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2012
Stefan Lukić
 stefanlukic@gmail.com
[OSNOVIURGENTNE IINTENZIVNEMEDICINE] 
Verzija 0.9
 
Osnovi urgentne i intenzivne medicine
2
Stefan Lukić
 
Sadržaj
 
PREDGOVOR BETA VERZIJI ......................................................................................................................................... 4
 
REČNIK SKRAĆENICA UPOTREBLJENIH U TEKSTU
....................................................................................................... 6
 
ETIOPATOGENEZA I SIM
PTOMATOLOGIJA AKUTNOG SRČANOG ZASTOJA
................................................................. 7
 
ODLIKE LANCA PREŽIVLJAVANJA KOD IZNENADN
OG SZ ............................................................................................. 8
 
OSNOVNE MERE ŽIVOTNE
POTPORE BLS ................................................................................................................... 8
 
AUTOMATSKI SPOLJAŠNJ
I DEFIBRILATOR ................................................................................................................ 10
 
MANUELNA DEFIBRILACIJA ...................................................................................................................................... 12
 
BOČNI KOMA POLOŽAJ
............................................................................................................................................ 12
 
OPSTRUKCIJA DISAJNOG
PUTA STRANIM TELOM-ZADAVLJENJE .............................................................................. 13
 
AIRWAY – DISAJNI PUT ............................................................................................................................................ 16
 
O
BEZBEĐENJE DISAJNOG PUTA KOD SRČANOG ZASTOJA I MANUELNI MANEVRI OBEZBEĐENJA DISAJNOG PUTA
.................................... 16
 
P
OMOĆNA SREDSTVA ZA ODRŽAVANJE DISAJNOG PUTA
........................................................................................................... 16
 
E
NDOTRAHEALNA INTUBACIJA
............................................................................................................................................ 16
 
O
TEŽANA INTUBACIJA
....................................................................................................................................................... 17
 
S
UPRAGLOTISNA SREDSTVA ZA OBEZBEĐENJE DISAJNOG PUTA
................................................................................................... 18
 
O
PASNOSTI I RIZICI PRI
 
USPOSTAVLJANJU DISAJNOG PUTA
........................................................................................................ 19
 
S
ELLICK MANEVAR
-
 
KRIKOIDNI
 
PRITISAK
......................................................................................................................... 19
 
BREATHING – DISANJE ............................................................................................................................................. 19
 
M
EHANIČKI RESPIRATOR
................................................................................................................................................... 20
 
O
PASNOSTI ARTEFICIJALNE VENTILACIJE
............................................................................................................................... 20
 
CIRCULATION (COMPRESSION) -
CIRKULACIJA
......................................................................................................... 20
 
PRIMENA LEKOVA U REA
NIMACIJI ........................................................................................................................... 21
 
V
AZOPRESORI
................................................................................................................................................................. 21
 
A
NTIARITMICI
................................................................................................................................................................. 22
 
D
RUGI LEKOVI
................................................................................................................................................................. 23
 
N
ADOKNADA VOLUMENA U
KPR
-
U
..................................................................................................................................... 23
 
PUTEVI
DAVANJA LEKOVA U KPR
............................................................................................................................. 23
 
K
ANULACIJA PERIFERNE VENE
 ............................................................................................................................................. 23
 
K
ANULACIJA CENTRALNE VENE
........................................................................................................................................... 23
 
E
NDOTRAHEALNI PUT
....................................................................................................................................................... 23
 
I
NTRAOSEALNO DAVANJE LEKOVA
....................................................................................................................................... 23
 
I
NTRAKARDIJALNI PUT
...................................................................................................................................................... 24
 
D
RUGI PUTEVI
................................................................................................................................................................ 24
 
INTERPRETACIJA EKG U
SZ ....................................................................................................................................... 24
 
V
ENTRIKULARNA
F
IBRILACIJA
............................................................................................................................................. 24
 
V
ENTRIKULARNA TAHIKARDIJA
........................................................................................................................................... 24
 
A
SISTOLIJA
..................................................................................................................................................................... 24
 
B
EZPULSNA ELEKTRIČNA AKTIVNOST
.................................................................................................................................... 25
 
ADVANCED LIFE SUPPORT – ALS –
NAPREDNA ŽIVOTNA POT
PORA ......................................................................... 25
 
PERIARESTNE ARITMIJE ........................................................................................................................................... 27
 
P
ERIARESTNA TAHIKARDIJA
................................................................................................................................................ 27
 
