Slaugytojų veikla teikiant pagalbą vaikui apsinuodijus alkoholiu ir metamfetaminu

Dicevičiūtė, Rūta; Mordiak, Greta

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Slaugytojų veikla teikiant pagalbą vaikui apsinuodijus alkoholiu ir metamfetaminu

Dicevičiūtė, Rūta; Mordiak, Greta

URI: http://dspace.kaunokolegija.lt//handle/123456789/1474

Data: 2019-04-08

Santrauka:

Literatūriškai aprašoma teorinė dalis, kurioje analizuojamos vaikų apsinuodijimų alkoholiu ir metamfetaminu atveju rekomendacijos bei teisės aktai reglamentuojantys slaugytojų veiklą. Tyrimo metu anketiniu būdu analizuojama slaugytojų veikla ir nuomonės tam tikrais klausimais apie vaikų apsinuodijimų alkoholiu ir metamfetaminu atveju. Darbo pabaigoje suformuluotos išvados, parengtos rekomendacijos

Description:

Relevance. In case of child poisoning, specialized help should be provided and nurses should be aware of the specificities of providing this aid, recognizing the symptoms of different poisonings. The aim of the study was to investigate the activities of nurses working in emergency medical care stations and emergency-care units in providing assistance to children with alcohol poisoning and methamphetamine. Tasks: 1. Describe the activities of nurses in providing assistance to children in alcohol poisoning and methamphetamine. 2. Identify nurses in K and G city ambulance stations, Level II Y and Z and III level X hospitals, for emergency child support for alcohol and methamphetamine poisoning. 3. To compare the activities of nurses working in child, adult and general emergency departments and ambulance stations in the case of aid for child poisoning by alcohol and methamphetamine. Methodology of work: 1. Analysis and systematization of scientific literature. 2. Empirical research using an anonymous questionnaire prepared by the authors. 3. Investigations were carried out at level II, III hospitals, and ambulance stations. The survey was conducted from 19.11.2018 until 10.12.2018. To conduct the research, the consent of the heads, the coordination service, the department nursing administrators, the approval of the Bioethics Center for the study No. BEC-KK(B)-33. 4. Analysis of Data Received Microsoft Offise Exel 2007 program and summary of results. Respondents. Level III hospital X Children and Adult EC units, level II hospital Y EC unit, level II Z hospital EC unit, G and K cities emergency medical care station working nurses who have agreed to participate in the study. Conclusions: 1. Nurses working for ambulance and EC must be able to provide first aid to a child when methamphetamine and alcohol are poisoned. Nurses who work with ambulance and EC to provide assistance to a poisoned teenager with methamphetamine or alcohol should be able to collect a patient's medical history, distinguish between what they have poisoned, know how to properly wash their stomach and other procedures needed, how much activated charcoal to give, and 7 how to provide quality care, appoint doctor. 2. Higher proportion of nurses working at level III X in children and adult EC, Level II Y hospital in EC, K city ambulanve, lower proportion of nurses working in G city ambulance, level II Z hospital knew about changes in child condition, peculiarities of nursing after alcohol and methamphetamine poisoning, a suitable dose of activated carbon, how long it can wash the stomach after poisoning. The majority of nurses, when caring for a poisoned child, would inform the physician, the recorded ECG of 12 derivatives, measure the EQS, pulse, the SpO2 in the blood, and the consciousness of using the Glasgow coma scale. Only a part of the nurses knew that no specific antidote for methamphetamine poisoning was allowed, but about one third of all nurses involved in the study indicated that they would wash their stomach and give naloxone. 3. When comparing nurses activities and knowledge, there was a difference in the level of activated charcoal for the duration of post-poisoning gastric poisoning of children and adults in EC and level II EC nurses in assessing the child's condition, nursing peculiarities of alcohol and methamphetamine. All ambulances in G city and a higher proportion of Level III X hospital nurses knew that there was no specific antidote for methamphetamine poisoning. All Level II Hospital X and a higher proportion of Level III X hospital children reported PSPS as a more convenient form of activated charcoal powder. About half of K city GMPs, one third of Level II Y hospitals, believe that after taking alcohol, body reflexes accelerate, CNS activates. All nurses working in the K town ambulance and Level III X Hospital for Adult EC would inform the physician of the recorded 12-lead EQG measured by ACS, pulse, SpO2.

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