Title Acidobazni status u praćenju COVID-19 pacijenta
Title (english) Acid-base status in patients diseased with COVID-19
Author Jolene Christina Bannister
Mentor Lorena Honović (mentor)
Committee member Mauro Štifanić (predsjednik povjerenstva)
Committee member Lorena Honović (član povjerenstva)
Committee member Nada Tadić (član povjerenstva)
Granter University of Pula (Faculty od Medicine) Pula
Defense date and country 2021-10-15, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Pretrage ABS-a i povezanih mjerenja pripadaju prvoj skupini dijagnostičkih postupaka kod hitnih stanja, a na temelju nalaza se donose neodgodive kliničke odluke za procjenu i praćenje stanja svih kritično oboljelih pacijenata, tako i oboljelih od COVID-19. Nalaz arterijske krvi, uzorkovan uz krevet bolesnika, pruža uvid u točnu procjenu izmjene plinova i oksigenacijskog statusa, što je od izrazite važnosti kod liječenja COVID pozitivnih bolesnika s težim oblicima bolesti. Ta pretraga predstavlja brz, dostupan i jeftin dijagnostički postupak koji omogućuje žurno donošenje terapijskih odluka i intervencija. U organizmu sudjeluju tri glavna sustava za kontrolu koncentracije vodikovih iona u tjelesnim tekućinama - puferski sustav, bubrežni mehanizmi i respiracijski mehanizmi. Ispitivanje acidobazne ravnoteže izravno ukazuje na vrstu nastalog poremećaja u organizmu kao što su metabolička i respiratorna alkaloza, odnosno metabolička i respiratorna acidoza. Istraživanja pokazuju da se kod pacijenata oboljelih od COVID-19 bilježe sve vrste metaboličkih poremećaja, s metaboličkom i respiratornom alkalozom među najzastupljenijim slučajevima, što je potvrđeno i istraživanjem u sklopu rada provedenog u OB Pula na COVID 1 odjelu. Uloga medicinske sestre usmjerena je prema uočavanju znakova i simptoma metaboličkih poremećaja, pravilnoj pripremi pacijenta za uzorkovanje krvi, pravilnoj tehnici uzorkovanja krvi, ispravnom rukovanju uzorkom i POCT aparatom za analizu krvi, kao i pravovremenom uočavanju mogućih komplikacija i nuspojava vađenja arterijske krvi. Važnu zadaću predstavlja i usvajanje bazičnih znanja o interpretaciji nalaza koje može doprinijeti brzini donošenja odluka o postupku liječenja
Abstract (english) ABG, arterial blood gases test and related measurements belong to the first group of diagnostic tools especially in treating criticly ill patients, based on the results, immediate clinical decisions are made to assess and monitor the condition of all critically ill among which are also COVID-19 patients. POCT provides an insight into the accurate assessment of gas exchange and oxygenation status of patients, which is extremely important in the treatment of COVID positive patients with more severe forms of the disease. Testing is a fast, accessible and inexpensive. The body has a wide array of mechanisms to maintain homeostasis controlling the concentration of hydrogen ions in body fluids. The main 3 are: buffer system, renal mechanisms and respiratory mechanisms. Analizing the acid-base balance directly indicates what type of disorder may be happening in the body, such as metabolic and respiratory alkalosis, as well as metabolic and respiratory acidosis. Studies show that in patients with COVID-19 disease, all types of metabolic disorders have been reported, with metabolic and respiratory alkalosis being among the most common cases, which was also confirmed by a study conducted in the hospital in Pula at the COVID 1 department. Nurse's role is aimed towards recognizing signs and symptoms of metabolic disorders, preparing the patient before drawing blood, an adequate technique of blood sampling, correct transport of the blood sample and using of a POCT device for blood analysis, asessment of possible complications and side effects of arterial blood sampling. It's also important to acquire basic knowledge on the interpretation of the findings, which can positively affect the speed of decidion making when it comes to medical procedures.
Keywords
sestrinstvo
COVID-19
ABS analiza plinova arterijske krvi
POCT
Keywords (english)
Nursing
COVID-19
ABG arterial blood gases analysis
POCT
Language croatian
URN:NBN urn:nbn:hr:137:881251
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2021-11-04 15:46:07