Obravnava težkega dihanja pri bolnikih v zadnjih dneh življenja

Abstract

Občutek težkega dihanja (dispneja) je pogost simptom v zadnjih dneh življenja. Bolnik je zaradi dispneje zelo prizadet in velikokrat prestrašen. Ključno je, da ob takem bolniku ukrepamo hitro in pravilno. Pogoste napake so pretirana uporaba nepotrebnih diagnostičnih metod in neustrezno lajšanje simptomov. V prispevku prikazujemo obravnavo bolnika z dispnejo v terminalni fazi bolezni, ko vzročno zdravljenje ni več mogoče in je v ospredju lajšanje težav. Definiciji dispneje sledijo patofiziološka razlaga in praktični nasveti za uporabo farmakoloških in nefarmakoloških ukrepov. Na koncu so opisani ukrepi pri terminalnem hropenju in akutni obsežni krvavitvi iz dihal.

Keywords

dispneja;terminalni bolniki;zdravljenje;nega bolnika;

Data

Language:	Slovenian
Year of publishing:	2011
Typology:	1.04 - Professional Article
Organization:	OI - Institute of Oncology
UDC:	616.24-08
COBISS:	1197435
ISSN:	1408-1741
Parent publication:	Onkologija
Views:	2176
Downloads:	562
Average score:	0 (0 votes)
Metadata:

Other data

Secondary title:	Alleviating symptomatic heavy breathing in terminal patients
Secondary abstract:	Dyspnoea is a distressing symptom frequently present in patients with incurable diseases. The goal of treatment for patients in the terminal stage is symptom control. Unfortunately, optimal treatment of dyspnoea has not been achieved in all patients yet. Frequent mistakes include unnecessary diagnostic procedures and suboptimal symptom control. In this review, the definition of dyspnoea is presented, followed by etiologic and epidemiologic data and pharmacological and non-pharmacological measures for relief. At the end, two more symptoms are presented; terminal rattle and massive pulmonary haemorrhagia.
Secondary keywords:	Dyspnea;Terminal care;
URN:	URN:NBN:SI
Pages:	str. 130-132
Volume:	ǂLetn. ǂ15
Issue:	ǂšt. ǂ2
Chronology:	dec. 2011
ID:	10956386