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一位運動型熱中暑病患之急診照護經驗

Nursing Experience of Intensive Care for A Patient with Exertional Heat Stroke

摘要


本文主要描述一位年輕女運動員,因在慢跑一萬公尺後,發生運動型熱中暑的急診照護經驗。照護期間為2010年08月13日08:54至14:15,筆者經由直接照顧、身體評估、觀察及病歷查閱等方式收集資料,運用整體性護理評估發現個案有「體溫過高」、「體液容積缺失」、「知識缺失」等主要的護理問題。經由急診照護計畫,給予冰敷動脈搏動處、濕毛巾輕拍全身、快速點滴補充輸液等護理措施後,個案恢復正常體溫及體液;透過解說、衛教、引導自我覺察熱中暑的症狀等資訊後,讓個案有預防及處理熱中暑的相關知識。希望藉由此次照護經驗,能夠提供其他護理人員在未來面對運動型熱中暑的病患時,能夠在黃金二小時內,提供完整且有效的護理措施,以減少併發症,並協助個案在未來運動時能預防熱中暑的再發生。

並列摘要


This article described a nursing experience of intensive care for a young female athlete with exertional heat stroke after the ten thousand meter jogging. The duration of nursing care by the researcher was between 08:54 and 14:15, August 13, 2010. Based on totally nursing assessment, the patient's health problems included hyperthermia, fluid volume deficit, and knowledge deficit. The patient recovered normal body temperature and body fluid after the researcher gave ice compress on the arterial pulse, wet towels to pat the body, and rapid intravenous drip. Explanation, health education, and self-examination of exertional heat stroke syndrome were used to increase the patient's related prevention and management knowledge. This case report was expected to share the nursing experience to clinical nursing staff for the related disease with effective nursing management to reduce complication in gold two hours.

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