I-Multiparameter monitor inikezela ngolwazi olubalulekileyo kwizigulane zonyango ezinokujongwa kokuxilongwa kweklinikhi. Ibona imiqondiso ye-ecg yomzimba womntu, ukubetha kwentliziyo, ukugcwala kweoksijini yegazi, uxinzelelo lwegazi, ukuphefumla rhoqo, ubushushu kunye nezinye iiparamitha ezibalulekileyo ngexesha langempela, iba luhlobo lwezixhobo ezibalulekileyo zokujonga iimpawu ezibalulekileyo kwizigulana.Yonkeriya kwenza intshayelelo emfutshane yeengxaki eziqhelekileyo kunye neempazamo xa ukwinkqubo yokusebenzisaesweni iiparamitha ezininzi. Kwimibuzo ethile kunokuboniswana ngenkonzo yabathengi kwi-intanethi.
1. Uthini umahluko phakathi kwe-3-lead kunye ne-5-lead ye-cardiac conductors?
A: I-3-lead electrocardiogram inokufumana kuphela i-electrocardiogram ye-I, II, III ehamba phambili, ngelixa i-5-lead electrocardiogram inokufumana i-I, II, III, AVR, AVF, AVL, V lead electrocardiogram.
Ukuze kuququzelelwe uxhulumaniso olukhawulezayo, sisebenzisa indlela yokumakisha umbala ukunamathela ngokukhawuleza i-electrode kwindawo ehambelanayo. 3 Iingcingo zentliziyo yelothe zinemibala ebomvu, emthubi, eluhlaza okanye emhlophe, emnyama, ebomvu; Iingcingo ezi-5 zentliziyo zinemibala emhlophe, emnyama, ebomvu, eluhlaza kunye nemdaka. Umbala ofanayo ukhokela iingcingo ezimbini zentliziyo zibekwe kwiindawo ezahlukeneyo ze-electrode. Kuthembeke ngakumbi ukusebenzisa izifinyezo RA, LA, RL, LL, C ukumisela indawo kunokukhumbula umbala.
2. Kutheni kucetyiswa ukuba unxibe i-oxygen saturation isiciko somnwe kuqala?
Ngenxa yokuba ukunxiba imaski yeminwe ye-oximetry ikhawuleza kakhulu kunokudibanisa ucingo lwe-ecg, inokubeka iliso kwisantya se-pulse yesigulane kunye ne-oximetry ngexesha elifutshane, ivumela abasebenzi bezonyango ukuba bagqibe uvavanyo lwezona mpawu zisisiseko zesigulana ngokukhawuleza.
3. Ingaba umkhono womnwe we-OXImetry kunye nekhafu ye-sphygmomanometer ingafakwa kwilungu elinye?
Umlinganiselo woxinzelelo lwegazi uya kuvala kwaye uthintele ukuhamba kwegazi kwi-arterial, okukhokelela ekujongweni kwe-blood saturation ye-oxygen engachanekanga ngexesha lokulinganisa uxinzelelo lwegazi. Ngoko ke, akukhuthazwa ukuba unxibe i-oxygen saturation umkhono womnwe kunye ne-automatic sphygmomanometer cuff kwilungu elifanayo ekliniki.
4. Ngaba i-electrodes kufuneka itshintshwe xa izigulane ziqhubeka ngokuqhubekayoIECGukubeka iliso?
Kuyimfuneko ukubuyisela i-electrode, ukuba ixesha elide linamathele i-electrode kwindawo enye iya kukhokelela kwisehlo sokuqhuma, amadyungudyungu, ngoko ke ulusu kufuneka lujongwe rhoqo, nokuba ulusu lwangoku luqinile, kufuneka luthathe indawo ye-electrode kwaye indawo yokubambelela zonke iintsuku ezi-3 ukuya kwezi-4, ukuphepha ukwenzeka komonakalo wesikhumba.
5. Yintoni esifanele sinikele ingqalelo kuyo ekujongweni koxinzelelo lwegazi olungelulo?
(1) Nika ingqalelo ukuphepha ukubeka iliso kwi-fistula yangaphakathi, i-hemiplegia, imilenze enecala elinye lomhlaza webele, imilenze kunye ne-infusion, kunye nemilenze ene-edema kunye ne-hematoma kunye nesikhumba esonakele. Ingqalelo kufuneka ihlawulwe kwakhona kwizigulana ezinomsebenzi ongemhle we-coagulation kunye nesifo se-libriform cell ukuphepha iingxabano zonyango ezibangelwa kukulinganisa uxinzelelo lwegazi.
(2) Inxalenye yokulinganisa ifanele itshintshwe rhoqo. Iingcali zicebisa ukuba kufuneka itshintshwe rhoqo ngeeyure ezi-4. Gwema umlinganiselo oqhubekayo kwilungu elinye, okukhokelela kwi-purpura, ischemia kunye nomonakalo we-nerve kwilungu elixutywa nge-cuff.
