{"id":12580,"date":"2022-02-01T22:03:44","date_gmt":"2022-02-01T15:03:44","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12580"},"modified":"2022-02-01T22:03:44","modified_gmt":"2022-02-01T15:03:44","slug":"11-dau-hieu-f0-can-duoc-xu-tri-cap-cuu-va-chuyen-vien-kip-thoi-theo-huong-dan-moi-nhat-cua-bo-y-te","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/02\/01\/11-dau-hieu-f0-can-duoc-xu-tri-cap-cuu-va-chuyen-vien-kip-thoi-theo-huong-dan-moi-nhat-cua-bo-y-te\/","title":{"rendered":"11 d\u1ea5u hi\u1ec7u F0 c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi theo h\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t c\u1ee7a B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<h2 class=\"article-summary\">Khi ph\u00e1t hi\u1ec7n b\u1ea5t c\u1ee9 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh COVID-19 (F0) \u0111\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n ph\u1ea3i b\u00e1o c\u00e1o ngay v\u1edbi c\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19; tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng; ho\u1eb7c tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng, Trung t\u00e2m v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u\u2026 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi&#8230;<\/h2>\n<div class=\"article-body-text\">\n<p>B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh &#8220;H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0&#8221;. Quy\u1ebft \u0111\u1ecbnh n\u00e0y c\u00f3 hi\u1ec7u l\u1ef1c k\u1ec3 t\u1eeb ng\u00e0y 31\/1\/2022 v\u00e0 thay th\u1ebf Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4038\/Q\u0110-BYT ng\u00e0y 21\/8\/2021 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban h\u00e0nh Hu\u031b\u01a1\u0301ng d\u00e2\u0303n ta\u0323m th\u01a1\u0300i v\u00ea\u0300 qua\u0309n ly\u0301 ngu\u031b\u01a1\u0300i m\u1eafc COVID-19 ta\u0323i nha\u0300 v\u00e0 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4109\/Q\u0110-BYT ng\u00e0y 26\/8\/2021 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban h\u00e0nh Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0.<\/p>\n<p>&#8220;H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0&#8221; \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng v\u1edbi m\u1ee5c \u0111\u00edch cung c\u1ea5p c\u00e1c h\u01b0\u1edbng d\u1eabn v\u00e0 quy \u0111\u1ecbnh v\u1ec1 qu\u1ea3n l\u00fd, h\u1ed7 tr\u1ee3 v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi nhi\u1ec5m SARS-CoV-2 v\u00e0 ng\u01b0\u1eddi b\u1ec7nh COVID-19 m\u1ee9c \u0111\u1ed9 nh\u1eb9 t\u1ea1i nh\u00e0.<\/p>\n<div class=\"image-container\" title=\"Nh\u00e2n vi\u00ean y t\u1ebf \u1edf Y\u00ean B\u00e1i t\u01b0 v\u1ea5n, h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c cho F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/cbc1f396ddde34806dcf#219328678\" alt=\"Zalo\" \/><figcaption>Nh\u00e2n vi\u00ean y t\u1ebf \u1edf Y\u00ean B\u00e1i t\u01b0 v\u1ea5n, h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c cho F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/figcaption><\/figure>\n<\/div>\n<p><strong>3 ti\u00eau ch\u00ed l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi m\u1eafc COVID-19 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/strong><\/p>\n<p>Th\u1ee9 nh\u1ea5t, l\u00e0 ng\u01b0\u1eddi m\u1eafc COVID-19 (\u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh nhi\u1ec5m SARS-CoV-2 b\u1eb1ng x\u00e9t nghi\u1ec7m realtime RT-PCR ho\u1eb7c test nhanh kh\u00e1ng nguy\u00ean theo quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh) kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng; ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9: nh\u01b0 s\u1ed1t, ho khan, \u0111au h\u1ecdng, ngh\u1eb9t m\u0169i, m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, \u0111au m\u1ecfi c\u01a1, t\u00ea l\u01b0\u1ee1i; ti\u00eau ch\u1ea3y, ch\u1ea3y m\u0169i, m\u1ea5t m\u00f9i, m\u1ea5t v\u1ecb.