Yu go dɔn si, ɔ yɛri, dɛn de gi pɔsin ‘salin’ na ɔspitul. Dɛn kin put kanula insay di an, ɛn dɛn kin pɔmp wata insay di bɔdi frɔm wan bag we de hang pan ay stand. Bɔku pipul dɛn kin fred dis smɔl, ɛn sɔm kin tink se dis na sɔntin we dɛn kin gi fɔ siriɔs sik nɔmɔ. Wetin na dɛn IV fluid ya, ɔ di saline we wi ɔl no? Us sityueshɔn dɛn dɛn kin gi am? Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin mek wi nid IV Fluid?
Fɔ tɔk am simpul wan, IV (intravenous) fluid na spɛshal wata we dɛn kin gi di bɔdi tru wan vein. Di men rizin fɔ gi dɛn na fɔ mek dɛn nɔ gɛt ɔ trit di wata we nɔ gɛt wata , we na we di wata ɛn impɔtant sɔl dɛn na di bɔdi kin denja fɔ smɔl.
Wi bɔdi na 60% wata. So imajin wetin go apin if dis kayn wata go dɔŋ. Wata impɔtant fɔ ɔl di sɛl ɛn ɔgan dɛn na di bɔdi. If pɔsin nɔ ebul fɔ kip di wata we i nid na in bɔdi bay we i de drink wata wit in mɔt, IV wata kin impɔtant.
| Men situeshɔn dɛm we dɛn kin nid IV Fluid | |
|---|---|
| Fɔ sik bad bad wan | We yu gɛt bad bad vɔmit ɛn dayarɛa , bɔku bɔku wata kin lɔs na yu bɔdi kwik kwik wan. Dɛn kayn tɛm ya, di tin dɛn we pɔsin kin tek na in mɔt, di bɔdi nɔ kin tek am. |
| Ɛksesaiz ɛn ɔt pasmak | We yu nɔ drink bɛtɛ wata, ɛksesaiz pasmak, ɔ yu de na di san we de shayn bad bad wan, bɔku bɔku wata kin lɔs na yu bɔdi tru swet. |
| Siriɔs injuri ɔ bɔn | We dɛn kayn tin ya kin apin, di bɔdi kin lɔs bɔku bɔku wata. |
| Ɔpreshɔn | Ɛspɛshali pan ɔpreshɔn we dɛn kin du ɔnda anestezi (put to slip), dɛn kin gi am IV wata bikɔs di pɔsin nɔ kin ebul fɔ it ɔ drink ɛn i nid wata we dɛn de du di ɔpreshɔn. |
Efεkt εn simptom dεm wae de kam wae yu nɔr gɛt wata na yu bɔdi
We di bɔdi nɔ gɛt wata, i kin afɛkt bɔku tin dɛn.
- Lɔs di ilɛktrɔlayt balans na di bɔdi.
- Di mental pefomans we de dכn εn di mεmכri we de dכn.
- Lɔs pan ɛnaji, fil taya ɔltɛm.
- I nɔ de digest ɔltɛm ɛn i nɔ de muv di bɔdi.
- Inkris frɛkuɛns ɛn intensiti fɔ ed pen.
- Damej pan di men ɔgan dɛm lɛk di kidni, at , ɛn bren.
- Wiknɛs we yu de du tin fɔ du wit yu bɔdi.
- Di bad bad tin dɛn we de apin na di skin.
Naw, dis na di sayn dɛm wae kin sho se pɔrsin nɔr gɛt bɛtɛ wata na in bɔdi bad bad wan. If yu gɛt wan ɔ mɔ pan dɛn tin ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
| Di sayn we de sho se di sik de | Aw yu de fil/luk |
|---|---|
| Diziz we pɔsin kin gɛt | Fɔ fil diziz we yu tinap ɔ grap. |
| Dray yay | Fɔ fil se yu yay dray te yu wata nɔ de kɔmɔt ivin we yu de kray. |
| Dray lip ɛn tɔŋ | Nɔ gɛt saliva, di lip dɛn we chɛp, ɛn di tɔŋ we dray. |
| Dray skin | Di skin kin dray, i kin rɔtin, ɛn sɔntɛnde, spat kin de na di skin. |
| Taya | Fɔ fil taya pasmak ivin we yu nɔ du ɛni wok. |
| Fɔ blo kwik kwik wan | di rεt fכ brith hכy pas nכmal. |
| Kol an ɛn fut | Fɔ fil kol we yu tɔch yu an ɛn fut. |
| Di we aw yu de pis nɔ de bɔku | If yu pis pas 4 tɛm insay di de ɛn di urine we de kɔmɔt na do kin dak yɔlɔ. |
Wetin na di kayn IV fluid dɛm?
Yu dɔktɔ go disayd us kayn IV wata yu nid. I go difrɛn difrɛn wan bay aw yu sik. Tu men kayn dɛn de.
Kristalɔyd Sɔlwɛshɔn dɛn
Na dɛn wan ya dɛn kin yuz mɔ. Di smɔl smɔl tin dɛn we de insay dɛn wata ya kin pas izi wan na wi blɔd ɛn go insay wi sɛl dɛn.
- Nɔmal Salin : Dis na wetin wi ɔl no as ‘salin’. Fɔ tɔk am simpul wan, i gɛt wata ɛn sɔl ( sodium chloride).
- D5W: Dis kin gɛt dɛkstroz, we na wan kayn shuga, ɛn wata.
