Title Zdravstvena njega bolesnika s plućnim edemom
Title (english) Health care of patients with pulmonary oedema
Author Dora Režan
Mentor Dario Nakić (mentor)
Mentor Kristina Bačkov (komentor)
Committee member Ivo Klarin (predsjednik povjerenstva)
Committee member Dario Nakić (član povjerenstva)
Committee member Ines Leto (član povjerenstva)
Granter University of Zadar (Department of Health Studies) Zadar
Defense date and country 2022-09-16, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Plućni edem je komplikacija zatajenja srca koja ima postotak jednogodišnje smrtnosti od 40%. To je stanje u kojem zbog popuštanja lijeve klijetke dolazi do plućne hipertenzije i nastanka tekućine u alveolama, te posljedično tome nakupljanju tekućine u plućnom intersticiju. Manifestira se kao kardiogeni ili nekardiogeni plućni edem. Kardiogeni edem pluća za uzrok ima bolest srca, dok nekardiogeni mogu uzrokovati druga stanja ili čimbenici poput akutnog respiratornog distresa (ARDS) te direktne ili indirektne ozljede pluća. U kliničkoj slici prevladava dispneja. Također se očituje i cijanozom okrajina i usnica, korištenjem pomoćne muskulature pri disanju, orošenost hladnim znojem te nekad i poremećajem svijesti. Daljnjim razvojem edema dolazi do otežanijeg disanja, pojavljuje se inspiratorni hropci i iskašljavanje vodenastog, pjenušavog sadržaja koji ima primjese krvi. Dijagnoza se postavlja na temelju kliničke slike, anamneze, fizikalnog pregleda, RTG snimkom pluća i EKG-om te laboratorijskim nalazima. Plućni edem liječi se istovremeno s kontinuiranom dijagnostičkom obradom. Terapija se postiže kisikom, diureticima, vazodilatatorima i morfinom. U sprječavanju edema pluća veliku odgovornost imaju i medicinske sestre / tehničari. Njihova uloga je važna u liječenju, dijagnostici, prevenciji i edukaciji bolesnika. Zbrinjavanje bolesnika s plućnim edemom provodi se na temelju procesa zdravstvene njege i holističkog pristupa. Od velike važnosti je precizna procjena stanja bolesnika radi boljeg prepoznavanja problema iz područja zdravstvene njege, dobre izrade plana zdravstvene njege što rezultira ispunjenjem ciljeva.
Abstract (english) Pulmonary edema is a complication of heart failure that has a one-year mortality rate of 40%. It is a condition in which, due to the loosening of the left ventricle, pulmonary hypertension and the formation of fluid in the alveoli occur, and consequently the accumulation of fluid in the pulmonary interstitiality. It manifests itself as cardiogenic or non-otherrdiogenic pulmonary edema. Cardiogenic lung edema has heart disease to cause it, while non-nerdiogenic can cause other conditions or factors such as acute respiratory distress (ARDS) and direct or indirect lung injury. The clinical picture is dominated by dyspnea. It is also manifested by cyanosis of okranine and lips, using auxiliary musculature when breathing, cold sweat decomposed and sometimes a disturbance of consciousness. With the further development of edema, breathing problems become more pronounced, whooping and expectoration of the watery, frothy content appears, which may have admixtures of blood. The diagnosis is made on the basis of a clinical picture, history, physical examination, X-ray of the lungs and ECG and laboratory findings. Pulmonary edema is treated simultaneously with continuous diagnostic treatment. Therapy is achieved by oxygen, diuretics, vasodilators and morphine. In preventing edema of the lungs, nurses / technicians also have a great responsibility. Their role is important in the treatment, diagnosis, prevention and education of patients. The care of patients with pulmonary edema is carried out on the basis of health care processes and a holistic approach. Of great importance is a precise assessment of the patient's condition in order to better identify problems in the field of health care, to make a good health care plan resulting in the fulfillment of the goals.
Keywords
plućni edem
klinička slika
liječenje
medicinska sestra / tehničar
proces zdravstvene njege
Keywords (english)
Pulmonary edema
clinical picture
treatment
nurses / tehnicians
health care process
Language croatian
URN:NBN urn:nbn:hr:162:182860
Study programme Title: Nursing Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2022-11-14 12:46:27