Kev nqus pa oxygen yog dab tsi?

Oxygen Inhalation yog ib txoj hauv kev kho mob, thiab kev kho cov pa oxygen yog ib txoj hauv kev los daws cov hypoxia. Kev nqus pa nrog cov nqi tsim nyog yog siv los kho cov tsos mob hypoxia, nce qib ntawm cov hlab ntsha oxygen ib nrab siab thiab oxygen saturation, thiab txhawb cov metabolism. Nws yog ib txoj hauv kev tseem ceeb rau kev kho mob ntawm ntau yam kab mob.

01 Lub luag haujlwm ntawm kev nqus pa oxygen

Kev nqus pa oxygen yog siv los kho hypoxia, nce qib ntawm cov hlab ntsha oxygen ib nrab siab thiab oxygen saturation, thiab txhawb cov metabolism. Nws yog ib txoj hauv kev tseem ceeb rau kev kho mob ntawm ntau yam kab mob. Xws li kev ua pa tsis ua haujlwm, mob ntsws ntev, kab mob cerebrovascular, kab mob plawv. Cov neeg uas muaj cov tsos mob ntawm kev kho mob hypoxia tsis pom tseeb kuj yuav muaj cov nuj nqis oxygen lossis cov metabolism hauv microcirculation txawv txav, yog li yuav tsum tau nqus pa oxygen. Xws li qee cov neeg mob ua ntej thiab tom qab kev phais, cov neeg mob hemorrhagic shock, lub plawv tsis zoo ntawm lub plawv los yog kev ua haujlwm ntev thaum yug menyuam thiab lwm tus neeg mob.

02 Txoj kev sib koom

1. Qhov ntswg congestion thiab qhov ntswg cannula oxygen inhalation method: Qhov ntswg congestion txoj kev yog tias qhov ntswg congestion yog muab tso rau hauv ib sab ntawm lub qhov ntswg vestibule thiab nyob ze rau ntawm qhov ntswg kab noj hniav kom nqus pa oxygen. Txoj kev nasal cannula yog ntxig ib lub cannula mus rau sab saum toj ntawm lub qhov ntswg kab noj hniav kom nqus pa oxygen.

2. Mask oxygen inhalation method: Npog tus neeg mob lub qhov ncauj thiab qhov ntswg rau kev nqus pa oxygen zoo dua li qhov ntswg congestion thiab qhov ntswg cannula oxygen inhalation method, tab sis nws yuav ua rau ua pa acidosis.

3. Txoj kev nqus pa ntawm qhov ncauj: Yog tias tus neeg mob muaj qhov ntswg qhov ntswg lossis qhov ncauj ua pa, oxygen tuaj yeem nqus tau los ntawm lub qhov ncauj, uas yog, siv lub catheter loj dua los muab tso rau hauv qhov ncauj kom nqus pa.

03 Daim ntawv ceeb toom

1. Mob ntsws obstructive pulmonary disease (COPD) (mob ntsws bronchi, emphysema) yuav tsum tau nqus pa nrog cov pa qis qis thaum ua pa tsis ua haujlwm. (<>

2. Kev kho mob cov pa oxygen yuav tsum tau siv rau kev nqus pa oxygen, thiab cov pa oxygen yuav tsum tsis txhob siv.

3. Thaum lub qhov ntswg congestion thiab qhov ntswg cannula oxygen inhalation, high-flow oxygen inhalation yuav ua rau lub zos qhov ntswg mucosa, cov pa yuav tsum tsis txhob ntau tshaj 7L / min.

04 Inhaled oxygen concentration

Kev sib raug zoo ntawm cov pa oxygen thiab cov pa oxygen txaus: qhov nqus pa oxygen concentration (feem pua) =21 ntxiv rau 4 × oxygen txaus tus nqi (L / min).

05 Cov lus qhia rau kev kho oxygen
Kev nrawm ntawm lub neej niaj hnub no nrawm dua, thiab kev siv lub hlwb thiab lub cev nce ntxiv, tshwj xeeb tshaj yog rau cov neeg ua haujlwm puas hlwb. Vim hais tias lub hlwb nyob rau hauv lub xeev ntawm lub siab nro ntev, nws yog ib qho yooj yim ua rau lub paj hlwb hypoxia, tsis muaj endogenous oxygen nyob rau hauv lub hlwb, kiv taub hau, hauv siab nruj, qaug zog, lethargy, thiab tsis teb, tsis muaj concentration thiab lwm yam tsos mob, uas. yuav cuam tshuam rau kev kawm, kev ua haujlwm thiab lub neej nyob rau hauv cov xwm txheej hnyav. Cov kws tshaj lij ntseeg tias tsawg kawg 10 feem pua ​​​​ntawm cov neeg hauv nroog nyob hauv lub xeev hypoxia. 10 feem pua ​​suav nrog: cov neeg nyob hauv cov chaw uas tsis muaj pa oxygen txaus; cov neeg uas haus lub hlwb ntau dhau lawm; cov neeg raug kev txom nyem los ntawm cov kab mob hypoxic.

