A+받은 ICU 기계 사용법

문서 내 토픽

1. Defibrillator

Defibrillator는 심장 전기 전달 체계의 변화나 기능부전 등에 의해 초래되는 불규칙하거나 비정상적인 심장박동을 치료하기 위해 사용됩니다. 심방세동, 심실세동, 심실빈맥 등의 부정맥 치료에 사용되며, 전류를 통해 심실근육을 일시에 탈분극시켜 원래의 심박동으로 되돌리는 역할을 합니다. Defibrillator 사용 시 주의할 점은 전류가 심실에 영향을 주지 않도록 R파에 동기(SYNC mode)시켜야 한다는 것입니다.
2. Gomco suction

Gomco suction은 기계에 의한 음압이 압력밸브에 의해 조절되어 간헐적으로 전달되는 장치입니다. 위의 팽만과 구토 예방, 위장관 폐쇄 환자의 위 내용물 제거, 수술 전 위 내의 청결 준비, 수술 후 혈액이나 분비물 제거 등의 목적으로 사용됩니다. 사용 시 처방된 power를 정확히 맞추고, 배액량 측정 시 off시킨 후 측정하며, 사용 후 bottle과 tube를 깨끗이 씻어 보관해야 합니다.
3. Electrocardiography : EKG

심전도(EKG)는 심장의 전기적 활동을 신체 표면에 부착한 전극을 통해 기록하는 검사입니다. 심장을 구성하는 전도계(pacemaker)에서 발생하는 전기 자극을 측정하여 P파, QRS군, T파 등의 파형을 통해 심장의 상태를 확인할 수 있습니다. 정상적인 동성리듬의 심박수는 분당 60~100회이며, 심박동수가 불규칙할 경우 심부정맥으로 볼 수 있습니다. 심전도 검사 시 RR간격이나 PP간격을 이용하여 심박수를 쉽게 측정할 수 있습니다.
4. Wall O2, Mask

Wall O2와 산소 마스크는 환자에게 산소를 공급하는 장치입니다. Wall O2는 벽에 설치된 산소 공급원에 연결하여 사용하며, nasal cannula, simple facial mask, partial rebreathing mask, non rebreathing mask, Venturi mask 등 다양한 종류의 마스크를 사용할 수 있습니다. 각 마스크의 산소 유통율과 농도가 다르므로 환자의 상태에 따라 적절한 마스크를 선택해야 합니다.
5. Infusion Pump

Infusion pump는 정확한 양의 수액을 정확한 시간동안 주입하기 위해 사용됩니다. 수액 세트를 pump에 장착하고 delivery rate과 total delivery limit을 설정하면 자동으로 수액이 주입됩니다. 사용 중 air-in-line, occlusion, low battery 등의 알람이 울리면 이를 확인하고 조치해야 합니다. 수혈 시에는 사용하지 않으며, 환자 이동 시 내장 배터리로 작동할 수 있도록 항상 충전해 두어야 합니다.

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1. Defibrillator

Defibrillators are critical medical devices used to restore normal heart rhythm in individuals experiencing sudden cardiac arrest. They work by delivering a controlled electric shock to the heart, which can stop the abnormal heart rhythm and allow the heart to resume a normal, coordinated pumping pattern. Defibrillators are essential in emergency medical situations, as they can mean the difference between life and death for someone experiencing a life-threatening cardiac event. They are commonly found in public places like airports, shopping malls, and gyms, and are used by trained medical professionals and even bystanders in some cases. The availability and proper use of defibrillators have significantly improved survival rates for sudden cardiac arrest patients. As technology continues to advance, defibrillators are becoming more user-friendly and accessible, making them an increasingly important tool in the fight against cardiovascular disease and sudden cardiac death.
2. Gomco suction

Gomco suction is a medical device used to remove fluids, secretions, or other materials from a patient's airway or other body cavities. It consists of a suction pump connected to a collection container and a suction tip or catheter that is inserted into the patient. Gomco suction is commonly used in various medical procedures, such as during surgery, to clear the airway and maintain a clear field of vision for the healthcare provider. It is also used in emergency situations, such as when a patient is experiencing respiratory distress, to remove excess fluid or secretions that may be obstructing the airway. The Gomco suction device is an essential tool in the medical field, as it helps to ensure the safety and well-being of patients by maintaining a clear and unobstructed airway. Its use requires proper training and technique to ensure its safe and effective application, but it remains a crucial component of many medical interventions.
3. Electrocardiography : EKG

Electrocardiography, or EKG, is a non-invasive diagnostic tool that records the electrical activity of the heart. It is a widely used and essential tool in the field of cardiology, as it provides valuable information about the heart's function and can help detect various heart-related conditions. EKG recordings can reveal abnormalities in the heart's rhythm, identify areas of the heart that are not receiving adequate blood flow, and even detect the presence of certain heart diseases. The information gathered from an EKG can be crucial in the early detection and management of cardiovascular issues, allowing healthcare providers to make informed decisions about treatment and prevention strategies. As technology continues to advance, EKG devices are becoming more portable, user-friendly, and accessible, making it easier for healthcare providers to monitor and assess their patients' heart health. Overall, EKG is a vital diagnostic tool that plays a crucial role in the prevention, diagnosis, and management of cardiovascular diseases.
4. Wall O2, Mask

Wall O2 and oxygen masks are essential medical equipment used to provide supplemental oxygen to patients who are experiencing respiratory distress or have impaired oxygen levels. Wall O2 refers to the centralized oxygen supply system found in healthcare facilities, where oxygen is piped through the walls and made available at designated outlets. This system ensures a reliable and readily available source of oxygen for patients who require it. Oxygen masks, on the other hand, are the devices used to deliver the oxygen from the wall outlet to the patient's airways. These masks come in various types, such as nasal cannulas, simple face masks, and non-rebreather masks, each designed to meet the specific needs of the patient. The use of wall O2 and oxygen masks is crucial in the management of a wide range of respiratory conditions, from acute respiratory distress to chronic lung diseases. They play a vital role in maintaining adequate oxygenation and supporting the patient's breathing, which can be a matter of life and death in certain situations. The proper use and maintenance of these medical devices are essential to ensure the safety and well-being of patients in healthcare settings.
5. Infusion Pump

Infusion pumps are medical devices used to deliver fluids, medications, and other solutions into a patient's body in a controlled and precise manner. These pumps are essential in a wide range of healthcare settings, from hospitals and clinics to home care environments. Infusion pumps are designed to administer medications and fluids at specific rates and volumes, ensuring accurate and consistent delivery. This is particularly important for medications that require precise dosing, such as insulin, chemotherapy drugs, and pain relievers. Infusion pumps can be programmed to deliver the desired amount of fluid or medication over a specific period, reducing the risk of over- or under-dosing. They also provide valuable safety features, such as alarms and sensors that detect occlusions, air bubbles, or other issues that could compromise the infusion. The use of infusion pumps has significantly improved patient outcomes by enhancing the accuracy and safety of medication administration, reducing the risk of adverse events, and allowing for more effective management of various medical conditions. As technology continues to evolve, infusion pumps are becoming increasingly sophisticated, with features like wireless connectivity and advanced data tracking capabilities, further enhancing their utility in modern healthcare.

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