- Lactated Ringer’s: Dis gɛt sɔdiɔm, klorayd, potashɔm, kalsiɔm, ɛn laktat. Dɛn kin yuz am we dɛn nid fɔ gi bɔku bɔku wata to di bɔdi kwik kwik wan.
Kɔlɔyd Sɔlwɛshɔn dɛn
Dɛn tin ya na big big pat dɛn. Dɛn nɔ kin izi fɔ go insay di sɛl dɛn ɛn bɔku tɛm dɛn kin de na di blɔd. Albumin ɛn hetastarch na ɛgzampul dɛn fɔ dis.
Wetin kin apin we dɛn put IV?
Na dɔktɔ ɔ nɔs we dɛn dɔn tren kin du dis. Na tin we kin apin smɔl smɔl.
1. Fɔs, wi kin no di kayn ɛn di kayn wata we yu nid fɔ tek di IV wata bay yu wet, ej, ɛn di mɛrɛsin we yu gɛt.
2. Nεks, dεn kin klin di say we dεn go put di kanula (bכku tεm insay di εlbo כ di כp an) fayn fayn wan wit antiseptik sכlushכn.
3. dεn tay di כp an wit εlastik bכnd (tכnik) fכ mek di vein kכmכt.
4. Dɛn kin pik wan fayn vein ɛn put wan kanula we dɛn dɔn stɛrilayz (wan smɔl plastic tiub we gɛt nidul) insay. Na dis tɛm , yu go fil smɔl smɔl, bɔt i go jɔs bi fɔ shɔt tɛm.
5. wans dεn put di kanula insay di vein, dεn de pul di εlastik bכnd.
6. Dɛn kin tay di kanula na di an wit plasta fɔ mek i nɔ muf.
7. afta dat, di lכng tכb we kכnekt to di IV fluid bag de kכnekt to di kanula.
8. dεn de hang di IV fluid bag pan wan tכl stand (IV stand), εn dεn de fos di fכs fכ go insay di bכdi pan wan rεt we dεn se tru wan pכmp mashin כ bay graviti.
9. Di wan dɛn we de wok na di mɛdikal de wach dis prɔses ɔltɛm.
If yu fil se di flɔ rit tu ay/tu smɔl we di IV de, if di kanula de pen, if i tan lɛk se di kanula dɔn lɔs, if yu gɛt ed we de at, ɔ if yu gɛt prɔblɛm fɔ blo, tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
IV rihaydreshɔn, ɔ fɔ gi wata insay wan vein, na tin we rili kɔmɔn, simpul, ɛn sef. I de gi wi bak kwik kwik wan. I kin ivin ɛp fɔ sev pɔsin we sik bad bad wan in layf.
Bɔt sɔm prɔblɛm dɛn de we kin apin we nɔ kin apin so ɔltɛm. Wi nɔ nid fɔ wɔri bɔt dɛn tin ya, bɔt i fayn fɔ mek wi no.
| Kɔmplikɛshɔn | Wetin dat min? |
|---|---|
| Embolizm we dɛn kɔl Air Embolism | di briz we de go insay di vein tru di IV layn. Dis nɔ kin apin so ɔltɛm, bɔt i kin siriɔs. |
| Vein we dɔn fɔdɔm | di vein kin kכnstrikt we dεn put di kanula כ lεf am na in ples fכ lכng tεm. If na so i bi, di wan dɛn we de wok na di mɛrɛsin go yuz difrɛn vein. |
| Fluid Ɔvalod | If yu tek bɔku wata kwik kwik wan, dat kin mek yu ed at, yu blɔd prɛshɔn, ɛn i nɔ kin izi fɔ blo. Yu kin avɔyd dis bay we yu ajɔst di lɛvɛl we di wata de kɔmɔt. |
| Blɔd we de klɔt (Hematoma) . | Blɔd we de lik frɔm wan vein to di tisu we de rawnd am. I tan lɛk brus ɛn i kin wɛl insay sɔm wiks. |
| Sik we de prɛd | Infεkshכn kin apin if dεn nכ klin di say we dεn put di kanula fayn fayn wan. Antibayɔtik kin trit dɛn. |
| Lik we de lik (Infiltration) . | Fluid kin lik kכmכt na di vein insay di tisu dεm bikoz fכ di muvmεnt fכ di kanula. Smɔl pen ɛn brus kin apin bɔt i kin izi fɔ sɔlv. |
| Plɛbitis (we de swel na di vein) . | Di IV de mek di vein swel. Dis kin rili kɔmɔn ɛn yu kin trit am bay we yu pul di kanula, put ɔt, ɛn es di an ɔp. |
Mɛsej we dɛn kin kɛr go na os
- IV fluid, ɔ ‘saline’, na tritmɛnt we dɛn kin gi mɔ fɔ wata ɛn sɔl we nɔ de na di bɔdi (dehydration).
- Di wata we nɔ de na di bɔdi nɔto sɔntin we pɔsin fɔ tek am layt. If yu gɛt siriɔs sayn dɛn we de sho se yu nɔ gɛt wata na yu bɔdi, go to dɔktɔ wantɛm wantɛm.
- Fɔ gi IV wata na tin we rili sef we dɛn kin du na ɔspitul. Nɔ fred am we yu nɔ nid fɔ fred.
- Di kayn ɛn di kayn wata we yu nid fɔ tek IV, na yu dɔktɔ go disayd afta i dɔn chɛk yu mɛrɛsin.
- If yu fil ɛni prɔblɛm we di IV de, mek di dɔktɔ ɔ nɔs no wantɛm wantɛm.
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