一氧化碳中毒病人的急診照護經驗

Carbon Monoxide Poisoning and Emergency Treatment: A Nurse's Experience

鄭秀華(Shiu-Hwa Jeng)

《榮總護理》 26卷4期 (2009/12) Pp. 374-381

https://doi.org/10.6142/VGHN.26.4.374

摘要

本文是探討照護一位企圖燒炭自殺而導致一氧化碳中毒病患，在急診護理期間，運用歐倫理論為護理評估架構，以觀察、參與會談等方式收集資料，並依緊急救治原則發現個案的問題有「氣體交換障礙」、「組織灌流改變（腦）」、「特定的知識的缺失」。在生理狀況穩定及良好信任下發現患者尚有「個人因應能力的失調」問題。經迅速給予正確處置及護理後，挽回病患的生命，並將中毒的傷害減至最低，同時藉由護理人員的關心與醫療團隊的合作，協助個案正視自殺的導因，尋求家人的支持，重建並發展正向的調適技巧。盼藉此個案的護理經驗分享，能作為其他護理同仁照護之參考。

關鍵字

一氧化碳中毒 ； 急診護理

並列摘要

The subject of this case attempted suicide through carbon monoxide poisoning. Upon check-in, a comprehensive evaluation of the patient was made. Data were collected through the skills of observation, participation, and conversation. In addition, a clinical nursing evaluation was made utilizing the Orem adaptation model. Critical health problems took priority according to emergency treatments. The subject's health problems included impaired gas exchange, ineffective tissue perfusion (cerebral), and specific knowledge deficit. Dysfunction of the patient's personal adaptation was found during the moments when the patient's physiological condition was stable. Attention must be given to the psychological reason for the attempted suicide. Also, emphasis needs to be placed on helping the patient, rebuild and establish positive adaptation skills. Care and support from family and nursing staff is crucial. We are honored to share our experience in this particular case with other professionals in the field.

並列關鍵字

carbon monoxide intoxication ； emergency nursing care