DIEU TRI TBMMN

DIEU TRI TBMMNvao vienbien chungNMN7. theo doi CNTK6. cham soc5. duong huyet4. than nhiet 3. huyet ap2. duong tho1.timdanh gia-benh su-hien tai- huong xu triecg, xq nguc, duong huyet, ion do, CTM, DCMCTs NMN/XHNCTA/MRA: PT can thiep = hep dm canh, tac mach, di dangdinh duong-ho tro-PHCN-phong BC-dac hieuTD ECG 48-72hthay doi khong do timthong duong tho uu tien hang dau/suy giam y thuc: hut, nam nghiengmo mem hau, chat non, chat tiet<95% => O2 2-5l/pNKQ: NMN nang, XHN nang, TALNS co hay khong phu naosinh li do thieu mau va TALNS => giam trong 24-48hkhong ha HA nhanh ( uong UCMC, UCC)ha HA gom lo lang, buon non, TALNS, thuonc HA da dung truoc dot quy, KHONG NIFEDIPINE NDLduy tri 160-180/<100, tu 180-230 va 100-120 dung Labetalol TM 10mg/p nhac 10p max 150mgha HA do giam V=> bu dich va van mach (tranh co that mach / XHDN)CCD rtPA / >185/>110thuong XH trong sothuoc ha sot va KS/nhiem trungG cao tram trong hon nao120-150mg%dat sonde da day-nuoi an tinh machan uong 2L tieu 500-1000mllaevolachon me: dat sonde tieu, nuoc dien giaiGCScapban captu vong 7d do TALNS va phu nao thuong N2-N3 XHNnam dau caotruyen NaCl(khong G5), han che nuoc 1000ml/1.73co giatSubtopictac TM sau va nhoi mau phoi: heparin 5000Ui/12h =asripin=G5nhiem trung ho hapnhiem trung tieuloetloet da dayTSHenzim chong tao fibrinkhang dongUCKTTCbao ve TKBCPTSubtopicmau tran nao that = dan luu nao that, mo so giai apXHTNtre, lon tuoi benh nang dan de doa tinh mangSubtopicCCD XHN lon va mat het chuc nang than naoSubtopicVit K 10mg TM trong 10pSubtopic
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