{"id":118,"date":"2015-08-26T07:27:10","date_gmt":"2015-08-26T06:27:10","guid":{"rendered":"http:\/\/www.belov.cz\/sdh\/?p=118"},"modified":"2015-09-01T16:42:04","modified_gmt":"2015-09-01T15:42:04","slug":"kriseni-obehu-a-dychani","status":"publish","type":"post","link":"https:\/\/www.belov.cz\/sdh\/?p=118","title":{"rendered":"K\u0159\u00ed\u0161en\u00ed ob\u011bhu a d\u00fdch\u00e1n\u00ed"},"content":{"rendered":"<h3>Definice<\/h3>\n<p>Komplexn\u00ed algoritmus \u00fakon\u016f, v\u00fdkon\u016f a postup\u016f, kter\u00e9 maj\u00ed p\u0159echodn\u011b nahradit selh\u00e1n\u00ed jedn\u00e9, nebo dvou z\u00e1kladn\u00edch \u017eivotn\u00edch funkc\u00ed, tj. d\u00fdch\u00e1n\u00ed a ob\u011bhu.<\/p>\n<h3>C\u00edl KPR<\/h3>\n<p>Neprodlen\u00e9 obnoven\u00ed ob\u011bhu okysli\u010den\u00e9 krve organismem a\u017e do doby obnovy jeho spont\u00e1nn\u00ed funk\u010dn\u00ed v\u00fdkonnosti.<\/p>\n<h3>Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny n\u00e1hl\u00e9 z\u00e1stavy ob\u011bhu (NZO)<\/h3>\n<ul>\n<li>novorozenci, kojenci: vdechnut\u00ed zvratk\u016f (aspirace), z\u00e1n\u011bt p\u0159\u00edklopky hrtanov\u00e9 (epiglotit\u00edda), tonut\u00ed, mozkolebe\u010dn\u00ed poran\u011bn\u00ed,<\/li>\n<li>dosp\u00edvaj\u00edc\u00ed osoby: mozkolebe\u010dn\u00ed poran\u011bn\u00ed, akutn\u00ed otravy, p\u0159ed\u00e1vkov\u00e1n\u00ed drog, n\u00e1hl\u00e9 srde\u010dn\u00ed z\u00e1stavy p\u0159i r\u016fzn\u00fdch sportovn\u00edch \u00farazech, mnoho\u010detn\u00e1 poran\u011bn\u00ed,<\/li>\n<li>dosp\u011bl\u00e9 osoby: p\u0159eva\u017euj\u00ed srde\u010dn\u00ed a ob\u011bhov\u00e9 p\u0159\u00ed\u010diny-zbytn\u011bn\u00ed srde\u010dn\u00edho svalu, zhmo\u017ed\u011bn\u00ed srdce, \u017eivot ohro\u017euj\u00edc\u00ed poruchy srde\u010dn\u00edho rytmu, akutn\u00ed srde\u010dn\u00ed infarkt, plicn\u00ed embolie, srde\u010dn\u00ed selh\u00e1n\u00ed.<\/li>\n<li>spole\u010dn\u00e9 pro v\u0161echny v\u011bkov\u00e9 skupiny: anafylaktick\u00fd \u0161ok, n\u00e1hl\u00e1 ztr\u00e1ta krevn\u00edho objemu.<\/li>\n<\/ul>\n<h3>Rozpozn\u00e1n\u00ed (diagn\u00f3za) z\u00e1stavy ob\u011bhu<br \/>\n<\/h3>\n<ul>\n<li>Posti\u017een\u00fd \u010dlov\u011bk je<br \/>\nv bezv\u011bdom\u00ed<\/li>\n<li>nem\u00e1 hmatn\u00fd puls na velk\u00fdch tepn\u00e1ch (krkavice, stehenn\u00ed tepny)<\/li>\n<li>v naprost\u00e9 v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f ned\u00fdch\u00e1.<\/li>\n<li>dal\u0161\u00ed p\u0159\u00edznaky nemus\u00ed b\u00fdt v\u017edy p\u0159\u00edtomny a nejsou z hlediska diagnosy NZO podstatn\u00e9<\/li>\n<li>modrav\u00e9 zbarven\u00ed sliznic (cyan\u00f3za), \u0161irok\u00e9 zornice (mydri\u00e1za).<\/li>\n<\/ul>\n<h3>Praktick\u00fd postup laick\u00e9 neodkladn\u00e9 resuscitace <\/h3>\n<p>Po\u0159ad\u00ed jednotliv\u00fdch krok\u016f:<\/p>\n<ul>\n<li>\u010dasn\u00e9 t\u00eds\u0148ov\u00e9 vol\u00e1n\u00ed ( tel.\u010d.155),<\/li>\n<li>\u010dasn\u00e1 neodkladn\u00e1 resuscitace,<\/li>\n<li>\u010dasn\u00e1 odborn\u00e1 PP s roz\u0161\u00ed\u0159enou neodkladnou resuscitac\u00ed s pou\u017eit\u00edm p\u0159\u00edstroj\u016f, l\u00e9k\u016f aj.<\/li>\n<\/ul>\n<p>ABC diagnostika a postup<\/p>\n<ul>\n<li>\u201eA\u201c &#8211; uvoln\u011bn\u00ed d\u00fdchac\u00edch cest (Airway Control)<\/li>\n<li>\u201eB\u201c &#8211; um\u011bl\u00e9 d\u00fdch\u00e1n\u00ed (Breathing Support)<\/li>\n<li>\u201eC\u201c &#8211; nep\u0159\u00edm\u00e1 srde\u010dn\u00ed mas\u00e1\u017e (Cardiac Support).