t******a
发帖数: 408 | 1 Intraosseous infusion (IO)
病人 has MCA stroke, 同时还有junctional arrhythmia, HR42, low urine output,
dehydration.
在tibia上打一个孔，接上infusion fluids, and meds.
works well for adult patients.
顿时想到UW（CK？）有一题考的就是IO。只不过是儿童病人。 现在adult patients 也
用。 让我感觉到UW出的题目还是比较紧扣临床实践，考查实际中重要的知识。
我的感受UW不光考试有用，对临床也很有帮助。
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下面摘自medscape
http://emedicine.medscape.com/article/908610-overview
IO techniques have fewer serious complications than central lines and can be
performed much faster than central or peripheral lines when vascular
collapse is present.
For patients in extremis from respiratory failure or shock, securing
vascular access is crucial, along with establishing an airway and ensuring
adequacy of breathing and ventilation. Peripheral intravenous catheter
insertion is often difficult, if not impossible, in infants and young
children with circulatory collapse. Intraosseous (IO) needle placement,
shown in the images below, provides a route for administering fluid, blood,
and medication. An IO line is as efficient as an intravenous route and can
be inserted quickly, even in the most poorly perfused patients. | c********a
发帖数: 75 | |
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