Respirogram pri spontanem dihanju

(magistrsko delo)

Suzana Marin (Author), Miljenko Križmarić (Mentor), Franjo Naji (Co-mentor), Metka Mikl (Co-mentor)

Abstract

Teoretična izhodišča: Frekvence dihanja so pomemben kazalnik, v katero smer bo napredovala bolezen. Klinični monitorji so potrebni za neposredno opazovanje vitalnih funkcij predvsem v enoti intenzivne terapije. Vitalne funkcije se lahko hitro spremenijo. Nekateri monitorji in telemetrije imajo možnost merjenja respirogramov preko EKG elektrod za pridobitev krivulje. Raziskovalna metodologija: Raziskavo smo izvedli na Oddelku za kardiologijo in angiologijo, Klinike za interno medicino v Univerzitetnem kliničnem centru Maribor. V raziskavo smo vključili 20 bolnikov. Bolnike smo prosili, da dihajo z malimi volumni, nakar z velikimi volumni. Respirogram smo primerjali z realnim dihanjem, ki smo ga ročno ocenili. Primerjali smo izpise respirograma na monitorjih in telemetriji ter kakšen je respirogram pri nepravilni postavitvi elektrod. Rezultati: Ugotovili smo, da zaradi napačno postavljenih elektrod lahko pride do nepravilnega prikazovanja respirograma na monitorju. Iz raziskave smo ugotovili, da se respirogram spremeni glede na dihanje bolnika v danem trenutku, tako da lahko rečemo, da se respirogram in bolnikovo dihanje ujemata. V raziskavo smo vključili dvajset bolnikov. Od dvajsetih bolnikov, smo imeli štiri bolnike z apnejo, pet bolnikov z bradipnejo, dva bolnika z hiperventilacijo, tri z tahipnejo in šest z normalnim dihanjem s frekvenco 12-14 vdihov na minuto. Respirograme smo opazovali in le posamezne opisali. Razprava in sklep: Dihanje je neprekinjena aktivna življenjska funkcija, ki se vzpostavi, ko se rodimo. Z raziskavo smo ugotovili, da na kvaliteto respirograma lahko vplivajo številni faktorji, ki so lahko povzročeni s strani medicinskega osebja, zaradi nepravilne priprave bolnika ali tehnične narave.

Keywords

monitor;telemetrija;dihanje;EKG;vitalne funkcije;

Data

Language:	Slovenian
Year of publishing:	2020
Typology:	2.09 - Master's Thesis
Organization:	UM FZV - Faculty of Health Sciences
Publisher:	[S. Marin]
UDC:	612.216:615.471(043.2)
COBISS:	55365635
Views:	397
Downloads:	62
Average score:	0 (0 votes)
Metadata:

Other data

Secondary language:	English
Secondary title:	Respirogram in spontaneous breathing
Secondary abstract:	Theoretical background: Respiratory rate is an important progression directional disease indicator. However, monitoring is a big help for health care workers because they cannot be continuously with the patient counting their breathing, which is also observed on telemetry. Monitoring alerts us of rapid vital function changes. Some monitors and telemetry have the ability to obtain a respirogram curve with measuring via ECG electrodes. Research Methodology: Research was performed at the Department of Cardiology and Angiology, Clinics for Internal Medicine at the University Clinical Center Maribor. Study included 20 volunteer patients that were asked to breath with low volumes, followed with high-volume breathing, compared to real-time breathing which was evaluated manually. Results were compared on monitors and telemetry, and for incorrectly positioned electrodes. Results: Our findings indicated that incorrect electrode positioning could cause incorrectly displayed Respirogram. Studies showed us that respirogram match and change with patient’s breathing at a given time. Twenty patients were included in the study. We had four patients with apnea, five with bradypnea, two with hyperventilation, three with tachypnea, and six with normal respiration with a frequency of 12–14 breaths per minute. Respirograms were observed and only individual ones were described. Discussion and conclusion: Breathing is a continuous vital important function established when we are born. We found that the Respirogram quality can be influenced by a number of factors that may be caused by medical staff, improper patient preparation, or a technical factor.
Secondary keywords:	monitor;telemetry;respiration;ECG;vital functions;Respiration;Telemetry;Dihanje;Telemetrija;
Type (COBISS):	Master's thesis/paper
Thesis comment:	Univ. v Mariboru, Fak. za zdravstvene vede
Pages:	V, 36 str.
ID:	11885938