<\/li>\n<\/ul>\n<h3>Hlavn\u00ed chyby p\u0159i prov\u00e1d\u011bn\u00ed k\u0159\u00ed\u0161en\u00ed ob\u011bhu a d\u00fdch\u00e1n\u00ed<\/h3>\n<ul>\n<li>nedostate\u010dn\u00fd z\u00e1klon hlavy u dosp\u011bl\u00fdch a zbyte\u010dn\u011b zna\u010dn\u00fd z\u00e1klon hlavy u d\u011bt\u00ed,<\/li>\n<li>vdechov\u00e1n\u00ed v\u011bt\u0161\u00edho ne\u017e pot\u0159ebn\u00e9ho objemu do plic v d\u011btsk\u00e9m v\u011bku,<\/li>\n<li>ztr\u00e1ta \u010dasu p\u0159i zbyte\u010dn\u011b dlouh\u00e9m zji\u0161\u0165ov\u00e1n\u00ed diagn\u00f3zy z\u00e1stavy ob\u011bhu, a to jak p\u0159ed zah\u00e1jen\u00edm resuscitace ob\u011bhu, tak i v jej\u00edm pr\u016fb\u011bhu,<\/li>\n<li>chyb\u011bj\u00edc\u00ed kontrola dostate\u010dn\u00e9ho zved\u00e1n\u00ed a kles\u00e1n\u00ed hrudn\u00edku p\u0159i um\u011bl\u00e9m d\u00fdch\u00e1n\u00ed a \u00fa\u010dinnosti nep\u0159\u00edm\u00e9 srde\u010dn\u00ed mas\u00e1\u017ee, <\/li>\n<li>vynakl\u00e1d\u00e1n\u00ed v\u011bt\u0161\u00ed ne\u017e pot\u0159ebn\u00e9 s\u00edly p\u0159i nep\u0159\u00edm\u00e9 srde\u010dn\u00ed mas\u00e1\u017ei zejm\u00e9na v d\u011btsk\u00e9m v\u011bku.<\/li>\n<\/ul>\n<h3>Ukon\u010den\u00ed k\u0159\u00ed\u0161en\u00ed ob\u011bhu a d\u00fdch\u00e1n\u00ed<\/h3>\n<ul>\n<li>je mo\u017en\u00e9 v p\u0159\u00edpad\u011b \u00fasp\u011bchu, jestli\u017ee se poda\u0159\u00ed obnovit spont\u00e1nn\u00ed \u00fa\u010dinn\u00fd ob\u011bh, i kdy\u017e v takov\u00fdch p\u0159\u00edpadech zpravidla pokra\u010dujeme v um\u011bl\u00e9m d\u00fdch\u00e1n\u00ed a\u017e do p\u0159ed\u00e1n\u00ed do p\u00e9\u010de zdravotn\u00edk\u016fm,<\/li>\n<li>v p\u0159\u00edpad\u011b ne\u00fasp\u011bchu, trv\u00e1-li z\u00e1stava ob\u011bhu navzdory alespo\u0148 30 minut prov\u00e1d\u011bn\u00e9mu k\u0159\u00ed\u0161en\u00ed ob\u011bhu a d\u00fdch\u00e1n\u00ed,<\/li>\n<li>v p\u0159\u00edpad\u011b naprost\u00e9 vy\u010derpanosti zachr\u00e1nce.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Definice Komplexn\u00ed algoritmus \u00fakon\u016f, v\u00fdkon\u016f a postup\u016f, kter\u00e9 maj\u00ed p\u0159echodn\u011b nahradit selh\u00e1n\u00ed jedn\u00e9, nebo dvou z\u00e1kladn\u00edch \u017eivotn\u00edch funkc\u00ed, tj. d\u00fdch\u00e1n\u00ed a ob\u011bhu. C\u00edl KPR Neprodlen\u00e9 obnoven\u00ed ob\u011bhu okysli\u010den\u00e9 krve organismem a\u017e do doby obnovy jeho spont\u00e1nn\u00ed funk\u010dn\u00ed v\u00fdkonnosti. Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny n\u00e1hl\u00e9 z\u00e1stavy ob\u011bhu (NZO) novorozenci, kojenci: vdechnut\u00ed zvratk\u016f (aspirace), z\u00e1n\u011bt p\u0159\u00edklopky hrtanov\u00e9 (epiglotit\u00edda), tonut\u00ed, mozkolebe\u010dn\u00ed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":105,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[7],"class_list":["post-118","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mladi-hasici","tag-plamen"],"_links":{"self":[{"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=\/wp\/v2\/posts\/118","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=118"}],"version-history":[{"count":1,"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=\/wp\/v2\/posts\/118\/revisions"}],"predecessor-version":[{"id":119,"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=\/wp\/v2\/posts\/118\/revisions\/119"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=\/wp\/v2\/media\/105"}],"wp:attachment":[{"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=118"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=118"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.belov.cz\/sdh\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=118"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}