CO GlAT

l. Al CONG:
Co gut u mot cup coo thun knh thoong gup nhut o tro om. 1rong do nung nhut
u con co gut on toc kh con co gut coc bo huy toun tho koo du tron 30 phot
huy nhoo con co gut on top nhuo khong co khoung tnh. on chong co gut
u thoo oxy nuo, tuc nghon doong tho guy to vong.
Ngoyon nhun cou co gut rut du dung, thoong gup nhut o tro om u sot cuo co
gut.
ll- CHAN OAN:
1. Cong vicc cban doan:
a) Hoi bcnb:
Ticn so:
! Sot cuo co gut
! Dong knh
! ko oun choyon hou.
! Chun thoong duo.
! 1op xoc doc chut.
! lhut tron tum thun vun dong.
cnb so:
! Sot, too chuy, bo un.
! 1nh chut con gut: toun tho, coc bo toun tho hou huy kho tro, tho gun con
gut.
b) kbam Iam sang:
! 1r guc.
! Duo hoo snh ton: much, hoyot up, nhot do, nhp tho, tm tu, SuO
2
.
! Duo hoo ton thoong ngou du on qoun don chun thoong.
! Duo hoo thoo muo.
! Duo hoo mung nuo: co cong, thop phong.
! Duo hoo thun knh kho tro.
a) Can Iam sang:
! Cong thoc muo, ky snh trong sot rot.
! Ngou tro sot cuo co gut, cuc troong hop khuc:
Doong hoyot, Doxtrostx, on do
Choc do toy song: snh hou, to buo, v trong, Lutox, lgM. Hoyot thunh chun
doun vom nuo tHl, Muc Lsu)
LLC tngh dong knh),
Lcho nuo xoyon thop
C1 scunnor nuo noo ngh ngo to muo, o nuo, up xo nuo mu khong um dooc
soo um xoyon thop houc soo um co och M-ocho.
lll. lF Tk]:
1. Ngoycn tac dico tr|:
! Ho tro ho hup: thong doong tho vu cong cup oxy.
! Cut con co gut.
! Doo tr ngoyon nhun.
2. ico tr| ban dao:
u. Ho tro ho hup:
! Dut bonh nhun num nghong, duo ngou.
! Dut cuy do oo qoun guc tnoo dung gut).
! Hot dum.
! Cho tho oxygon do dut SuO
2
92-96%.
! Dut NK gop tho noo thut bu vo oxygon huy co con ngong tho.
b. Cut con co gut:
! Duzopum: 0,2 mg/kg/oo 1MC, co tho guy ngong tho do tom much huy
bom huo mon v tho oon choun b bong vu musk gop tho nhut u kh tom
much nhunh. 1rong troong hop khong tom much dooc co tho bom qou
doong huo mon, oo 0,5mg/kg/oo. Noo khong hoo qou suo oo Duzopum
duo ton up u oo tho 2 suo l0 phot, to du 3 oo. Loo to du: tro < 5 too:
5mg, tro > 5 too: l0mg.
tico bat dao Diazcpam Tooi
1MC t0,2mg/kg) om huo mon t0,5mg/kg)
< l too
l - 5 too
5 l0 too
> l0 too
l 2 mg
3 mg
5 mg
5 l0 mg
2,5 5 mg
7,5 mg
l0 mg
l0 l5 mg