Raws li cov kws kho mob cov tswv yim, kev nqus pa oxygen kom zoo tuaj yeem txhim kho cov tsos mob hauv qab no:

● Txo kev puas siab puas ntsws

Thaum kawm ntev, tsis muaj qhov tsim nyog so thiab kev lom zem, thiab ntxhov siab txog kev xeem, ntau tus tub ntxhais kawm raug kev txom nyem los ntawm "kev kuaj mob", uas yog tshwm sim los ntawm kev puas siab puas ntsws, tsis nco qab, tsis hnov ​​​​lus, tsis muaj peev xwm mloog, thiab txo qis kev kawm. Hais kom nqus tau ob peb feeb ntawm oxygen txhua hnub, tuaj yeem txhim kho qhov tshwm sim zoo li no.

● Tshem tawm kev ua haujlwm siab

Raws li kev ua haujlwm hnyav, cov tsos mob xws li qaug zog, kiv taub hau, chim siab, ua tsis taus pa, thiab tsis qab los noj mov yog qhov tshwm sim. Cov kws kho mob hu nws "office syndrome". Kev nqus pa oxygen rau 3 mus rau 5 feeb txhua hnub tuaj yeem txo qis kev noj qab haus huv xws li nervousness thiab irritability.

● Kev kho mob hauv tsev ntawm bronchial hawb pob, mob ntsws ntsws, mob ntsws, mob ntsws, mob ntsws, mob ntsws, mob ntsws thiab lub plawv tsis ua haujlwm, thiab lwm yam. Kev nqus pa tuaj yeem txhim kho cov ntshav oxygen saturation, txo qhov mob ntawm cov neeg mob, thiab txuag cov nqi kho mob kim. Kev nqus pa oxygen tsis tu ncua hauv cov neeg laus thiab cov neeg laus tuaj yeem tiv thaiv kab mob plawv thiab cerebrovascular, thiab muaj txiaj ntsig zoo rau kev noj qab haus huv thiab kev ua neej ntev.

● Kev saib xyuas cov poj niam cev xeeb tub

Kev nqus pa oxygen tsis tu ncua thaum cev xeeb tub tuaj yeem ua rau kom cov pa oxygen hauv cov hlab ntsha ntawm cov poj niam cev xeeb tub, uas yog qhov zoo los txhim kho kev ua haujlwm ntawm cov poj niam cev xeeb tub thiab muaj txiaj ntsig zoo rau kev loj hlob thiab kev loj hlob ntawm fetus.

● Siv cov pa oxygen

Ntxiv cov pa oxygen rau lub sijhawm tom qab kev tawm dag zog hnyav tuaj yeem txhim kho ua pa luv thiab lub hauv siab nruj, tshem tawm qaug zog thiab rov ua kom lub cev muaj zog.

06 Kev ceev faj rau kev kho cov pa oxygen
Cov kws tshaj lij qhia tias peb yuav tsum tau xyuam xim rau plaub lub ntsiab lus thaum nqus pa oxygen hauv tsev:

1. Sab hauv hluav taws yog nruj me ntsis txwv tsis pub tiv thaiv hluav taws.

2. Cov pa oxygen txaus yuav tsum dhau los ntawm lub raj mis humidifier kom txo tau qhov kev ua xua rau cov mucous daim nyias nyias ntawm lub ntsws.

3. Rau kev kho cov pa mus ntev, cov pa oxygen txaus yuav tsum tswj tau ntawm 2 - 4 litres/min, thiab kev nqus pa oxygen yuav tsum tsis pub tshaj 1 teev hauv ib hnub los tiv thaiv kev tsim cov pa oxygen dawb radicals uas ua rau muaj kev phom sij rau kev noj qab haus huv.

4. Ua ntej siv lub qhov ntswg cannula, xyuas seb nws puas tsis muaj kev cuam tshuam, hloov nws ob zaug hauv ib hnub, boil thiab sterilize nws rau 10 feeb rau thaub qab, thiab nyiam dua siv lub tshuab nqus pa uas siv tau pov tseg.