Avtor/Urednik		Jenko-Burgar, Marija
Naslov		Obravnava nujnega stanja pri bolnikih s srčnim popuščanjem
Prevedeni naslov		Patient with congestive heart failure in emergency care
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 40, št. 3-6
Leto izdaje		2001
Obseg		str. 133-8
Jezik		slo
Abstrakt		Approach, diagnosing, treatment and dilemmas of a general practitioner dealing with a patient with congestive heart failure are presented in the contribution. Emergency state is an acute situation which demands quick and appropriate measures, otherwise substantial deterioration of health state can occurin a short time, and can lead to death. Heart failure is a pathophysiological state in which - owing to some deficiency in heart performance - cardiac output is insufficient for metabolic requirements of peripheral organs or it is sufficient only of the cost of an elevated filling pressure. Most severe manifestations of heart failure are pulmonary edema of cardiac origin and cardiogenic shock. Both request urgent therapy already at patients home and during the time of transport to the hospital. Untreated heart failure can lead to death in less than half an hour. Following themes will be discussed treatment of patient with pulmonary edema of cardiac origin, treatment of patient with cardiogenic shock and treatment of patient with mild heart failure.
Izvleček		Namen mojega prispevka je predstaviti pristop, prepoznavo zdravljenje in dileme zdravnika splošne medicine ob srečanju z bolnikom s srčnim popuščanjem. Urgentno stanje je akutno dogajanje, ki zahteva hitro in pravilno ukrepanje, sicer se v kratkem času poslabša zdravstveno stanje bolnika, kar lahko vodi v smrt. Srčno popuščanje je patofiziološko stanje, v katerem je zaradi neke nepravilnosti v delovanju srca njegov minutni volumen premajhen za metabolične potrebe perifernih organov ali pa je zadosten za ceno povečanega polnitvenege tlaka. Najbolj resna pojava srčnega popuščanja sta kardiogeni pljučni edem in kardiogeni šok. Oba zahteva urgentno zdravljenje že na bolnikovem domu in med prevozom v bolnišnico. Nezdravljena lahko v manj kot pol ure privedeta do smrti bolnika. V prispevku se bom omejila na obravnavo bolnika s kardiogenim pljučnim edemom, bolnika v kardiogenem šoku in bolnika z blagim srčnim popuščanjem.
Deskriptorji		HEART FAILURE, CONGESTIVE EMERGENCIES PULMONARY EDEMA SHOCK, CARDIOGENIC