{"id":7577,"date":"2024-07-09T10:00:50","date_gmt":"2024-07-09T03:00:50","guid":{"rendered":"https:\/\/jhasim1.com\/?p=7577"},"modified":"2024-06-28T16:04:54","modified_gmt":"2024-06-28T09:04:54","slug":"lap-ke-hoach-cham-soc-benh-nhan-xuat-huyet-tieu-hoa","status":"publish","type":"post","link":"https:\/\/jhasim1.com\/lap-ke-hoach-cham-soc-benh-nhan-xuat-huyet-tieu-hoa.html","title":{"rendered":"L\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a"},"content":{"rendered":"

L\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a\u00a0<\/strong><\/span><\/p>\n

1. Nh\u1eadn \u0111\u1ecbnh:<\/strong><\/p>\n

– H\u1ecfi:<\/em><\/p>\n

+ Xu\u1ea5t huy\u1ebft t\u1eeb bao gi\u1edd ?<\/p>\n

+ N\u00f4n ra m\u00e1u hay \u0111i ngo\u00e0i ph\u00e2n \u0111en ? kh\u1ed1i l\u01b0\u1ee3ng nhi\u1ec1u hay \u00edt ?<\/p>\n

+ Tr\u01b0\u1edbc khi n\u00f4n ra m\u00e1u c\u00f3 d\u00f9ng thu\u1ed1c g\u00ec kh\u00f4ng ?<\/p>\n

+ Tr\u01b0\u1edbc khi n\u00f4n ra m\u00e1u c\u00f3 lao \u0111\u1ed9ng n\u1eb7ng nh\u1ecdc g\u00ec kh\u00f4ng?<\/p>\n

+ C\u00f3 lo l\u1eafng g\u00ec kh\u00f4ng ?<\/p>\n

+ C\u00f3 \u0111au b\u1ee5ng khi n\u00f4n, c\u00f3 s\u1ed1t kh\u00f4ng ?<\/p>\n

– Kh\u00e1m: C\u1ea7n kh\u00e1m to\u00e0n di\u1ec7n, ch\u00fa \u00fd m\u1ee9c \u0111\u1ed9 m\u1ea5t m\u00e1u, t\u00ecnh tr\u1ea1ng cho\u00e1ng s\u1ed1c<\/em>.<\/p>\n

– Xem x\u00e9t c\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m (ch\u00fa \u00fd c\u00e1c XN \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 xu\u1ea5t huy\u1ebft).<\/em><\/p>\n

\"\"<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n ch\u0103m s\u00f3c:<\/strong><\/p>\n

D\u1ef1a tr\u00ean c\u00e1c d\u1eef ki\u1ec7n \u0111\u00e3 thu th\u1eadp \u0111\u01b0\u1ee3c sau khi h\u1ecfi v\u00e0 th\u0103m kh\u00e1m b\u1ec7nh nh\u00e2n. C\u00e1c ch\u1ea9n \u0111o\u00e1n ch\u0103m s\u00f3c ch\u00ednh c\u1ee7a b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 cao c\u00f3 th\u1ec3 bao g\u1ed3m:<\/em><\/p>\n

– Nguy c\u01a1 s\u1ed1c do gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u \u0111\u1ed9t ng\u1ed9t (th\u01b0\u1eddng g\u1eb7p sau khi n\u00f4n ra m\u00e1u nhi\u1ec1u ho\u1eb7c \u1ec9a ph\u00e2n \u0111en nhi\u1ec1u).<\/p>\n

– Dinh d\u01b0\u1ee1ng kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 nhu c\u1ea7u cho c\u01a1 th\u1ec3 do kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u00fang.<\/p>\n

– B\u1ec7nh nh\u00e2n lo l\u1eafng do th\u1ea5y n\u00f4n ra m\u00e1u nhi\u1ec1u v\u00e0 \u1ec9a ph\u00e2n \u0111en.<\/p>\n

