Nguyên do nào gây bệnh SARS? và cách chăm sóc bệnh nhân Covid-19

quyetdodo

Thanh Niên Xóm
Bác sĩ tại Trường Cao đẳng Y Dược Pasteur nhận định so với dịch bệnh Covid-19 tại năm 2020 thì đề cập đến dịch SARS cũ thì chúng ta nhận ra rằng nguyên nhân gây bệnh là virus corona hay corona virus SARS. Đây là loại virus có đường kính từ 60 – 130nm, bề mặt của virus có các gai glycoprotein giống hình vương miện. Virus corona có thể sống ở bên ngoài cơ thể trong nhiều giờ, tồn tại trong phân và nước tiểu ở nhiệt độ phòng trong tối thiểu 1 – 2 ngày, thậm chí tới 4 ngày. Ở nhiệt độ 0°C, virus này có thể tồn tại tới 3 tuần. Đặc tính này khiến virus corona có khả năng lây lan mạnh từ người này sang người khác và dễ phát triển thành dịch. Tuy nhiên, chúng bị bất hoạt bởi các hoạt chất ức chế của clo trong 5 phút, mất hoạt tính gây nhiễm nếu tiếp xúc với các chất diệt khuẩn thông thường và có thể bị chết ở nhiệt độ 56°C.

Theo chuyên gia Cao đẳng vật lý trị liệu tphcm thì, nguồn lây bệnh trong tự nhiên là loại dơi tai to ở Trung Quốc. Con đường lây bệnh là đường hô hấp (từ các giọt chất tiết qua hắt hơi, nói, thở), đường tiếp xúc trực tiếp (điện thoại, tay nắm cửa), các dụng cụ khí dung, nội soi phế quản và từ chất thải, rác thải của bệnh nhân nhiễm SARS.

Chăm sóc bệnh nhân có viêm đường hô hấp trên hoặc có viêm phổi nhưng chưa có biểu hiện suy hô hấp (nhóm 1)
Theo Điều dưỡng viên Cao đẳng hộ sinh tại Trường Cao đẳng Y Dược Pasteur thì giai đoạn 1 này bệnh nhân có triệu chứng không đặc hiệu như sốt, ho khan, đau mỏi người, mệt mỏi, đau cơ… , có viêm phổi và không có dấu hiệu viêm phổi nặng.




Theo dõi dấu hiệu sinh tồn cho bệnh nhân Covid-19

  • Theo dõi mạch, nhiệt độ, huyết áp, nhịp thở ít nhất 2 lần/ ngày
  • Bệnh nhân có sốt:
+ Hạ nhiệt độ bằng những biện pháp vật lý: chườm mát trán, nách, bẹn nước 37 độ C

+ Thực hiện y lệnh thuốc hạ sốt theo chỉ định của bác sĩ.

Thực hiện y lệnh điều trị cho bệnh nhân Covid-19

  • Thực hiện lấy mẫu xét nghiệm, cận lâm sàng, thăm dò đầy đủ theo chỉ định của bác sĩ.
  • Thực hiện y lệnh truyền dịch, tiêm thuốc, uống thuốc, đầy đủ và đúng giờ.
  • Phụ giúp bác sĩ làm thủ thuật khi có chỉ định.
Chăm sóc toàn thân cho bệnh nhân Covid-19
  • Nghỉ ngơi tại giường, phòng dịch bệnh Covid-19 cần đảm bảo thông thoáng, có thể sử dụng hệ thống lọc không khí hoặc những biện pháp khử trùng phòng bệnh khác.
  • Vệ sinh mũi họng, có thể giữ ẩm mũi bằng cách nhỏ dung dịch nước muối sinh lý, súc miệng họng thông thường.
  • Uống đủ nước, đảm bảo cân bằng dịch, điện giải.
Theo dõi diễn biến và phát hiện dấu hiệu bệnh nặng:
  • Phát hiện sớm dấu hiệu suy hô hấp và suy tuần hoàn.
  • Đối với những trường hợp tuổi cao trên 65 tuổi, có bệnh mạn tính từ trước như bệnh tim mạch, bệnh phổi mãn tính, đái tháo đường, K… cần theo dõi sát hơn những bệnh nhân thông thường khác.
Dinh dưỡng cho bệnh nhân Covid-19
Trong giai đoạn chăm sóc bệnh nhân Covid-19, các giảng viên Liên thông Cao đẳng điều dưỡng tphcm – Trường Cao đẳng Y Dược Pasteur chia sẻ, Điều dưỡng viên cần quan tâm đến chế độ dinh dưỡng

  • Cung cấp suất ăn tại giường cho từng bệnh nhân trong thời gian cách ly.
  • Suất ăn đảm bảo dinh dưỡng, an toàn thực phẩm. Chế độ ăn phù hợp với từng bệnh nhân, được chỉ định của Bác sĩ dinh dưỡng.
Tư vấn cho bệnh nhân Covid-19
  • Động viên tinh thần, hướng dẫn về bệnh để bệnh nhân yên tâm điều trị (Dùng bảng biểu; tư vấn trực tiếp điện thoại).
  • Thu gom khẩu trang, khăn, giấy lau mũi, miệng đã qua sử dụng vào thùng đựng chất thải lây nhiễm có nắp đậy, có lót túi, có màu sắc và biểu tượng cảnh báo chất thải có chứa chất gây bệnh.
  • Phối hợp với cán bộ y tế lấy mẫu bệnh phẩm để xét nghiệm sàng lọc.
  • Sau khi ra viện:
+ Bệnh nhân nên được ở trong phòng riêng thông thoáng, đeo khẩu trang, vệ sinh tay, ăn riêng, hạn chế tiếp xúc với người nhà (Trường hợp có tiếp xúc với người nhà đảm bảo an toàn).

+ Bệnh nhân cần theo dõi thân nhiệt tại nhà 2 lần/ ngày trường hợp thân nhiệt cao hơn 38 ͦ độ C ở hai lần đo liên tiếp hoặc có dấu hiệu bất thường khác phải đến khám lại ngay tại những cơ sở y tế.
 

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