Indlela yokusebenza yenzwa iyafana naleyo yenaliti yokuhlala kwi-venous.Emva kokuba i-puncture ibona ukubuyiswa kwegazi, umthambo wesigulane ucinezelekile, i-naliti engundoqo ikhutshwe, inzwa yoxinzelelo ixhunywe ngokukhawuleza, kwaye ukopha kwindawo yokubhoboza kulungiswe.Umsebenzisi ucinezela umthambo we-radial wesigulane kunye nomthambo we-ulnar ngezandla zombini, ujonga ukuba i-oxygen saturation yegazi yeminwe yesigulana isendleleni echanekileyo, kwaye iqwalasela i-waveform kwi-monitor ye-ECG.Ukuba i-oxygen saturation waveform ye-electrocardiogram ibonakala ibonakala, oko kuthetha ukuba ukujikeleza kwicala lokukhululwa kulungile.Makhe sijonge kumanyathelo okhuseleko okusebenzisa isivamvo soxinzelelo lwegazi?
1. Nika ingqalelo kunyango lokukhupha kwangaphambili
Sebenzisa indlela efanayo ukujonga umthambo kwelinye icala, kwaye ungabona i-waveform kunye nexabiso xa ukhulula naliphi na icala.Ngaphambi kotyando, beka isigulana kwindawo efanelekileyo, ubeke imilenze engaphezulu kwicala eligqojoziweyo kwindawo efanelekileyo, khupha amanzi kunye nokukhupha ngesaline eqhelekileyo kunye nenaliti ye-heparin yesodium, i-sensor sensor drainage kunye nokuphuma kungqongqo kakhulu, kwaye akukho moya. amaqamza, qale utshintshe indlela emithathu yokutshintsha kwenzwa yokukhupha ukuya kwicala lesigulane, emva koko ulungelelanise kwelinye icala.Emva kokudinwa, jonga kwakhona ukuba kukho amaqamza omoya kumbhobho.Ukuba kukho iibhubhu zomoya kwi-sensor yoxinzelelo, kuya kubangela i-arterial embolism kwaye kubangele imiphumo emibi kakhulu.Cofa ulwelo kwinzwa kwaye ujonge ukuba kukho amaqamza omoya kwinzwa ngelixa ucofa.
2. Qaphela ukuba inzwa yoxinzelelo ixhunyiwe kwisiboniso
Emva kokuba uxhulumaniso luphumelele, yenza uhlengahlengiso kwi-ECG iliso, kwaye ulungise igama lenzwa yoxinzelelo kwinto yokusebenza ehambelanayo.Indawo ye-arterial sensor yenza umgca othe tye othe tye kunye nesithuba sesine se-intercostal somgca we-midaxillary wesigulane, udibanisa i-tee kwindawo yokulungelelanisa i-sensor kwi-atmosphere, kwaye ukhethe ukulungiswa kwe-zero kwi-monitor.Xa uhlolo lwe-ECG lubonisa ukuba ukulungiswa kwe-zero kuphumelele, qhagamshela i-tee ukuya ekupheleni kwe-atmospheric, kwaye isigulane se-arterial pressure monitoring waveform kunye nexabiso libonakala ngeli xesha, kwaye inzwa yoxinzelelo kunye nombhobho zilungiswe ngokunyusa.Xa ukuchaneka kwexabiso le-arterial blood monitoring value kuthandabuza, xa ujika okanye uguqula indawo yomzimba ngexesha lokutshintsha, kuyimfuneko ukwenza ukulinganisa kwe-zero kwakhona.
Kuzo zonke, izilumkiso zokusetyenziswa kwe-sensor ye-blood pressure sensor ziquka ukubeka ingqalelo kwi-exhaust treatment kwangaphambili, kunye nokubeka ingqalelo ekudibaneni kwenzwa yoxinzelelo kwi-monitor.Kwi-zero calibration, isigulane sikwindawo esezantsi kwaye i-pressure transducer ikwinqanaba elifanayo ne-midaxillary yesine ye-intercostal space.Bhala phantsi umhla kunye nexesha lefilimu, ulungelelanise iimpahla, ubeke isigulane ngokukhululekileyo, ulungelelanise umbhede wesigulane, njl., Emva koko ugcine iliso kwiimpawu ezibalulekileyo zesigulane.
Ixesha lokuposa: Mar-16-2023