Chifukwa mikhalidwe ya odwala m'chipinda cha ICU ndi yosiyana ndi ya odwala wamba, mapangidwe a ward, zofunikira za chilengedwe, ntchito za bedi, zipangizo zozungulira, ndi zina zotero ndizosiyana ndi zomwe zili m'mawodi wamba.Kuphatikiza apo, ma ICU apadera amafunikira zida zosiyanasiyana.Sizofanana.Mapangidwe ndi makina opangira zida za ward ayenera kukwaniritsa zosowa, kuthandizira kupulumutsa, ndi kuchepetsa kuipitsa.
Monga: zida zoyenda ndi laminar.Zofunikira popewa kuipitsidwa kwa ICU ndizokwera kwambiri.Ganizirani kugwiritsa ntchito malo oyeretsa a laminar kuti muchepetse mwayi wotenga matenda.Mu ICU, kutentha kuyenera kusungidwa pa 24 ± 1.5 ° C;m'chipinda cha odwala okalamba, kutentha kuyenera kukhala pafupifupi 25.5 ° C.
Kuonjezera apo, chipinda chaching'ono chopangira opaleshoni, chipinda choperekera mankhwala, ndi chipinda choyeretsera cha chipinda chilichonse cha ICU chiyenera kukhala ndi nyali zowunikira za UV zophatikizirapo nthawi zonse, komanso galimoto yowonjezera ya UV yophera tizilombo toyambitsa matenda nthawi zonse iyenera kupha tizilombo toyambitsa matenda.
Kuti muthandizire kupulumutsa ndi kusamutsa, mu kapangidwe ka ICU, ndikofunikira kuwonetsetsa kuti magetsi akukwanira.Ndibwino kuti mukhale ndi mphamvu ziwiri komanso zadzidzidzi, ndipo zida zofunika ziyenera kukhala ndi magetsi osasunthika (UPS).
Mu ICU, payenera kukhala mitundu yosiyanasiyana ya mapaipi a gasi nthawi imodzi, ndi bwino kugwiritsa ntchito mpweya wapakati, mpweya wapakati, ndi mpweya wapakati.Makamaka, mpweya wapakati wa mpweya ukhoza kuonetsetsa kuti odwala a ICU akupitirizabe kuyamwa mpweya wambiri, amapewa ntchito yosinthidwa pafupipafupi ma cylinders okosijeni, ndikupewa kuipitsidwa ndi ma cylinders omwe angabweretsedwe ku ICU.
Kusankhidwa kwa mabedi a ICU kuyenera kukhala koyenera kwa odwala omwe ali ndi ICU, ndipo azikhala ndi izi:
1. Kusintha kwa malo ambiri kuti akwaniritse zosowa zosiyanasiyana zachipatala.
2. Ikhoza kuthandiza wodwala kutembenuka ndi phazi kapena dzanja lamanja.
3. Ntchitoyi ndi yabwino ndipo kuyenda kwa bedi kungathe kuyendetsedwa m'njira zingapo.
4. Ntchito yoyezera yolondola.Pofuna kuyang'anitsitsa kusintha kwa kusintha kwa madzimadzi, kuwotcha mafuta, kutuluka thukuta, ndi zina zotero.
5. Kujambula kumbuyo kwa X-ray kuyenera kumalizidwa mu ICU, kotero njanji ya filimu ya X-ray bokosi la slide iyenera kukonzedwa kumbuyo.
6. Ikhoza kusuntha ndikuphwanya mosinthasintha, yomwe ndi yabwino kupulumutsa ndi kusamutsa.
Panthawi imodzimodziyo, mutu wa bedi lililonse uyenera kuperekedwa ndi:
1 chosinthira magetsi, socket yamagetsi yamitundu yambiri yomwe imatha kulumikizidwa ndi mapulagi 6-8 nthawi imodzi, zida 2-3 za zida zapakati zoperekera mpweya, seti 2 za zida zoponderezedwa, ma seti 2-3 a zida zoyipa zoyamwa, 1 seti ya nyali zosinthika zosinthika, seti imodzi yamagetsi adzidzidzi.Pakati pa mabedi awiriwa, ndime yogwira ntchito yogwiritsidwa ntchito mbali zonse ziwiri iyenera kukhazikitsidwa, yomwe pali zotengera mphamvu, mashelufu a zipangizo, malo olowera gasi, zipangizo zoimbira foni, ndi zina zotero.