P
ERIARESTNE BRADIKARDIJE
.............................................................................................................................................. 29
 
MONITORING EFIKASNOSTI KPR
-A ........................................................................................................................... 30
 
D
ISANJE I
S
VEST
.............................................................................................................................................................. 30
 
P
ALPACIJA PULSA
............................................................................................................................................................ 30
 
P
RAĆANJE VELIČINE ZENICA
............................................................................................................................................... 30
 
P
ROMENA BOJE KOŽE
....................................................................................................................................................... 30
 
EKG
............................................................................................................................................................................. 30
 
K
RVNI PRITISAK
............................................................................................................................................................... 30
 
K
APNOMETRIJA
............................................................................................................................................................... 30
 
P
ULSNA OKSIMETRIJA
....................................................................................................................................................... 30
 
S
WANN
-
G
ANZ KATETAR
................................................................................................................................................... 30
 
A
RTERIJSKI P
H
................................................................................................................................................................ 30
 
KPR KOD DECE I NOVOROĐENČADI
 .......................................................................................................................... 30
 
AIRWAY
 
KOD
 
DECE
 
 –
 
DISAJNI PUT
.................................................................................................................................. 31
 
BREATHING
 
 –
 
DISANJE
.................................................................................................................................................. 31
 
CIRCULATION
 
 –
 
CIRKULACIJA
.......................................................................................................................................... 31
 
DRUGS
 
AND
 
DEFIBRILATION
....................................................................................................................................... 31
 
KPR
 
KOD NOVOROĐENČADI
.............................................................................................................................................. 31
 
 
Osnovi urgentne i intenzivne medicine
3
Stefan Lukić
 
UDAR ELEKTRIČNE ENERGIJE I KPR
........................................................................................................................... 34
 
KPR KOD UTAPANJA
................................................................................................................................................ 34
 
A
KVATIČNO SPASAVANJE
................................................................................................................................................... 34
 
BLS
 
NA SUVOM
.............................................................................................................................................................. 34
 
ALS
 
NA SUVOM
.............................................................................................................................................................. 34
 
P
OST
-
REANIMACIONA NEGA
.............................................................................................................................................. 34
 
HIPOTERMIJA ........................................................................................................................................................... 35
 
HIPERTERMIJA ......................................................................................................................................................... 35
 
UGRIZ ZMIJE I UJED I
NSEKTA
................................................................................................................................... 35
 
U
GRIZ ZMIJE
................................................................................................................................................................... 35
 
TROVANJA ............................................................................................................................................................... 36
 
ETIOPATOGENEZA AKUTN
OG
POREMEĆAJA GASNE RAZ
MENE ................................................................................ 36
 
KLINIČKA SLIKA AKUTNOG POREMEĆAJA GASNE
RAZMENE .................................................................................... 37
 
LARINGOSPAZAM .................................................................................................................................................... 37
 
BRONHOSPAZAM..................................................................................................................................................... 37
 
PNEUMOTHORAX .................................................................................................................................................... 38
 
PLUĆNA TROMBOEMBOLIJ
A .................................................................................................................................... 38
 
ARDS ........................................................................................................................................................................ 40
 
ACIDOBAZNI STATUS ............................................................................................................................................... 41
 
M
ETABOLIČKA ACIDOZA
.................................................................................................................................................... 43
 
M
ETABOLIČKA
A
LKALOZA
................................................................................................................................................. 43
 
R
ESPIRATORNA ACIDOZA
................................................................................................................................................... 43
 
R
ESPIRATORNA
 
ALKALOZA
................................................................................................................................................. 43
 
POREMEĆAJI METABOLIZMA KALIJUMA
.................................................................................................................. 44
 
H
IPERKALIEMIJA
.............................................................................................................................................................. 44
 
H
IPOKALIEMIJA
............................................................................................................................................................... 44
 
ŠOK
.......................................................................................................................................................................... 45
 
ANAFILAKTIČKI ŠOK
................................................................................................................................................. 49
 
HIPOVOLEMIJSKI ŠOK
.............................................................................................................................................. 50
 
SEPTIČNI ŠOK
........................................................................................................................................................... 51
 
KARDIOGENI ŠOK
..................................................................................................................................................... 53
 
OPEKOTINE
.............................................................................................................................................................. 57
 
METABOLIČKI ODGOVOR
NA TRAUMU .................................................................................................................... 58
 
LITERATURA ............................................................................................................................................................. 60
 
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