Hipoksja
Hipoksją nazywamy deficyt tlenowy w tkankach organizmu, spowodowany upośledzeniem na poziomie dyfundowania tlenu w płucach lub przy zaburzeniach transportowej funkcji krwi.
Jest to stan, który prowadzi do realnego zagrożenia życia. W środowisku ratowniczym hipoksja ma swoje miejsce w standardach postępowania, jeśli chodzi o zatrzymanie krążenia.
Zagadnienie potencjalnych odwracalnych przyczyn zatrzymania krążenia (4H4T) obejmuje dwie grupy zaburzeń, tj. hipoksja, hipowolemia, hiperkaliemia, hipotermia, oraz odma prężna (tension pneumothorax), tamponada serca, toksyczne substancje i tromboembolizm.
Jeżeli do niedotlenienia dochodzi w wyniku zatrzymania krążenia, pacjenta wentyluje się stuprocentowym tlenem.
W odróżnieniu od hiperkapni, gdzie u chorych występuje senność i ospałość, hipoksja objawia się raczej splątaniem, dezorientacją i pobudzeniem. Towarzyszy jej uczucie duszności, na skutek znacznego niedotlenienia ośrodkowego układu nerwowego mogą wystąpić drgawki, a nawet śpiączka.
Jednym z charakterystycznych objawów hipoksji jest sinica centralna. Aby potwierdzić lub wykluczyć niedotlenienie wykonuje się badanie gazometryczne krwi tętniczej, pulsoksymetrię i inne badania pomocnicze.
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