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23:00 Výzva: Dušnost. Při příjezdu je 25 pacientka objektivně dušná, je přítomen expirační stridor, opírá horní končetiny o stůl, při poslechu jsou slyšet vrzoty a pískoty. TK 170/100, puls 120/min, SpO2 85%. Během večera si aplikovala asi 8 dávek Berotec spreje. Pracovní diagnoza, léčba a směřování
Řešení:
i.v. linka, ekg, F1/1, O2 (zvlhčený) 1-3l/minutu, dále i.v. solu-medrol 0,5-1mg/kg, magnesium, syntofík 1amp. – ad. interna/ plicní? Dg.:J46
Proč Mg?…inhibuje Ca kanály v hl.svalovině bronchů, snižuje sekrece histaminu z cholinergních vláken a takovej bonus pro težší pacienty…ale jak jsem se před chvílí dozvěděl, v sanitě se nedává.

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