ka mea ʻo ke koko mai kahi aʻa i loaʻa nā kiʻekiʻe o ka oxygen ma mua o ke koko mai kahi aa. Lawe ʻia ka laʻana mai kahi aʻa o loko o ka lima. Kapa ʻia kēia ʻo ke aʻa radial. I kekahi manawa lawe ʻia ka laʻana mai kahi aʻa o ka kuʻe lima a i ʻole ke ʻūlū. Inā hoʻāʻo ʻia kahi keiki hānau hou, lawe ʻia paha kahi laʻana mai ka kuʻekuʻe wāwae o ka pēpē a i ʻole ka kaula umbilical.

I ka wā o ke kaʻina hana, e hoʻokomo kāu mea hāʻawi i kahi nila kuʻi me ke ʻā o ke aʻa. ʻIke paha ʻoe i kahi ʻeha ʻoi loa ke hele ka nila i loko o ke aʻa. ʻO ka loaʻa ʻana o kahi laʻana koko mai ke aʻa ʻoi aku ka ʻeha ma mua o ka loaʻa ʻana o ke koko mai kahi aa koko, kahi ʻano maʻamau o ke kaʻina hoʻokolohua koko.

Ke hoʻopiha ʻia ke syringe me ke koko, e hoʻokau kāu mea hāʻawi i kahi kaula ma luna o ka pūnaewele puncture. Ma hope o ke kaʻina hana, pono ʻoe a i ʻole kahi mea lawelawe e kau i ka kaomi paʻa paʻa i ka pūnaewele no 5-10 mau minuke, a ʻoi aku paha ka lōʻihi inā ʻoe e lawe nei i kahi lāʻau hoʻoliʻiliʻi koko.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

Inā lawe ʻia kāu hāpana koko mai kou lima, hiki i kāu mea mālama ola ke hana i kahi hoʻokolohua holo i kapa ʻia he hōʻike Allen ma mua o ka lawe ʻana i kahi laʻana. I kahi hōʻike Allen, e hoʻopili ka mea hāʻawi i nā aʻa i kou lima no kekahi mau kekona.

Inā ʻoe ma ka lāʻau oxygen, pio paha kāu oxygen ma kahi o 20 mau minuke ma mua o ka hoʻāʻo. Kapa ʻia kēia he hoʻāʻo ea lumi. ʻAʻole e hana ʻia kēia inā ʻaʻole hiki iā ʻoe ke hanu me ka ʻole o ka oxygen.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka loaʻa ʻana o kahi hoʻokolohua pae oxygen. Loaʻa paha iā ʻoe ke kahe ʻana, ka ʻeha a ʻeha paha ma ka wahi i hoʻokomo ʻia ai ka nila. ʻOiai he kakaikahi nā pilikia, pono ʻoe e hōʻole i ka hāpai ʻana i nā mea kaumaha no 24 mau hola ma hope o ka hoʻāʻo.

He aha ke ʻano o nā hopena?

Inā ʻaʻole maʻamau kāu hopena o ka oxygen oxygen, manaʻo paha ia iā ʻoe:

• ʻAʻole lawa ka oxygen
• ʻAʻole pau ke kāpae ʻana i ke kalapona kalapona
• Loaʻa i kahi kaulike ʻole i kāu pae acid-base

Hiki i kēia mau ʻano ke hōʻailona o ka maʻi a me ka maʻi puʻupaʻa. ʻAʻole hiki i ka hoʻokolohua ke kuhikuhi pono i nā maʻi kikoʻī, akā inā ʻaʻole maʻamau kāu mau hopena, e kauoha ana kāu mea mālama ola i nā hoʻokolohua hou aku e hōʻoia a hōʻole paha i kahi hōʻailona. Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻokolohua pae o ka oxygen koko?

ʻO kekahi ʻano hoʻokolohua, i kapa ʻia he pulse oximetry, nānā pū kekahi i nā pae oxygen o ke koko. ʻAʻole hoʻohana kēia hōʻike i kahi nila a koi paha i kahi laulau. I ka pulse oximetry, kahi mea liʻiliʻi e like me ke kiʻi ʻoniʻoni e hoʻopili ʻia i kou manamana lima, manamana wāwae, a pepeiao paha. Ma muli o ke ana ʻana o ka hāmeʻa i ka oxygen "peripherally" (i kahi ma waho), hāʻawi ʻia nā hopena ma ke ʻano he oxygen peripheral, a ʻo SpO2 kekahi i ʻike ʻia.

Nā kūmole

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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.