– B\u1ec7nh nh\u00e2n \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb do t\u0103ng ti\u1ebft d\u1ecbch v\u1ecb.<\/p>\n

– B\u1ec7nh nh\u00e2n kh\u00f4ng bi\u1ebft c\u00e1ch ph\u00f2ng b\u1ec7nh do thi\u1ebfu hi\u1ec3u bi\u1ebft v\u1ec1 b\u1ec7nh.<\/p>\n

3. L\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c:<\/strong><\/p>\n

– Gi\u1ea3m nguy c\u01a1 s\u1ed1c.<\/p>\n

– X\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh nh\u00e2n.<\/p>\n

– Gi\u1ea3m lo l\u1eafng cho b\u1ec7nh nh\u00e2n.<\/p>\n

– Gi\u1ea3m \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb.<\/p>\n

– H\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n c\u00e1ch ph\u00f2ng b\u1ec7nh v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb.<\/p>\n

4. Th\u01b0c hi\u1ec7n k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c:<\/strong><\/p>\n

* Gi\u1ea3m nguy c\u01a1 s\u1ed1c:<\/em><\/p>\n

– B\u1ec7nh nh\u00e2n n\u1eb1m b\u1ea5t \u0111\u1ed9ng t\u1ea1i gi\u01b0\u1eddng, \u0111\u1ea7u th\u1ea5p, c\u00e1c nhu c\u1ea7u sinh ho\u1ea1t ph\u1ee5c v\u1ee5 t\u1ea1i gi\u01b0\u1eddng.<\/p>\n

– Ti\u00eam truy\u1ec1n cho b\u1ec7nh nh\u00e2n theo y l\u1ec7nh m\u1ed9t c\u00e1ch kh\u1ea9n tr\u01b0\u01a1ng.<\/p>\n

– L\u1ea5y m\u00e1u x\u00e9t nghi\u1ec7m theo y l\u1ec7nh.<\/p>\n

– L\u1ea5y m\u1ea1ch, nhi\u1ec7t \u0111\u1ed9, huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf 30 ph\u00fat\/ 1 l\u1ea7n n\u1ebfu b\u1ea5t th\u01b0\u1eddng b\u00e1o c\u00e1o b\u00e1c s\u0129 x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n

– Ph\u1ee5 gi\u00fap th\u1ea7y thu\u1ed1c \u0111\u1eb7t Catheter t\u0129nh m\u1ea1ch \u0111\u1ec3 \u0111o \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m, \u0111\u1ec1 ph\u00f2ng m\u1ea5t m\u00e1u \u1ed3 \u1ea1t, truy\u1ec1n m\u00e1u k\u1ecbp th\u1eddi.<\/p>\n

– \u0110\u1eb7t Sonde d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng \u0111\u1ec3 theo d\u00f5i m\u00e1u \u0111ang ch\u1ea3y hay \u0111\u00e3 ng\u1eebng ch\u1ea3y.<\/p>\n

– \u0110o l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u \u0111\u1ec3 ph\u00e1t hi\u1ec7n tri\u1ec7u ch\u1ee9ng \u0111\u00e1i \u00edt hay v\u00f4 ni\u1ec7u.<\/p>\n

* X\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh:<\/em><\/p>\n

– \u0102n l\u1ecfng, ch\u00e1o s\u1eefa, s\u00fap nghi\u1ec1n, n\u01b0\u1edbc tr\u00e1i c\u00e2y.<\/p>\n

– Th\u1ee9c \u0103n ph\u1ea3i \u0111\u1ec3 l\u1ea1nh.<\/p>\n

– Kh\u00f4ng n\u00ean \u0103n qu\u00e1 nhi\u1ec1u, kh\u00f4ng n\u00ean \u0111\u1ec3 b\u1ec7nh nh\u00e2n nh\u1ecbn \u0111\u00f3i.<\/p>\n

