diplomsko delo
Tina Veselič (Avtor), Jože Prestor (Recenzent), Robert Sotler (Mentor), Janez Kramar (Komentor)

Povzetek

Uvod: crush poškodbe se pojavljajo pri naravnih nesrečah in nesrečah, ki so posledica človeškega delovanja. Zmečkaninski sindrom je posledica dolgotrajnega pritiska večje sile na del telesa z veliko mišično maso. Pri tem pride do razpada mišic oziroma rabdomiolize, ki povzroči prehod znotraj celičnih komponent v krvni obtok. Namen: namen diplomskega dela je s pregledom literature opisati zmečkaninski sindrom in vlogo medicinske sestre pri obravnavi pacienta izven bolnišničnega okolja. Metode dela: uporabili smo deskriptivno metodo dela s sistematičnim pregledom domače in tuje literature. Za iskanje literature smo uporabili iskalnike PubMed, GoogleScholar in DiKUL ter podatkovne baze MedLine, CINAHL in Cochrane Library. Uporabili smo recenzirane članke s prosto dostopnim celotnim besedilom, ki so bili objavljeni med letoma 2010 in 2019. Rezultati: poškodovanci sprva ne kažejo znakov prizadetosti. Njihovo zdravstveno stanje se nato hitro spremeni. Zaradi redkosti pojava zmečkaninskega sindroma imajo reševalci lahko težave pri prepoznavanju. Ob oteženem reševanju ekipe nujne medicinske pomoči za pomoč prosijo druge službe, ki s tehničnim reševanjem omogočijo hitrejšo oskrbo poškodovancev. Pristop in obravnava poškodovanca potekata po algoritmu ITLS. Najustreznejši ukrep pri obravnavi zmečkaninskega sindroma je nadomeščanje tekočin. Razprava: obravnava poškodovanca se naj začne takoj, ko je pristop varen. Upoštevanje algoritma ITLS omogoči hitrejši proces dela in sistematičnost oskrbe. Čeprav točno določenega protokola za nadomeščanje tekočin ni na voljo, ta ukrep zmanjšuje pojavnost ledvične odpovedi in umrljivost. Zaključek: redkost pojava zmečkaninskega sindroma zahteva dodatno izobraževanje zdravstvenega kadra o redkih nujnih stanjih.

Ključne besede

diplomska dela;zdravstvena nega;zmečkaninski sindrom;crush poškodba;utesnitveni sindrom;rabdomioliza;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [T. Veselič]
UDK: 616-083
COBISS: 22210051 Povezava se bo odprla v novem oknu
Št. ogledov: 880
Št. prenosov: 240
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: ǂThe ǂrole of medical nurses in treating patients with crush syndrome
Sekundarni povzetek: Introduction: crush injuries appear as a result of natural disasters and accidents resulting from human activity. Crush syndrome is the result of long-term major pressure exerted on a body part with high muscle mass. This causes muscles to break down, which is known as rhabdomyolysis, causing the release of myoglobin into the bloodstream. Aim: The thesis aims to utilize a literature review to describe crush syndrome and the role of medical nurses working with crush syndrome patients. Methodology: a descriptive method was applied to a systematic overview of Slovenian as well as foreign literature. The relevant literature was sought through PubMed, GoogleScholar and DiKUL, as well as the MedLine database, CINAHL, and Cochrane Library. Peer reviewed articles published between 2010 and 2019 and freely available in full were used. Results: the injured patients initially show no signs of affliction but their medical condition quickly changes. Since crush syndrome occurs rarely paramedics can have difficulties diagnosing it. When it is difficult for the first responders to get to the injured, they call upon other services able to provide technical support for help in reducing the time needed to help the injured. The injured are approached and treated in accordance with ITLS guidelines. The most appropriate measure in treating crush syndrome is fluid replacement. Discussion: The treatment of the injured must begin as soon as it is safe to approach. Adhering to ITLS guidelines enables a quicker work process and a more systematic treatment. Even with no precisely defined protocol for fluid replacement this measure reduces the occurrence of kidney failure and fatality rate. Conclusion: The rare occurrence of crush syndrome demands further training of medical personnel in rare medical emergency situations.
Sekundarne ključne besede: diploma theses;nursing care;crush syndrome;crush injury;compartment syndrome;rhabdomyolysis;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Konec prepovedi (OpenAIRE): 1970-01-01
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 29 str.
ID: 11800605