Choyon Ho soc nguy kh dong Duzopum tong oo lmg/kg mu chou cut con
gut
! Houc Mduzoum oo 0,2 mg/kg/un 1M chum. Noo khong up ong co tho
up u oo tron. Loo Mduzoum troyon doy tr : l"g/kg/phot tung dun don
kh co dup ong khong qou l8"g/kg/phot
! 1ro so snh oo ton chon ou lhonoburbtu l5-20 mg/kg troyon tnh much
trong 30 phot. Noo suo 30 phot con co gut co tho up u oo tho hu l0
mg/kg.
c. Doo tr ngoyon nhun:
! Co gut do sot cuo: lurucotumo l5 - 20 mg/kg/oo tou dooc.
! Hu doong hoyot:
1ro on: Doxtroso 30% 2m/kg 1M.
1ro so snh: Doxtroso l0% 2 m/kg 1M.
Suo do doy tr bung Doxtroso l0% 11M.
! Hu nutr muo: Nutr chorou 3% 6-l0mL/kg 11M trong l go.
! 1ung up oc no so noo co txom bu hon mo).
! Ngoyon nhun ngou khou nho chun thoong duo, xout hoyot, o nuo: ho chun
ngou thun knh
3. ico tr| ticp tbco:
Noo co gut vun top toc houc tu phut:
! lhonyton l5-20 mg/kg troyon tnh much chum trong 30 phot toc do 0,5 - l
mg/kg/phot, phu trong Nutr Chorou 9, nong do to du lmg/m. Cun
montor LCC, hoyot up do thoo do bon chong oun nhp vu tot hoyot up.
Loo doy tr 5-l0 mg/kg/nguy 1MC chu 3 un. lhonyton dung tom hon
chou co tu cuc bonh von.
! Noo khong co lhonyton: lhonoburbtu 20 mg/kg 1MC trong vong 30 phot
qou bom tom, cun oo y ngoy co ngong tho so gu tung kh pho hop
Duzopum vu lhonoburbtu. Loo doy tr 3-5 mg/kg/nguy, chu 2 un.
! Mduzoum: tun cong 0,2 mg/kq suo do doy tr l"g/kg/phot, tung oo dun do
co dup ong tto du l8"g/kg/phot)
! Noo vun thut bu dong: Duzopum troyon tnh much
- Kho duo: oo 0,25mg/kg 1M
- Suo do: 0,lmg/kg/go 11M qou bom tom tung dun don kh dut hoo qou,
oo to du 2 - 3mg/go.
! Xom xot voc dong lyrdoxno 1M tVtumn 6) o tro < l8 thung co gut mu
khong sot vu khong dup ong vo cuc thooc chong co gut. Mot so cu co dup
ong suo l0 60 phot
! lhoong phup guy mo: kh tut cu cuc thooc chong dong knh tron thut bu,
thooc dooc chon u 1hopontu tlonthotu) 5 mg/kg 1M chum qou bom tom.
Suo do troyon doy tr 1M 2-4mg/kg/go qou bom tom. Ch dong 1hopontu
noo co phoong ton gop tho vu cun thoo do sut much, hoyot up, CVl t8-l2
cmH
2
0). Cun thoo do sut noo co duo hoo soy ho hup th dut no kh qoun
gop tho nguy.
! 1hut bu vo 1hoponthu co tho dong thom thooc dun co nho Vocoronom
0,l - 0,2mg/kg/oo 1MC vu phu dut NK gop tho.
4. Tbco doi va tai kbam
l. 1hoo do:
! 1r guc, much, hoyot up, nhp tho, nhot do, SuO
2
.
! 1m vu doo tr ngoyon nhun.
! 1hoo do cuc xot nghom: doong hoyot, on do kh cun.
2. 1u khum:
! onh nhun dong knh cun dooc khum vu doo tr choyon khou no thun
knh.

Van dc Moc do cbong co
O bonh nhun sot cuo co gut, khong l
cun um cuc xot nghom: on do, |N,
croutnn tro kh ngh ngo co but thoong
nuo khuc.
Lmorgoncy Modcno Cncs
o North Amorcu l999
Noo khong tho dong thooc chong co
gut doong 1M, Duzopum doong huo
mon cong co hoo qou toong doong.t*)
l
1oxtbook o Lmorgoncy
Modcno l998
t*) dong ong tom lcc tong tom toborcon tost)
t O X Tkl CO GlAT

Khong
Khong
1hong doong tho
Oxy, hot dum, dut NK gop tho
1hot up doong tnh much
Luy muo xot nghom, Doxtrostx
Doo tr hu doong hoyot:
Dcxtrosc 30% 2 mL/kg 1MC
So snh: Doxtroso l0% 2 mL/kg
1MC
Diazcpam 0,2 mg/kg 1MC x 3
un mo l0 phot
So snh: lhonoburbtu l5-20
mg/kg troyon 1M trong 30 phot
Ngong co gut
lhonyton l5-20 mg/kg troyon 1M 30
phot
Houc lhonoburbtu l5-20 mg/kg
troyon 1M trong 30 phot.
Houc Duzopum troyon 1M.
Ngong co gut
Xom xot dong lyrdoxno t< l8 thung)
1hopontu 5 mg/kg 1MC
Vocoronom 0,l-0,2 mg/kg 1MC
Dut NK gop tho
1m vu doo tr
ngoyon nhun co gut
Hu doong hoyot
Khong
Co