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dieu duong truyen nhiem

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CHAM SOC BENH NHAN CUM

I-DINH NGHIA : la benh truyen nhiem cap tinh,o duong ho hap do virus ifluenza 

II-TRIEU CHUNG LAM SANG  

1- Thoi ky u benh : 24-48h , co truong hop 3 ngay  

2- Thoi ky khoi phat : -sot cao dot ngot 39-40 , kem on lanh hoac ret run  

-met moi , cam giac kiet suc , nhuc dau , dau minh , ho khan 3- Thoi ky toan phat : -  

*Hoi chung nhiem khuan \: -sot 39-40 lien tuc , mat do bung , bieng an , ngu kem,tieu it , met la  

-chay mau cam (neu co la dau hieu quan trong ) 

* Hoi chung dau : nhuc dau du doi va lien tuc , gia tang khi sot cao , hoac ho gang suc , thuong dau o vung tran , vung nguc , vung tren hoc mat.dau co toan than , nhat la o nguc ,that lung , chi duoi ,nguo ibenh cam thay dau vung tren xuong uc  

* Hoi chung ho hap : xuat hien tu som, tu nhung ngay dau ,hat xi hoi so mui, do mat , chay nuoc mat  

so anh sang , camgiac kho va rat hong , ho khan , khan tieng.viem phe quan cap , viem phoi (ho, kho tho , khac dom ) 

* Hoi chung tieu hoa vaf than kinh : it gap , co the tieu chay , liet nhe , co dau hieu mang nao  

4: Thoi ki lui benh : sau 2-5 ngay sot giam , ho va dau nguc giam cham hon  

III. BIEN CHUNG  

1- Boi nhiem : gap o nguoi gia suy dinh duong  

-viem xoang tran , tai giua , thanh quan , xuong chum  

- viem phe quan , phoi , ap-xe phoi , tran dich mang phoi  

- viem mang nao mu , nhiem trung huyet  

2- Tim mach : viem co tim, viem ngoai mang tim  

3 -Than kinh : viem nao , viem tuy cat ngang  

IV- CHAM SOC  

1- Nhan dinh :  

+Tinh trang ho hap : quan sat da , mong tay chan ,  

-dem nhip tho , kieu tho , tinh trang tang tiet  

-nguoi benh suy ho hap can thong khi , cho tho oxi 

benh cum nang : cum ac tinh va cum ngat : nguoi benh kho tho tang nhanh , tim tai va ho ra mau lien tuc  

+ Tinh trang tuan hoan :mach ,huyet ap .do mach nhiet do huyet ap 30h -1h lan  

+Tinh trang chung: do nhiet do : sot cao dot ngot 39-40 

-hoi chung nhiem khuan , hoi chung dau , hoi chung ho hap  

-xem benh an ,co ke hoach cham soc thich hop de thuc hien kip thoi ,chinh xac cac chi dinh va day du cac xet nghiem co ban  

2-Lap ke hoach cham soc  

-bao dam thong khi , 

-theo doi tuan hoan  

- dau hieu sinh ton  

-theo doi bien chung  

-thuc hien y lenh 

-cham soc co quan nuoi duong  

- giao duc suc khoe  

3-Thuc hien ke hoach  

3.1- Bao dam thong khi :dat nguoi benh nam ngua dau nghieng mot ben  

-theo doi nhip tho ,tinh trang tang tiet ,su tim da , moi, daungon tay ,neu co kho tho cho tho oxi 

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