You are on page 1of 2
[lpoToKon No 28 EKCTPEHA MEAM4HA JOnoMmora rbctitan oaigenag Y PASI HABPSIKY JIETEHb Semen OBHICTe Hanan EMM wa gorocniransHowy etani xeOpHM 3 Ha: Meroto uboro Nporoxon 1 XBOpHM, 3 Came: ulanie RoE MaKCHManeHo axicnor EMA Ka aorocnitansHoMy eva Ke BuRBNeN Wat MEAMUHMMH axisyaMn oaHaK HabpaKy NereH Ta MPOBEAEHHA BIANOBIAHOTO nixyparnin MocaigoBHicTb BUKOHaHHa Nporoxoay: 1, Oui jiTb Micue nonit 2, MepsunHe Bpaxenns npo xBoporo, 3, Tepsunnnit ornaa, ~ diitme aziduo Tlia wac nposenentia o6crexents, cnn ane Ananies: + BUKOpHcTatna iy] + s6inuieHta Barn: + HasBnicrs Ha6paky Kiuivox; + saxBopionanna CCC. 31. 33. 3 Tpomoxonom No 3. ‘PHYTH yBary Ha O3HaKH HaGpsaKy AereHb: PeTukis Ta noTpHManHs rpaciky Ix BxHBAHTA; * auxanbHi wymn — xpun; + HaGyxaHis spenmnnx Ben: * Katenb i/a6o npoaykTHBHuii Kauienb 3 ninoto/MoKpoTHutism; + aucKomopr y rpyasx: + rinotensi + O3HaKH WOKy; + QH (Hemoxnnsict posmosnsrn nosiinn perennan); + BHKOPHCTAHHA JONOMbKHHX AUXANbHHX Mt s3iB. PosrnaHyTH 3actocyBaHiia cxemm onncaHol akpouimom CHAMP aaj siaBnenna TIpHYHH, LUO MpHSBeTH NO AeKoMMeHCaLt: CHAMP | (Acute coronary syndromes) - rocrpmit koponapHnii cuHapom. (Hypertensive) - rineptensmsHnit kpn3. (Arrhythmia) - taxiapuTmil a6o supaxena Gpaakapnia / nopywenna NposigHocti. 7 (Mechanical obstruction) ~ roctpa mexaviuva Henpoxianicre. (Pulmonary embolism) - TpoM6oemGonin nerenesol aprepil (TESA). 4. Y pasi suapnenns osHak HaOpaky sereHb postnaubre HacTynHe TikysanHs. 41. Mavinyasuil: 42. Kowpomb sitanbunx noKasHnkis, KE 43. Posrnanbre spenenia Hinpormiuepuny mi KOH + B/e a6o B/k nocTyn; + spyyne nonoxkeHHs XBOpOrO; + okcureHoTepania: Mera ~ nocarwenns SpO, rrpone (AT,,., > 100 mm pcr.) ‘360 cnpeti cyGnivreantbxnti (0,4 wr/s103a) a60 ann: “2 raGs 10 0,5 MF nig saHk, nloBTopHo Hepes 5 xB. = 94-98%. « nirporninepnnt: ra6n. (0,5 Mr) ~ ctaprona 03a BcepesIMHy: 60 (i 5-10 xB. it cy6r 11-2 naruckanna no 0,4 Mt KOKI -enpeft Se vada 10.20 sat/xB 3i 36INbueNHAM 03H 0 “300 aa (Bo eur poawectn 8 200 1 is0ToH HOM pos arp TOpray (0.9%), uipnaxicrs inepysiteknanae 2-4 Kp/xB, max = 40 Kp/xe). vos 44. TIpu rinorensii cain poarnanyTH BHKopHcTaHHa iHoTponiB a60 Basonpeco, carnenna AT... 90 MM pr.ct. aGo aHHKHeHHA o3tiaK rinonepeyaii, Pit yg Yo. 5. 3a neo6xianocri cnia npononHTH aiKysauts aanexHo Bin BHSBACHHX HeBinknanyy, % 6. 