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Vloga medicinske sestre v urgentni internistični ambulanti pri nosečnici z motnjo ritma : diplomsko delo
Dimnik, Marija (Author), Mlinar, Suzana (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Nosečnost je stresno obdobje, v katerem se v ženskem telesu dogajajo številne anatomske in fiziološke spremembe. Organski sistemi so sicer izredno dinamični in omogočajo različne odzive na okolje, vendar se kljub temu lahko v telesu nosečnice pojavijo spremembe, na katere moramo biti pozorni, ker lahko zahtevajo zdravljenje. Na področju srčno-žilnega sistema se najpogosteje pojavijo določeni šumi ali občasne motnje ritma srca, med njimi so npr. sinusna tahikardija, bradikardija in ektopični utrip ter druge motnje. Vloga medicinske sestre pri omenjenih motnjah je zelo pomembna, saj mora znati prepoznati odstopanja od fiziološkega poteka nosečnost, stanje nosečnice mora kontinuirano spremljati ter izvajati aktivnosti, ki pripomorejo k ohranjanju zdravja nosečnice. Namen: Namen diplomskega dela je predstaviti motnje srčnega ritma v nosečnosti, načine zdravljenja in vlogo medicinske sestre pri obravnavi nosečnice z motnjo ritma v urgentni internistični ambulanti. Metode dela: V diplomskem delu smo uporabili deskriptivno ali opisno metodo dela s sistematičnim pregledom in analizo angleške in slovenske znanstvene in strokovne literature. Pregledali smo dostopno literaturo obravnavanega problema in metasintezo znanstvenih študij. Pri iskanju literature smo se osredotočili na spletni portal COBISS ter različne podatkovne baze COBIB.si, Cochrane, Cinahl with full text, Medline, Medline plus, Wiley in NIH (National Institutes of Health). Iskanje literature je potekalo od januarja 2017 do konca januarja 2018. Razprava in zaključek: V nosečnosti so motnje srčnega ritma pogoste in večkrat je potrebno zdravljenje. Medicinska sestra je prva oseba, ki vzpostavi stik z nosečnico ob prihodu v urgentni center internistične ambulante. Njena pomembna naloga je, da določi stopnjo nujnosti in razvrsti nosečnico v vrstni red obravnave. V Sloveniji medicinska sestra z uporabo Manchesterskega triažnega sistema nosečnico uvrsti v triažno skupino. Vloga medicinske sestre je tudi priprava zdravila Adenozin in spremljanje odziva pacientke po njegovem prejetju. Ključnega pomena pri nosečnici je prepoznati preskok v sinusni ritem. Zaradi različnega občutenja in odziva na to situacijo je pomembno, da medicinska sestra nosečnico predhodno psihofizično pripravi in jo kontinuirano spremlja. Vloga medicinske sestre je pri celotnem postopku zelo pomembna. Gre za izredno odgovorno delo, ki zahteva veliko znanja in izkušenj.

Language:Slovenian
Keywords:motnje ritma, nosečnica, plod, Adenozin, zdravstvena nega, medicinska sestra
Work type:Bachelor thesis/paper (mb11)
Organization:ZF - University College of Health Studies
Year:2018
COBISS.SI-ID:5409131 Link is opened in a new window
Views:770
Downloads:440
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Secondary language

Language:English
Title:The role of a nurse in immediate internistic ambulance in pregnant woman with disabled rhythm : diploma thesis
Abstract:
Introduction: Pregnancy is a stressful period for female body in which many anatomical and physiological changes occur. Organic systems are extremely dynamic and allow different responses to the environment, however, changes that can occur in the body of the pregnant woman must be watched, because they may require treatment. In the field of the cardiovascular system, certain noise or occasional heart rhythm disturbances are most commonly occurring, for example, sinus tachycardia, bradycardia and ectopic pulse, and other disorders. The role of the nurse in these situations is very important, as she must be able to recognize the deviations from the physiological course of normal pregnancy, the condition of the pregnant woman must be continuously monitored and shem ust preform activities that contribute to maintaining the health of the pregnant woman. Purpose: The purpose of the this work is to present the disorders of the heart rhythm in pregnancy, the methods of treatment and the role of the nurse in treating a pregnant woman with a rhythm disorder in an emergency internist clinic. Methods: In this work we used a descriptive method with a systematic review and analysis of English and Slovenian scientific and professional literature. We examined the accessible literature of the discussed problem and the metasynthesis of scientific studies. When searching for literature, we focused on the COBISS web portal and the various others, for example COBIB.si, Cochrane, Cinahl database with full text, Medline, Medline plus, Wiley and NIH (National Institutes of Health). The literature search took place from January 2017 to the end of January 2018. Discussion and conclusion: In pregnancy, heart rhythm disorders are common and treatment is often necessary. Nurse is the first person in contact with the pregnant woman on arrival at the emergency room of an internist clinic. Her important task is to determine the degree of urgency and to classify the pregnant woman in the order of treatment. In Slovenia, we are using the Manchester Triage, by which pregnant woman is included in the triage group. As well as, the role of the nurse is the preparation of Adenosine and the monitoring of patient response after receiving it. It is essential for a nurse to recognize a leap in the sinus rhythm. Due to the different feelings and responses to situation, it is important that the nurse prepares the pregnant woman physically and psychologically. The role of a nurse is very important in the whole procedure. It is a highly responsible work that requires a lot of knowledge.

Keywords:rhythm disorder, pregnant woman, fetus, Adenosine, nursing, nurse

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