Zida zowunikira ndi zida zoyambira za ICU.Woyang'anira amatha kuyang'anira ma waveform kapena magawo monga polyconductive ECG, kuthamanga kwa magazi (osokoneza kapena osasokoneza), kupuma, kuchuluka kwa okosijeni wamagazi, komanso kutentha munthawi yeniyeni komanso mwamphamvu, ndipo amatha kuyang'anira magawo omwe amayezedwa.Chitani kusanthula, kusungirako deta, kusewera kwa ma waveform, ndi zina.
Mu mapangidwe a ICU, mtundu wa odwala omwe akuyenera kuyang'aniridwa uyenera kuganiziridwa kuti asankhe polojekiti yoyenera, monga mtima wa ICU ndi ICU wakhanda, kuyang'ana kogwira ntchito kwa oyang'anira oyenerera kudzakhala kosiyana.
Zida zowunikira zida za ICU zimagawidwa m'magulu awiri: njira yowunikira yodziyimira pawokha pabedi limodzi ndi njira yapakati yowunikira.
Mipikisano parameter chapakati polojekiti dongosolo ndi kusonyeza kuwunika zosiyanasiyana waveforms ndi zokhudza thupi magawo zopezedwa ndi bedi oyang'anira odwala pa bedi lililonse kudzera maukonde, ndi kuwasonyeza pa lalikulu chophimba polojekiti ya chapakati polojekiti pa nthawi yomweyo, kotero kuti. ogwira ntchito zachipatala akhoza kuyang'anitsitsa wodwala aliyense.Tsatirani ntchito zowunikira nthawi yeniyeni.
M'ma ICU amakono, njira yapakati yowunikira nthawi zambiri imakhazikitsidwa.
Ma ICU amitundu yosiyanasiyana amafunika kukhala ndi zida zapadera kuphatikiza zida wamba ndi zida.
Mwachitsanzo, mu ICU ya opaleshoni ya mtima, zowunikira mosalekeza za mtima, ma balloon counterpulsators, zowunikira mpweya wamagazi, zowunikira zazing'ono zama biochemical, ma fiber laryngoscopes, fiber bronchoscopes, komanso zida zazing'ono zopangira opaleshoni, magetsi opangira opaleshoni, ayenera kukhala ndi zida, zida zophera tizilombo, 2. seti ya zida za thoracic opaleshoni chida, opaleshoni chida tebulo, etc.
3. Chitetezo ndi kukonza zida za ICU
ICU ndi malo omwe zida zambiri zamagetsi ndi zida zamankhwala zimagwiritsidwa ntchito mwamphamvu.Pali zida zambiri zamankhwala zamakono komanso zolondola kwambiri.Chifukwa chake, chisamaliro chiyenera kulipidwa pachitetezo chakugwiritsa ntchito zida ndikugwiritsa ntchito.
Pofuna kuonetsetsa kuti zipangizo zachipatala zimagwira ntchito pamalo abwino, choyamba, magetsi okhazikika ayenera kuperekedwa kwa zipangizo;malo owunikira ayenera kukhazikitsidwa pamalo apamwamba pang'ono, omwe ndi osavuta kuwona komanso kutali ndi zida zina kuti apewe kusokoneza chizindikiro chowunikira..
Zida zomwe zakhazikitsidwa mu ICU yamakono zili ndi luso lapamwamba komanso zofunikira zaukadaulo kuti zigwire ntchito.
Pofuna kuonetsetsa kuti zida za ICU zikugwira ntchito bwino komanso kugwiritsa ntchito zida za ICU, injiniya wokonza nthawi zonse ayenera kukhazikitsidwa m'chipinda cha ICU cha chipatala chachikulu kuti atsogolere madokotala ndi anamwino pa ntchito yoyenera ndi kugwiritsa ntchito zipangizo;thandizirani madotolo pakukhazikitsa magawo amakina;nthawi zambiri amakhala ndi udindo woyang'anira ndikusintha zida mukatha kugwiritsa ntchito.Chalk zowonongeka;yesani zida nthawi zonse, ndikuwongolera muyeso momwe mungafunikire;kukonza kapena kutumiza zida zolakwika kuti zikonzedwe munthawi yake;kulembetsa kugwiritsa ntchito ndi kukonza zida, ndikukhazikitsa fayilo ya zida za ICU.
Nthawi yotumiza: Feb-24-2022