I-CC Case Study pg141

UNjingalwazi uJohanna Ramirez

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Izilayidi (29)

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Cofa ukongeza umbuzo

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Njengoko umongikazi evavanya iJordan kwigumbi longxamiseko, yeyiphi (izinto) ezifunyenweyo / ezihambelana nengqungquthela yokulimala kwebhola? Khetha konke okusebenzayo.

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Umongikazi kufuneka akuchaze njani ukuxhuzula eLakisha?

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U-Lakisha uxelela umongikazi ukuba u-Jordan waba nesifo emva kwe-post-concussion syndrome emva kokuphazamiseka kwakhe. Zeziphi iimpawu ezixhasa olu xilongo?

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Qinisekisa i-GCS Pt vula amehlo kwi-stimuli ebuhlungu, abafundi bayalingana kodwa badangele. I-Pt ihoxisa kwi-stimuli yentlungu kwaye akukho ntshukumo ezenzekelayo yomlenze kwiindawo ezisezantsi. I-Pt ayikwazi ukuphendula ngomlomo.

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Zeziphi iingcinga anokuthi umongikazi azenze, ngokusekwe kwi-GCS?

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Umongikazi uyaziqonda iimpawu zokunyuka koxinzelelo lwe-intracranial kuvavanyo olusisiseko. Zeziphi iziphumo zovavanyo ezixhasa (ii) le ngcinga? Khetha konke okusebenzayo.

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Umongikazi uneyeza ngalinye kula amiselweyo. Ngawaphi amayeza ekufuneka umongikazi abambe kwaye ngoba?

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Umongikazi ubonakalisa iingxaki ezinokubakho kwi-bolt intracranial pressure monitor. Yeyiphi eyona nto ibalulekileyo kubongikazi?

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Bala iJordan's Cerebral Perfusion Pressure (MAP – ICP = CPP). I-MAP 91 ICP 17

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Umongikazi kufuneka enze njani imimiselo yomboneleli?

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Umongikazi ubuyela kwiyunithi kunye noJordan emva kwe-CT scan. Ugqirha weradiologist uxelele umongikazi ukuba iskena sibonisa i-herniation ye-brain stem. I-prognosis imbi kakhulu. ULakisha ulinde egumbini lakhe kwaye ubuza umongikazi ukuba yintoni eboniswa yi-CT scan. Umongikazi ufanele awuphendule njani umbuzo wakhe?

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Emva kolu tshintsho, uLakisha ukhwaza umongikazi, "Kukho into engalunganga, yiza ngokukhawuleza." Njengoko umongikazi engena egumbini, ubona ukuba iJordani ine-clonic-tonic seizure. Luluphi uqwalaselo olwakhokelela ukuba umongikazi acinge oku? Khetha konke okusebenzayo.

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Yintoni ekufuneka umongikazi ayibeke phambili xa engena egumbini?

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Emva kokuba ukuxhuzula kuphelile, umongikazi ucoca iJordan aze atshintshe ibhedi yakhe. Kufuneka kuthini uxwebhu lomongikazi? Khetha konke okusebenzayo.

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Izifanekiso ezifanayo

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