春の光が夜明けを照らし、すべてがとても美しく穏やかです
臨床現場では、看護師が動脈血ガス分析検体を採取するのが難しい場合や、穿刺過程で静脈血検体を誤って採取した場合、痛みを恐れて再度穿刺することを拒否することがよくあります。問題が発生しています。静脈血サンプルを血液ガス分析に使用できますか?静脈血の血液ガス分析結果は、患者の状態の変化を反映できますか?看護師は、出血サンプルが静脈血であるか動脈血血液ガス分析から区別できますか?結果?
1静脈血ガスの特性静脈血ガスは、肺のガス交換機能を反映するだけでなく、組織のガス交換や体の酸性度も反映します。通常の状況では、静脈血のpO2は大幅に低下し、pH値は動脈血のpH値と同様であり、pCO2は動脈血よりもわずかに高くなります(約4〜5mmHg)。しかし、重症患者、特に循環不全の状態では、動静脈血液ガスは動静脈血液ガスおよび酸から分離されます。現時点では、動脈血ガス分析は組織の酸性度を正確に反映することができず、静脈血ガス分析のみが深刻な、さらには致命的な組織アシドーシスを見つけることができます。
静脈血ガス値のパラメータは何ですか?
1.静脈内pO2の正常値は40±3mmHgです。混合静脈内pO2が28mmHg未満の場合、乳酸アシドーシスと不十分な組織灌流を伴うことがよくあります。 28 mmHgは、臨床値として臨床的に一般的に使用されています。
2.静脈の通常のpCO2値は40〜50 mmHgであり、動脈のpCO2と大差ありませんが、心拍出量が減少すると結果が異なります。 c。通常の静脈のpHは7.35〜7.45であり、動脈のpHと大差ありません。動脈血は低炭酸ガス血症と呼吸性中毒を示し、混合静脈血は高炭酸ガス血症と呼吸性アシドーシスを示しました。動脈血と混合静脈血のpHとpCO2の差は増加しました。したがって、動脈と静脈のphとpco2の差が突然増加すると、それは組織の低酸素症の始まりである可能性があり、酸素供給は組織の有酸素代謝のニーズを満たすことができません。 4.静脈酸素飽和度:通常の値は60%から80%です。混合静脈内SaO2は、心肺系が体組織代謝のニーズを満たしているかどうかを評価するため、および組織の酸素化状態の指標として使用されます。ショックの初期段階では、血圧、心拍数、尿量、中心静脈圧がまだ正常な動作範囲にある場合でも、体組織の灌流が発達して変化し始めています。現時点では、影響がない可能性があります。 SvO2が減少するため、SvO2は以前の研究で見つけることができます。状態の変化。 SvO2が50%の場合、組織の酸素化が損なわれ、嫌気性代謝が発生することを意味します。
糖尿病性ケトアシドーシスは、糖尿病の深刻な急性合併症です。血液ガス分析は、酸と風邪の不均衡と予後を判断する上で重要な役割を果たします。血液ガス分析と生化学的検査はできるだけ早く実施する必要があり、治療プロセス中に繰り返し採取する必要があります。現在、糖尿病性ケトアシドーシスの診断と治療における静脈血ガス分析の適用に関する国内研究は比較的少ない。糖尿病におけるケトアシドーシスの発生に関する国内研究...
ご存知のように、動脈血ガスの結果を分析することで、肺ガス交換機能や体や組織の酸性状態の影響を理解することができます。これは、心肺疾患の発症状況を評価し、臨床研究や治療を導く上で非常に重要です。中国で。しかし、静脈血ガス分析の臨床研究の重要性は一般的に理解されていません。静脈血ガスのアプリケーション開発...
静脈血ガスは、肺のガス交換機能を反映するだけでなく、組織のガス交換と体の酸塩基状態も反映します。通常の状況では、静脈血のpO2は大幅に減少し、pH値は動脈血の値と同様であり、pCO2は動脈血よりもわずかに高くなります(約4〜5mmHg)。し...
As a kid, I always found myself in trouble and looking for adventure.
I’ve listened to lectures about what not to do more times than I can count. Being extremely gullible, and a bit of a daredevil consistently landed me in front of teachers and parents discussing my future.
I can’t help it. I love spontaneity, being myself, and living on the edge. And I’m competitive and have an unyielding belief that one’s thoughts control the outcome of one’s life. So I never hesitate to take opportunities that others are afraid to engage.
The truth: I’ve always wanted the best stories to tell my friends and family. Consequently, I do. The funny part is that HKUE amecI don’t work hard to makes my life filled with great stories. Instead, I simply take the thousands of opportunities given me:
A beautiful girl everyone is scared to talk to at a party, but me.
