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Tiem TM
Tiem TM
I. Muc ch
- a thuoc vao c the qua da e tao tac dung nhanh chong. - ieu tr toan than .
II. Ch nh - BN cap cu .
- Benh nang can tac dung cap thi . - BN suy kiet . - Ton thng niem mac, khong hap thu, b pha huy bi ng tieu hoa. - Ngi benh khong the uong c : non oi nhieu, ngi benh chuan b mo, tam than khong hp tac.
III. Chong ch nh *Tuyet oi : -Cho nhiem trung. -Ni b phong. *Tng oi: -oan cuoi chi b te liet. -Cho phu ne. -Tranh khp noi.
IV. V tr tim
Tnh mch chi : lng bn tay, c tay , khuu tay, lng bn chn , c chn Tnh mch vng u : hai bn thi dng Chn tnh mch to , r, t di ng.
17/12/2012
CC BC TIN HNH K THUT Bo v gii thch cho thn nhn, bnh nhi. Hi tin s d ng thuc. Mang khu trang, ra tay nhanh. Son dng c:
Dng c v trng: Kim lun, nt y kim Kim rt thuc. ng tim 3ml: 2 ng ng tim 5ml: 1 ng. Bng keo. Hp gn. Hp gc Dng c sch: Mm sch. Gng sch. Khu trang. Dy gar Bt ghi
Dng c khc:
+ Thng rc sinh hot, rc ly nhim + Thng ng vt sc nhn + Hp chng sc phn v
Kim tra thuc ln 2 trc khi m np l thuc M np l thuc, st trng np cao su St trng ng nc ct (hoc dung mi) Dng ng tim 5ml gn kim pha thuc, rt nc ct hoc dung mi theo hng dn m kim vo gia l, bm dung mi vo, sau rt kh trong l vi th tch tng ng. Rt kim ra khi l Lc u cho n khi thy thuc tan hn Bm vo l 1 lng kh bng vi th tch thuc s rt Rt thuc theo ng y lnh Rt kim ra khi l v kim tra thuc ln 3 Thay kim tim, t ng tim vo mm Rt 2 ng nc mui 9%o v t vo mm Nu thuc cn d phi che bng gc(gn) v trng, dn bng keo v ghi ngy gi, hm lng thuc trong 1ml, bo qun theo qui nh
17/12/2012
Mang n ging bnh nhi. Thc hin 5 ng Bo & gii thch ln na. t BN t th thch hp. Chn v bc l v tr tim
Ct garo cch v tr tim 3-5 cm. St trng tay nhanh, mang gng sch. St trng vng tim t nht 3 ln. St trng theo kiu xon c rng ra 5cm. cn kh gia 2 ln st trng & trc khi tim. Tin hnh tim: tay phi cm kim lun mt vt hng ln trn. m kim qua da vo tnh mch 1 gc 30-40 , cng lc dng ngn ci bn tay tri cng da pha di v gi c nh chi Thy mu chy ra chui kim , gi c nh. Lun kim lun: li nng ra khong 1cm cng lc lun kim lun nh nhng vo lng mch.
Tho garo. Dn bng keo c nhn. Rt b nng kim. Kim tra kim lun bng cch dng ng tim 3ml c cha nc mui 9%o rt nh, thy c mu, bm nc mui 9%o vo thy nh tay khng ph l ng. Bm thuc theo y lnh. Bm nc mui 9%o trng ng. Gn nt y kim lun trong trng hp lu kim tim thuc.
Dn bng keo vi c nh. Tho gng. Ghi ngy gi thc hin ln bng keo vi vng tim. Dn d TNBN nhng iu cn thit. Tr bnh nhn v t th tin nghi. Dn dp dng c. Ra tay, ghi h s.( tn thuc, liu lng ngy gi tim, tn D thc hin).
CC BC TIN HNH
Bo v gii thch cho thn nhn, bnh nhi.( nhn vein, kim tra kim lun) Hi tin s d ng thuc. Mang khu trang, ra tay nhanh. Chun b dng c.( ging nh tim TM ) Bo & gii thch ln na. Kim tra 5 ng t BN t th thch hp Bc l v tr tim.
17/12/2012
St trng tay nhanh, mang gng sch. St trng kha lu kim. Kim tra kim lun bng cch dng tay tri gi kha lu kim, tay phi cm ng tim 3ml c cha nc mui 9%o m qua kha lu kim rt nh kim tra thy c mu. Nu kim lun nm trong lng mch, bm nc mui 9%o vo thy nh tay khng ph. Rt kim ra tin hnh bm thuc.
Bm thuc chm, va bm thuc va quan st bnh nhi. Trng kha lu kim: dng ng tim 3ml c cha nc mui 9%o bm vo kha lu kim ui ht thuc vo lng mch. Rt kim ra. Dng gn kh lau li kha lu kim. Dn gc che u kim. Tho gng. Dn d TNBN nhng iu cn thit. Tr bnh nhn v t th tin nghi. Dn dp dng c, ra tay ghi h s.( tn thuc, liu lng ngy gi tim, tn D thc hin).
17/12/2012
Lu :