(3) Xa ulinganisa abantu abadala, abantwana kunye nabantwana abasanda kuzalwa, kufuneka banikele ingqalelo ekukhethweni kunye nokulungiswa kwe-cuff kunye nexabiso loxinzelelo. Ngenxa yokuba uxinzelelo olusetyenziswa kubantu abadala kubantwana nakwiintsana ezisanda kuzalwa lusongela ukhuseleko lwabantwana; Kwaye xa isixhobo sibekwe kwintsana, asiyi kulinganisa uxinzelelo lwegazi lwabantu abadala.
6. Kufunyaniswa njani ukuphefumla ngaphandle kwemodeli yokuhlola ukuphefumla?
Ukuphefumla kwi-monitor kuxhomekeke kwi-electrocardiogram electrode ukuva utshintsho kwi-thoracic impedance kunye nokubonisa i-waveform kunye nedatha yokuphefumla. Ngenxa yokuba ii-electrode ezisezantsi ngasekhohlo nangasentla ziyakwazi ukuphefumla i-electrode, ukubekwa kwazo kubalulekile. Ii-electrode ezimbini kufuneka zibekwe ngokwedayagonali kangangoko ukuze kufumaneke elona maza omoya ophefumlayo. Ukuba isigulana sisebenzisa ukuphefumla kwesisu ngokuyintloko, i-electrode esezantsi esekhohlo kufuneka incanyathiselwe kwicala lasekhohlo apho ubukhulu besisu bubonakala kakhulu.
7. Indlela yokuseta uluhlu lwe-alamu kwipharamitha nganye?
Imigaqo yokumisela i-alamu: ukuqinisekisa ukhuseleko lwesigulane, ukunciphisa ukuphazamiseka kwengxolo, kungavumelekanga ukuvala umsebenzi we-alamu, ngaphandle kokuvalwa okwethutyana ekuhlanguleni, uluhlu lwe-alamu alubekwanga kwindawo eqhelekileyo, kodwa kufuneka lube luluhlu olukhuselekileyo.
Iiparamitha ze-alarm: isantya sentliziyo ye-30% ngaphezulu nangaphantsi kwesantya sentliziyo yabo; Uxinzelelo lwegazi lubekwe ngokwengcebiso yezonyango, imeko yesigulane kunye noxinzelelo lwegazi olusisiseko; I-oxygen saturation imiselwe ngokwemeko yesigulane; Umthamo we-alamu kufuneka uvakale ngaphakathi kwendawo yomsebenzi womongikazi; Uluhlu lwe-alamu kufuneka luhlengahlengiswe nangaliphi na ixesha ngokwemeko kwaye lujongwe ubuncinane kanye kwishifti nganye.
8. Ziziphi izizathu zokusilela ekuboniseni i-ecg monitor ebonisiweyo?
1. I-electrode ayiqhotyoshelwanga ngokufanelekileyo: umboniso ubonisa ukuba i-lead ivaliwe, okubangelwa ukuba i-electrode ayiqhotyoshelwanga ngokufanelekileyo okanye i-electrode ixutywe ngenxa yokunyakaza kwesigulane.
2. Ukujuluka kunye nokungcola: isigulane sithuthumela okanye ulusu aluhlambulukanga, okungekho lula ukuqhuba umbane, ngokungathanga ngqo kubangela ukudibanisa kakubi kunye ne-electrode.
3. Iingxaki zekhwalithi ye-electrode yenhliziyo: enye i-electrode igcinwe ngokungafanelekanga, iphelelwe lixesha okanye iguga.
4. Impazamo yentambo: Intambo iyaguga okanye yophukile.
6. I-electrode ayifakwanga ngokuchanekileyo.
7. I-CABLE edibanisa kwibhodi ye-ECG okanye ibhodi yokulawula i-MAIN okanye ibhodi yokulawula eyona nto iphosakeleyo.
8. Intambo yomhlaba engaxhunywanga: ucingo lomhlaba ludlala indima ebaluleke kakhulu ekuboniseni okuqhelekileyo kwe-waveform, kungekhona i-grounding wire, nayo yinto ebangela i-waveform.
9. Akukho maza esweni:
1. Jonga:
Okokuqala, ukuqinisekisa ukuba i-electrode incamatheliswe ngokufanelekileyo, ukujonga indawo ye-electrode yentliziyo, umgangatho we-electrode yentliziyo, nokuba kukho ingxaki ngocingo olulothe ngokwesiseko sokuncamathela kunye nomgangatho we-electrode. Ukukhangela ukuba amanyathelo oqhagamshelwano achanekile na, nokuba imowudi yokukhokela yomsebenzi idityanisiwe ngokwendlela yoqhagamshelo ye-ecg monitor, ukuze ugweme indlela yokulondoloza umzobo wobuvila yokudibanisa amakhonkco amahlanu kuphela amakhonkco amathathu.