Giving in when someone asks me to go with them on a last-second road trip to explore Yosemite National Park.
Or even the one time when my brother convinced me to swing on a branch hovering thirty feet over a canyon.
And the countless other stories…
Not all the stories have ended in a positive way, but each one is a learning experience. Also, I’ll talk about every story, even the ones HKUE DSE that hurt, and that’s why I have so many to tell. What I realized: If you can’t speak about your stories that are painful, then you won’t take the risks to make your life filled with stories.
It didn’t take long to understand why I put myself in risky situations and uncomfortable settings—I believe in magic. Not wizards casting spells, but the magic of life’s truth that you can become almost anyone.
For most of us, we believe this when were younger. It started when I was a little kid playing pretend war with my friends. We threw acorns HKUE DSEthat we pretended were grenades and used Lego and K’Nex to make hand-held weapons and armor. We caused so much of a ruckus that we had to duct tape everything we made. For us, our imagination was our reality, and no one could tell us different.
Going to sleep and waking up as a kid who believes they are their own hero is truly magical. Whether you want to believe your Superman or Tony Stark, it’s time we comprehend the impossible is possible. Hopefully, you don’t forget this feeling as you age. Even though some of this feeling is likely to disappear, but for those who live a life of incredible stories, the best part remains: believing you can be anyone.
I don’t know about you, but I think that to be true. Each obstacle and opportunity to live my intended story—I take. It’s not always easy, you’ll find your hero moving in unintended directions. But then you remember that even heroes have to overcome hurdles, and that’s a critical part of each story, too.
We should all trust ourselves that we can live our stories and not someone else’s. We don’t need to live through celebrities, T.V., or movies because we should be living a life of stories worth telling. Moreover, a life full of stories doesn’t take time for anything ordinary when we should be extraordinary.
If you’re wondering who your hero is, then think about your favorite books where you have the strongest connection to the protagonist. It’s possible that’s the story you should strive to create out of your life.
I fell in love with stories that have an adventurous protagonist who conquers evil. Correspondingly, I take many risks and live life on the edge. Reading a story about a small kid who grows up to become a warrior and defeat a dragon leads me to believe I can go up against anyone.
It’s a fact that fiction novels help people beyond increasing their vocabulary and keeping the interest piqued. Reading fiction books can aid in developing a stronger emotional intelligence; as a result, this can give your success a nice jumpstart.
The best part: Great fiction stories are memorable.
Sad to say, but many college graduates can’t name ten things they learned in post-secondary education. However, they can tell you countless stories of risk and adventure. Stories are clearly one of the best channels to absorb information.
The hard part is that stories are not created by themselves. You have to take the initiative to make them happen. But the easy part is that you don’t have to look far because the opportunities are everywhere. Remember, creating stories is not so much about risk-taking as it is about creating a life worth living.
Let me ask you:
If you’re creating a story not worth being told, then why are you living?
The next time you see one of the thousands of opportunities around you, don’t doubt yourself. You can become whomever you want. That’s how people become president, and Elon Musk becomes Tony Stark.
You have the ability to live a hero’s life where you never waste an opportunity.
So what we need to ask ourselves: Why did we stop believing?
We became convinced that we couldn’t live as a hero unless we went through systems ingrained in our culture like attending college and working specific jobs. Progressively we accepted that we are not heroes, we are not unique, and dreams only live in fiction books.
It’s time to stop listening to the people who tell us what we have to do. Instead, listen to the people who turned their dreams into reality so they can see their hero every day in the mirror. These are the ones who know the world’s best-kept secret: you can turn fiction into fact.
If I stopped my child-like curiosity and dreams from propelling me forward, I wouldn’t be nearly as successful as I am now. Sure there have been a couple of bumps in the road, but no one starts as a hero, they must conquer challenges to become a champion.
Just like fiction heroes can overcome their fears, we can too.
I’ve never sat through a lecture and felt inspired. What has inspired me were fiction stories that told me I could be better than a student falling asleep in a college lecture. These same stories told me I could improve a small part of the world each day if I worked hard enough. Those are the ones I believe in because life is not worth living if that’s not true.
Keep in mind: If you don’t see yourself as having potential to change the world, then you won’t ever change it.
Ask yourself: What hero do you want to see in the mirror?
Remember, a hero always has an inner fire to drive them through the toughest times. And just maybe part of overcoming your hardest obstacles is understanding you are your own hero.
And because we can’t live someone else’s life, we must face ourselves.
The secret to living a life of incredible stories: find your fiction and turn it into reality.