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نکات مهم اورژانس🚑 | United States America (US)
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چند نکته مهم تامپوناد:

1⃣ در EKG کاهش ولتاژ QRS بروز میکند.
🤔 چرا؟ چون گفتیم دور بطنو مایع گرفته و  بطن خوب نمیتونه فعالیت کنه خونو پماژ کنه پس ارتفاع QRS که برای انقباض بطنه کم میشه

2⃣ در CXR ممکن است سایه قلب بزرگ شده و حالت کروی پیدا کند
🤔 چرا ؟ گفتیم دور قلبو یه کیسه پر آب تشکیل میشه

3⃣ تشخیص پرستاری اصلی در تامپوناد قلبی، کاهش بازده قلب است.

4⃣ تامپوناد چرا ایجاد میشه؟ مثال مهمش پریکاردیته که پریکارد ملتهب میشه و مایع درون فضای پریکارد ترشح میکنه

5⃣ مداخله اورژانس در تامپوناد قلبی، پریکاردیوسنتز است.

6⃣ پس از انجام پریکاردیوسنتز انتظار داریم که علایم تامپوناد بهبود یابد یعنی فشار خون(BP) بالا و فشار ورید مرکزی (CVP) پایین بیاید.( مهم )

8⃣  پس  تریاد بک 👇👇
سوفل ⇩ / SBP ⇩ /  ⇧  JVP ( هایپوتانسیون)

نکات مهم اورژانس🚑
چند نکته مهم تامپوناد:

1⃣ در EKG کاهش ولتاژ QRS بروز میکند.
🤔 چرا؟ چون گفتیم دور بطنو مایع گرفته و  بطن خوب نمیتونه فعالیت کنه خونو پماژ کنه پس ارتفاع QRS که برای انقباض بطنه کم میشه

2⃣ در CXR ممکن است سایه قلب بزرگ شده و حالت کروی پیدا کند
🤔 چرا ؟ گفتیم دور قلبو یه کیسه پر آب تشکیل میشه

3⃣ تشخیص پرستاری اصلی در تامپوناد قلبی، کاهش بازده قلب است.

4⃣ تامپوناد چرا ایجاد میشه؟ مثال مهمش پریکاردیته که پریکارد ملتهب میشه و مایع درون فضای پریکارد ترشح میکنه

5⃣ مداخله اورژانس در تامپوناد قلبی، پریکاردیوسنتز است.

6⃣ پس از انجام پریکاردیوسنتز انتظار داریم که علایم تامپوناد بهبود یابد یعنی فشار خون(BP) بالا و فشار ورید مرکزی (CVP) پایین بیاید.( مهم )

8⃣  پس  تریاد بک 👇👇
سوفل ⇩ / SBP ⇩ /  ⇧  JVP ( هایپوتانسیون)
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نکات مهم اورژانس🚑



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Spiking bond yields driving sharp losses in tech stocks

A spike in interest rates since the start of the year has accelerated a rotation out of high-growth technology stocks and into value stocks poised to benefit from a reopening of the economy. The Nasdaq has fallen more than 10% over the past month as the Dow has soared to record highs, with a spike in the 10-year US Treasury yield acting as the main catalyst. It recently surged to a cycle high of more than 1.60% after starting the year below 1%. But according to Jim Paulsen, the Leuthold Group's chief investment strategist, rising interest rates do not represent a long-term threat to the stock market. Paulsen expects the 10-year yield to cross 2% by the end of the year. A spike in interest rates and its impact on the stock market depends on the economic backdrop, according to Paulsen. Rising interest rates amid a strengthening economy "may prove no challenge at all for stocks," Paulsen said.

چند نکته مهم تامپوناد:

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