diplomsko delo
Anja Lučić (Avtor), Andreja Kvas (Recenzent), Bernarda Djekić (Mentor), Drago Satošek (Komentor)

Povzetek

Uvod: Pljučni edem je eden od najbolj življenje ogrožajočih stanj pri bolnikih v urgentni ambulanti. Zanj je značilna dispneja in kot posledica hipoksija, ki nastane zaradi poslabšanja izmenjave plinov v pljučih, v katerih se nakopiči tekočina v medceličnem prostoru. Pri pljučnem edemu je pomembno pravočasno prepoznati znake in simptome ter nemudoma pričeti z zdravljenjem. Namen: Namen diplomskega dela je predstaviti pomen pravočasne in pravilne zdravstvene obravnave bolnika s pljučnim edemom v urgentni ambulanti ter izpostaviti pomembno vlogo medicinske sestre v tej kritični situaciji. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom in analizo slovenske in angleške literature. Iskanje literature je potekalo preko digitalne knjižnice Univerze v Ljubljani (DiKUL) v podatkovnih bazah CINAHL, Medline, Science Direct in Cochrane. Literatura v slovenskem jeziku je bila iskana preko vzajemne kataloške baze podatkov COBIB.SI. Rezultati: Za analizo je bilo uporabljenih 19 enot literature. Pljučni edem je življenje ogrožajoče stanje, zato mora medicinska sestra dobro poznati patofiziologijo obolenja in pravočasno prepoznati prve znake njegovega nastanka ter hitro ukrepati. Vključena je v nadzor in opazovanje bolnika, zagotavljanje učinkovitega dihanja, pomoč pri izvajanju temeljnih življenjskih aktivnosti, psihosocialno podporo bolniku ter aplikacijo zdravil. Za zagotavljanje optimalne zdravstvene oskrbe morajo biti medicinske sestre usposobljene prepoznati znake in simptome poslabšanja bolnikovega zdravstvenega stanja. Za bolnike s pljučnim edemom je zdravljenje s kisikom odločilnega pomena, vendar je lahko nevarno, kadar so bolniki izpostavljeni njegovim visokim koncentracijam. Kisik se uporablja samo po predhodnem preverjanju zasičenosti krvi s kisikom. Indiciran je pri vrednostih, ki so nižje od 92 %. Razprava in zaključek: Pljučni edem je nujno stanje, ki hitro napreduje, zato mora medicinska sestra imeti veliko strokovnega znanja, izkušenj, spretnosti ter sposobnosti hitrega in mirnega reagiranja v kritičnih situacijah. Medicinske sestre se morajo zavedati posledic, povezanih z aplikacijo kisika. Kakovost zdravstvene nege in celotne zdravstvene obravnave bi lahko izboljšali z izdelavo protokola za obravnavo te skupine kritično bolnih v urgentnih ambulantah ter s kontinuiranim strokovnim usposabljanjem zdravstvenih delavcev, ki so vključeni v njihovo obravnavo.

Ključne besede

diplomska dela;zdravstvena nega;znaki;simptomi;poslabšanje zdravstvenega stanja;aktivnosti medicinskih sester;kisik;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [A. Lučić]
UDK: 616-083
COBISS: 34580227 Povezava se bo odprla v novem oknu
Št. ogledov: 488
Št. prenosov: 155
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: Medical treatment of a patient with pulmonary edema in the emergency department and the role of the nurse
Sekundarni povzetek: Introduction: Pulmonary edema is one of the most urgent conditions in the emergency department. It is characterized by dyspnea and hypoxia, which is a result of fluid accumulation in the lungs, and impairs gas exchange and lung coherence. It is important to early recognize signs and symptoms of the pulmonary edema in a timely manner, as well as immediate treatment. Purpose: The purpose of this diploma work is to present the importance of prompt and proper medical treatment of a patient with pulmonary edema in an emergency room. As well as to highlight the role of the nurse in this critical situation. Methods: In the diploma work was used a descriptive method with a systematic review and analysis of Slovenian and English literature. The literature search was performed via remote access to the digital library of the University of Ljubljana (DiKUL) in the CINAHL, Medline, Science Direct and Cochrane databases. The Slovene language literature was searched through the mutual catalog database COBIB.SI. Results: For analysis were used 19 units of literature. The pulmonary edema is a life-threatening medical condition of the patient, where the nurse must have knowledge of this condition, recognize it and take timely action in case of the signs of pulmonary edema. Nurse is involved in the supervision and observation of the patient, ensuring effective breathing, assistance in carrying out basic life activities, psychosocial support to the patient and the application of medication. To ensure optimal medical care, nurse must be able to recognize the signs and symptoms of deteriorating patient health. For patients with pulmonary edema, oxygen therapy is crucial, but can be dangerous when patients are exposed to high concentrations. Oxygen is used only after a preliminary check of blood oxygen saturation and is indicated at values lower than 92%. Discussion and conclusion: Pulmonary edema is an urgent condition that progresses rapidly, therefore the nurse must have a lot of expertise, experience, skills, and the ability to respond quickly and calmly in critical situations. Nurse need to be aware of the consequences associated with oxygen application. The quality of nursing care and overall medical treatment could be improved by developing of a protocol for the treatment of this group of critically ill patients in emergency departments. Continuous professional training of healthcare professionals involved in their treatment is important as well.
Sekundarne ključne besede: diploma theses;nursing care;signs;symptoms;deterioration of health;nurse activities;oxygen;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Strani: 26 str.
ID: 12109504