A.
Ke ʻike ʻia ua hoʻemi ʻia ka saturation oxygen o ka mea maʻi i pili pono i ke kaula ECG, pono e noʻonoʻo ʻia nā ʻaoʻao aʻe e ʻike i ka pilikia.
1. He haʻahaʻa loa ke kaomi hapa o ka oxygen inhaled?Ke lawa ʻole ka ʻike o ka oxygen i loko o ke kinoea inhaled, hiki ke emi ka saturation oxygen i loko o ke koko.Pono e nīnau ʻia ka poʻe maʻi inā ua hele lākou i kahi pāpū ma luna o 3000m ma luna o ka ʻilikai, lele ma nā kiʻekiʻe kiʻekiʻe, piʻi ma hope o ka luʻu ʻana, a me nā wahi ʻino ʻole e pili ana i ka mōʻaukala olakino.
1. Aia anei ke keakea ea?Pono e noʻonoʻo inā loaʻa ka hypoventilation obstructive ma muli o nā maʻi e like me ka hānō a me COPD, hāʻule alelo, a me nā mea huna hanu.
2. Ke hana nei kaSpO2 mea ʻikeua pilikia ka ventilatory ma muli o ka haʻahaʻa o ka oxygen saturation?E noʻonoʻo inā loaʻa i ka mea maʻi ka maʻi maʻi maʻi, ka maʻi maʻi nui, ka fibrosis pulmonary diffuse, ka edema pulmonary, ka pulmonary embolism a me nā maʻi ʻē aʻe e pili ana i ka ventila.
3. He aha ka maikaʻi a me ka nui o ka Hb e lawe i ka oxygen i loko o ke koko?ʻO ka loaʻa ʻana o nā mea maʻamau e like me ka make ʻana o ka carbon monoxide, ka make ʻana o ka nitrite a me ka piʻi ʻana o ka hemoglobin abnormal ʻaʻole pili wale i ka lawe ʻana o ka oxygen i loko o ke koko, akā pili pū kekahi i ka hoʻokuʻu ʻana o ka oxygen.
B.
1.Whether ka mea maʻi i kūpono colloid osmotic kaomi a me ke koko nui.ʻO ke kaomi osmotic colloidal kūpono a me ka nui o ke koko ke kumu nui e mālama ai i ka saturation oxygen maʻamau i hōʻike ʻia e ka manamana lima makua.SpO2 mea ʻike.
2.He aha ka hua o ka naʻau o ka mea maʻi?Pono e kākoʻo ʻia ka nui o ka oxygen i hāʻawi ʻia no ka mālama ʻana i nā kino maʻamau e ka lawa ʻana o ka naʻau.
3.Microcirculation o nā ʻiʻo a me nā kino.ʻO ka mālama ʻana i ka oxygen kūpono e pili pū ana me ka metabolism o ke kino.Ke kiʻekiʻe loa ka metabolism o ke kino, e hoʻemi nui ʻia ka ʻike o ka oxygen i loko o ke koko venous, a ʻo ke koko venous e hoʻoulu i ka hypoxia koʻikoʻi ma hope o ke kahe ʻana i ke kahe o ka pulmonary.
4.E hoʻohana i ka oxygen i nā ʻiʻo a puni.Hiki ke hoʻohana wale i ka oxygen manuahi, a ʻo ka oxygen i hui pū ʻia me Hb hiki ke hoʻokuʻu wale ʻia i ke kino no ka hoʻohana ʻana.ʻO nā hoʻololi i ka pH, 2,3-DPG, a me nā mea ʻē aʻe e pili i ka dissociation o ka oxygen i Hb.
5. Ma hope o ka hoʻopau ʻana i nā mea i luna aʻe, e ʻoluʻolu mai poina ʻo ia paha ke kumu o ka hāʻule ʻana o ka saturation oxygen ma muli o ka hana ʻino o ka mea ʻike manamana lima makua.
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Ka manawa hoʻouna: Oct-28-2020