3a neoGxianocti npoxoncyzbryiitecb 3 KepisHHKoM (crapwlHM nikapem), 7. Meron tpancnoprysanna ra nyaKr npusHavienns cain OOMpaTa 8 pospaxynny jig Hi pecypcw MeqH4HOi cHcTeMH. 70Kan, 74. Tpavcnoprysanna ra rocniranisauis xBoprx y sinnoninwit crauionap, ne noo axinui ta oGnannanns 1a NazaNnA aKicHOT (aHcOKOCNeUianizoBaHO!) aonoyse + Binnosinne sinninenHs; H: + MoxkanicTb npoBeneHHs HeoOxiHoro O6cTexKeHHS. 7.2. Tia 4ac TpaxcnoprysaxHs, ~ KOHTponloBaTH Ta NepeBipsTH OCHOBHi BiTaNBH noKa9, + Koxni 15 xB. 2018 xBOpHX y craGinbHoMy Cran ky + Koni 5 xB. a60 npH aMini cTaky Ana XBOpHK y HecTaGiabHomy Cray Tani Baknneo! _ _ 1. Xponiuna CH € tanoBoI NpMUNHOI HaBpAKy MereHs. flo iKUUMX NPUUMH HaneKars: + annie BUCOTH Han piBHeM MOPA: + Hipxosa HenoctatHict (HH); + ypameHHA nereHb OTPYAHMMM razaMi 60 BHACNIROK IHeKUIHMX 3axBopIOBAKE; + TwoxKa TpaBMa. 2. BukopucraHHa Hirparie cnia yHnKaTH, AKIO XBOPHIA NPoTATOM OCTAHHix 48 FOR. BKUBAB Ihi6iTopy coctboniectepasn (HanpnKian, cangenadin Tow). 3. XBopi 3 nigoapo10 Ha incbapkr npaBoro winyHOuKa Ta O3HaKaMu rinonepibysll NoTPEBYIOTE Np oceRe Me imebysifiol tepanil sana anekeaTHoro HaBaHTaMeHHA NPaBOrO WnyHOUKA. HiTpaTH NpOTHA>» 30K) 4. Hiporniuepun ahinkye THCK HanoBHeHHA nisoro WnyHOUKa. MpM I6iNbWeHAx Ao3ax, NPEnanar nepi COnmHo SHIDKYE CHCTEMHNI Onip Ta NinBMULye yAapHH OG'eM Ta CepYeBH BHKNA 5. Hansa ayme O6MexeHa iHopMaulia npo GesneuHicTs Ta KniKiuny ecbeKTHBHICTe BHKODNC >Hi Ho- ux inri6iTopie akriorexanHnepeTBopiorwovoro bepmeHTy (AN®) abo nposegeHHs Tepanil > 5110p) TaHHAM inriGiTopi8 AN® Ha paHHix cTazisx Tepanil roctpol CH (To6To y nepuui 12-24 roa.) 6. Pytinie suKopucraHlA cbypoceMiny He peKoMeHmOBaHe Ha AOrocnitansHoMy erani, ~ Horo 23crory- Banna cnig posrnanyTu y BuNaDKy HaRBHOCTi uiTkux OsHaK rinepeonemil 7. BuKopucTaKHa MOpdiny rigpoxnopuAY NPM HABPAKy NereHb ANA sHIDKEHHA NepenHaBaHTaKeHia Gyno 3BMWaMHHM ABMUIeM NPOTAFOM GaraTeOX POKis, ane, HAPAsi, BIACYTHI AOKASH, LYO NiATS=pAX)~ lots fioro nosuTHBHih reMogiHamiui e@ext, Moe 2acTocoByBaTHce Ak NDenapaT Apyroro PRAY 32 YMOB HeEEKTHBHOCTI BHULEBKAZAKUX fil, 3a HARBHOCTI AUCTPECy 3yMOBNEHNK ANCNHOE 1. Oulika micus noall. Besnexa ee 2. Mepsnnne spamenna OO 3. Mlepannuni ornan, Tlixsinaula sarpoanuanx ana xHTTR CraHIG {_tesnet peer 4, Poarnanere BaeneHHs Hirporniuepnny. 2 es 5. BranaunTa npwuny anmcenna WaGDAKY ereHe 'sacrocyeary signoeiane ninyesrnn | Oo 6, Koncynbrauin KepisHinka (crapwioro nikapa) "aml

You might also like