Ukuba intambo yomqondiso we-ECG ayibuyi emva kokuba iphoso lilungisiwe, mhlawumbi intambo yesignali ye-ECG kwibhodi yesokhethi yeparameter ekunxibelelaneni kakubi, okanye intambo yokudibanisa okanye ibhodi yokulawula ephambili phakathi kwebhodi ye-ECG kunye nebhodi yokulawula eyona nto iphosakeleyo.
2. Uphononongo:
1. Qwalasela onke amalungu angaphandle e-cardiac conductance (iingcingo ezintathu/ezintlanu ezandisiweyo ezidityaniswe nomzimba womntu kufuneka ziqhubele kwizikhonkwane ezintathu/ezintlanu ezihambelanayo kwiplagi ye-ecg. . Indlela: ukukhupha i-heart conductance wire, lungelelanisa umphezulu we-convex weplagi yocingo olukhokelayo kunye ne-groove ye-jack ye-"heart conductance" kwiphaneli yangaphambili yekhompyutheni yomninimzi,
I-2, Tshintshela le ntambo ye-ecg kunye nabanye oomatshini ukuqinisekisa ukuba ukusilela kwentambo ye-ecg, ukuguga kwentambo, umonakalo we-pin.
3. Ukuba ishaneli ye-waveform ye-ecg ibonisa "akukho mqondiso wamkela", ibonisa ukuba kukho ingxaki kunxibelelwano phakathi kwemodyuli yokulinganisa i-ECG kunye nomninimzi. Ukuba umyalezo usaboniswa emva kokuvala nokuqalisa kwakhona, kufuneka uqhagamshelane nomthengisi.
3. Jonga:
1. Amanyathelo oqhagamshelwano kufuneka achanekile:
A. Sula iindawo ezi-5 ezithile zomzimba womntu ngesanti kwi-electrode, uze usebenzise i-ethanol engama-75% ukucoca umphezulu wendawo yokulinganisa, ukuze ususe i-cuticle kunye nokubila amabala eluswini lomntu kwaye uthintele ukudibana kakubi ne-electrode.
B. Qhagamshela intloko ye-electrode yocingo lwe-electrocardioconductance kwi-electrode ephezulu yee-electrode ezi-5.
C. Emva kokuba i-ethanol iguquguquka icocekile, ncamathela i-electrode ezi-5 kwindawo ethile emva kokucoca ukuze udibanise ngokuthembekileyo kwaye ungawi.
2. Ipropaganda kunye nemfundo enxulumene nezigulane kunye neentsapho zabo: xelela izigulane kunye nabanye abasebenzi ukuba bangatsali ucingo lwe-electrode kunye nocingo olukhokelayo, kwaye uxelele izigulane kunye nezihlobo zabo ukuba zingafaki isicelo kwaye zilungelelanise i-monitor ngaphandle kwesigunyaziso, esinokubangela umonakalo kwisixhobo. . Ezinye izigulana kunye namalungu osapho lwabo banemvakalelo yokufihlakala kunye nokuxhomekeka kwimonitha, kwaye utshintsho lwemonitha luya kubangela unxunguphalo kunye noloyiko. Abasebenzi abahlengikazi kufuneka benze umsebenzi ofanelekileyo wenkcazo eyaneleyo, eyimfuneko, ukwenzela ukuba ugweme ukuphazamiseka komsebenzi oqhelekileyo wobuhlengikazi, kuchaphazela ubudlelwane bomongikazi-isigulane.
3. Nika ingqalelo ukugcinwa kwemonitha xa isetyenziswa ixesha elide. I-electrode kulula ukuwa emva kokusetyenziswa kwexesha elide, elichaphazela ukuchaneka kunye nomgangatho wokubeka iliso. 3-4D buyisela kanye; Ngexesha elifanayo, jonga kwaye ubeke ingqalelo ekucoceni kunye ne-disinfection yesikhumba, ngakumbi ehlobo elishushu.
4. Ukuba kukho iziphene ezimandundu ezifunyenweyo kwisixhobo ngexesha lophononongo kunye nenkqubo yokubeka iliso kulondolozo ngabasebenzi abaziingcali, kuhle ukucela abasebenzi beengcali ze-ecg laboratory ukuba baphonononge kwaye baxilonge, kunye nolondolozo ngabasebenzi abaqeqeshiweyo bomenzi.
5. Xhuma ucingo oluphantsi xa udibanisa. Indlela: Qhagamshela isiphelo ngobhedu olugutyungelwe kwitheminali yomhlaba kwiphaneli yangasemva yomkhosi.
Ixesha lokuposa: Jul-01-2022