– N\u00ean cho \u0103n l\u00e0m nhi\u1ec1u b\u1eefa nh\u1ecf.<\/p>\n

– Khi c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ea7m ch\u1ea3y m\u00e1u th\u00ec cho \u0103n n\u00e1t ho\u1eb7c \u0111\u1eb7c d\u1ea7n.<\/p>\n

– Trong th\u1ee9c \u0103n, \u0111\u1ed3 u\u1ed1ng kh\u00f4ng \u0111\u01b0\u1ee3c c\u00f3 r\u01b0\u1ee3u, c\u00e0 ph\u00ea, thu\u1ed1c l\u00e1.<\/p>\n

* Gi\u1ea3m lo l\u1eafng cho b\u1ec7nh nh\u00e2n:<\/em><\/p>\n

– Gi\u1ea3i th\u00edch \u0111\u1ec3 b\u1ec7nh nh\u00e2n tin t\u01b0\u1edfng v\u00e0o chuy\u00ean m\u00f4n v\u00e0 y\u00ean t\u00e2m \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– M\u1ea5t ng\u1ee7 d\u00f9ng thu\u1ed1c an th\u1ea7n: Seduxen, tranxen …<\/p>\n

– Khi ch\u1ea3y m\u00e1u \u0111\u00e3 ng\u1eebng v\u00e0 \u1ed5n \u0111\u1ecbnh, h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p th\u01b0 gi\u00e3n ngh\u1ec9 ng\u01a1i \u0111\u1ec3 gi\u1ea3m lo l\u1eafng.<\/p>\n

* Gi\u1ea3m \u0111au v\u00f9ng th\u01b0\u1ee3ng v\u1ecb:<\/em><\/p>\n

– Ch\u01b0\u1eddm l\u1ea1nh v\u00f9ng th\u01b0\u1ee3ng v\u1ecb.<\/p>\n

– Cho b\u1ec7nh nh\u00e2n u\u1ed1ng theo y l\u1ec7nh \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ch\u00ednh x\u00e1c.<\/p>\n

* Gi\u00e1o d\u1ee5c s\u1ee9c kho\u1ebb:<\/em><\/p>\n

– Ph\u00f2ng v\u00e0 tr\u00e1nh b\u1ecb b\u1ec7nh b\u1eb1ng c\u00e1ch lao \u0111\u1ed9ng v\u00e0 ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd.<\/p>\n

– H\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n c\u00e1ch ph\u00e1t hi\u1ec7n s\u1edbm t\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a \u0111\u1ec3<\/p>\n

\u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n

– Khuy\u00ean b\u1ec7nh nh\u00e2n kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u, c\u00e0 ph\u00ea \u0111en, kh\u00f4ng u\u1ed1ng thu\u1ed1c g\u00e2y k\u00edch<\/p>\n

th\u00edch d\u1ea1 d\u00e0y nh\u01b0: Aspirin, c\u00e1c lo\u1ea1i corticoit.<\/p>\n

5. \u0110\u00e1nh gi\u00e1:<\/strong><\/p>\n

– B\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 cao \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 ch\u0103m s\u00f3c t\u1ed1t n\u1ebfu:<\/em><\/p>\n

+ B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ngh\u1ec9 ng\u01a1i t\u1ea1i gi\u01b0\u1eddng.<\/p>\n

+ Theo d\u00f5i s\u00e1t m\u1ea1ch, nhi\u1ec7t \u0111\u1ed9, huy\u1ebft \u00e1p.<\/p>\n

+ B\u1ec7nh nh\u00e2n kh\u00f4ng lo l\u1eafng.<\/p>\n

+ Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh.<\/p>\n

+ Th\u1ef1c hi\u1ec7n y l\u1ec7nh c\u1ee7a b\u00e1c s\u0129 kh\u1ea9n tr\u01b0\u01a1ng, \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ch\u00ednh x\u00e1c.<\/p>\n

+ Khi ra vi\u1ec7n b\u1ec7nh nh\u00e2n bi\u1ebft c\u00e1ch ph\u00f2ng b\u1ec7nh v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

L\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a\u00a0 1. 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