diplomsko delo
Abstract
Uvod: V zadnjih dveh desetletjih se v svetovnem merilu zaznava večanje trga prepovedanih
drog in njegove kompleksnosti. Uporaba drog je pojav, ki povzroča vrsto negativnih
posledic, saj ne prizadane le posameznika, temveč tudi dobrobit drugih; družine, ožje in širše
skupnosti. Preveliki odmerki zaradi opioidov so v številnih državah Evropske unije eden
glavnih vzrokov smrti med uporabniki prepovedanih drog. Namen: Predstaviti obravnavo
pacientov s predoziranjem prepovedanih drog v nujni medicinski pomoči in uporabo zdravila
naloksonijev klorid. Cilj: Ugotoviti, kako se v obravnavo ogroženega pacienta zaradi
zlorabe nedovoljenih drog vključuje medicinska sestra. Metode dela: Uporabili smo
deskriptivno metodo dela. Literaturo in vire smo iskali v obdobju objave od leta 2012 do leta
2022. Iskali smo v iskalnikih PubMed, Google učenjak in Science Direct, v bazi CINAHL
with full text, na spletnih straneh Nacionalnega inštituta za javno zdravje, Svetovne
zdravstvene organizacije in v Mestni knjižnici Kranj. Rezultati: K pacientu s predoziranjem
prepovedanih drog pristopamo po ABCDE pristopu, s katerim ugotavljamo pacientovo
odzivnost, po potrebi sprostimo dihalno pot, preverimo pulz in dihanje ter pacienta
pregledamo. Po potrebi izvajamo podporo dihanja. Prednostna naloga, ko pri pacientu ne
zaznamo dihanja in pulza, je izvajanje temeljnih in dodatnih postopkov oživljanja. Pri
predoziranju opioidov imamo na voljo antidot, naloksonijev klorid. Pri nekaterih pacientih
je lahko potreben več kot en odmerek. Njegovo delovanje lahko povzroči odtegnitvene
simptome. Razprava in zaključek: Pri predoziranju prepovedanih drog je zgodnje
posredovanje ključnega pomena. Aplikacija naloksonijevega klorida ni najpomembnejši
ukrep, temveč je najpomembnejša takojšnja podpora dihanja. Aplikacija lahko poteka
sočasno. Po stabilizaciji pacienta odpeljemo v ustrezno zdravstveno ustanovo, kjer ostane na
opazovanju.
Keywords
diplomska dela;zdravstvena nega;odvisnost;zastrupitev;droge;nujna medicinska pomoč;nalokson;
Data
Language: |
Slovenian |
Year of publishing: |
2023 |
Typology: |
2.11 - Undergraduate Thesis |
Organization: |
UL ZF - University College of Health Studies |
Publisher: |
[T. Oblak] |
UDC: |
616-083 |
COBISS: |
147808771
|
Views: |
29 |
Downloads: |
8 |
Average score: |
0 (0 votes) |
Metadata: |
|
Other data
Secondary language: |
English |
Secondary title: |
Nursing interventions in the treatment of patients with drug overdose in emergency medical care |
Secondary abstract: |
Introduction: In the last two decades, the drug market and its complexity have been
increasing on a global scale. Drug use is a phenomenon that causes a series of negative
consequences, as it affects not only the individual but also the well-being of others; families,
immediate and wider communities. Opioid overdoses are one of the leading causes of death
among illict drug users in many European Union countries. Purpose: To present the
treatment of patients with an overdose of illict drugs in emergency medical care and the use
of the drug naloxone chloride. Goals: To find out how a nurse is involved in the treatment
of a patient at risk due to abuse of illict drugs. Methods: We used a descriptive method of
work. We searched for literature and sources in the publication period from 2012 to 2022.
We searched in the search engines PubMed, Google Scholar and Science Direct, in the
CINAHL database with full text, on the websites of the National Institute of Public health,
the World Health Organization and the City Library Kranj. Results: We approach the patient
with an overdose of illict drugs using the ABCDE approach, where we determine the
patient's responsiveness, release the airway if necessary, check the pulse and breathing and
examine the patient. If necessary, we perform respiratory support. The priority when the
patients is not breathing and has no pulse is to perform basic and additional resuscitation
procedures. We have an antidote, naloxone hydrochloride, available in opioid overdoses.
Some patients may require more than one dose. Its action may cause withdrawal symptoms.
Discussion and conclusion: Early intervention is crucial in the overdose of illict drugs. The
application of naloxone hydrochloride is not the most important measure. Respiratory
support is crucial. The application of naloxone hydrochloride may run at the same time. After
stabilizing the patient, we take him to a suitable medical facility, where he remains under
observation. |
Secondary keywords: |
diploma theses;nursing care;addiction;intoxication;drugs;emergency medical care;naloxone; |
Type (COBISS): |
Bachelor thesis/paper |
Study programme: |
0 |
Thesis comment: |
Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego |
Pages: |
25 str. |
ID: |
18498156 |