<\/p>\n<p>Th\u1ee9 hai, kh\u00f4ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam ph\u1ed5i ho\u1eb7c thi\u1ebfu \u00f4 xy; nh\u1ecbp th\u1edf 96% khi th\u1edf kh\u00ed tr\u1eddi; kh\u00f4ng c\u00f3 th\u1edf b\u1ea5t th\u01b0\u1eddng nh\u01b0 th\u1edf r\u00ean, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, th\u1edf kh\u00f2 kh\u00e8, th\u1edf r\u00edt \u1edf th\u00ec h\u00edt v\u00e0o.<\/p>\n<p>Th\u1ee9 ba , kh\u00f4ng m\u1eafc b\u1ec7nh n\u1ec1n, ho\u1eb7c c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0ng \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh.<\/p>\n<p><strong>11 d\u1ea5u hi\u1ec7u F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi<\/strong><\/p>\n<p>H\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf n\u00eau r\u00f5 n\u1ed9i dung theo d\u00f5i s\u1ee9c kh\u1ecfe h\u00e0ng ng\u00e0y g\u1ed3m: Ch\u1ec9 s\u1ed1: nh\u1ecbp th\u1edf, m\u1ea1ch, nhi\u1ec7t \u0111\u1ed9, SpO2 v\u00e0 huy\u1ebft \u00e1p (n\u1ebfu c\u00f3 th\u1ec3).<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng: m\u1ec7t m\u1ecfi, ho, ho ra \u0111\u1eddm, \u1edbn l\u1ea1nh\/gai r\u00e9t, vi\u00eam k\u1ebft m\u1ea1c (m\u1eaft \u0111\u1ecf), m\u1ea5t v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c, ti\u00eau ch\u1ea3y (ph\u00e2n l\u1ecfng\/\u0111i ngo\u00e0i); Ho ra m\u00e1u, th\u1edf d\u1ed1c ho\u1eb7c kh\u00f3 th\u1edf, \u0111au t\u1ee9c ng\u1ef1c k\u00e9o d\u00e0i, l\u01a1 m\u01a1, kh\u00f4ng t\u1ec9nh t\u00e1o; C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0: \u0110au h\u1ecdng, nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, \u0111au nh\u1ee9c c\u01a1,\u2026<\/p>\n<p>Theo h\u01b0\u1edbng d\u1eabn do B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh, c\u00f3 11 d\u1ea5u hi\u1ec7u ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi<\/p>\n<p>Khi ph\u00e1t hi\u1ec7n b\u1ea5t c\u1ee9 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u1ea3i b\u00e1o c\u00e1o ngay v\u1edbi c\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0; tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng; ho\u1eb7c tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng, Trung t\u00e2m v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u\u2026 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi:<\/p>\n<p>1) Kh\u00f3 th\u1edf, th\u1edf h\u1ee5t h\u01a1i, ho\u1eb7c \u1edf tr\u1ebb em c\u00f3 d\u1ea5u hi\u1ec7u th\u1edf b\u1ea5t th\u01b0\u1eddng: th\u1edf r\u00ean, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, kh\u00f2 kh\u00e8, th\u1edf r\u00edt th\u00ec h\u00edt v\u00e0o.<\/p>\n<p>2) Nh\u1ecbp th\u1edf<\/p>\n<p>&#8211; Ng\u01b0\u1eddi l\u1edbn: nh\u1ecbp th\u1edf \u2265 20 l\u1ea7n\/ph\u00fat<\/p>\n<p>&#8211; Tr\u1ebb t\u1eeb 1 \u0111\u1ebfn d\u01b0\u1edbi 5 tu\u1ed5i: Nh\u1ecbp th\u1edf: \u2265 40 l\u1ea7n\/ph\u00fat,<\/p>\n<p>&#8211; Tr\u1ebb t\u1eeb 5 \u2013 d\u01b0\u1edbi 12 tu\u1ed5i: nh\u1ecbp th\u1edf: \u2265 30 l\u1ea7n\/ph\u00fat<\/p>\n<p>(L\u01b0u \u00fd \u1edf tr\u1ebb em: \u0111\u1ebfm \u0111\u1ee7 nh\u1ecbp th\u1edf trong 1 ph\u00fat khi tr\u1ebb n\u1eb1m y\u00ean kh\u00f4ng kh\u00f3c).<\/p>\n<p>3) SpO2 \u2264 96% (tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n ch\u1ec9 s\u1ed1 SpO2 b\u1ea5t th\u01b0\u1eddng c\u1ea7n \u0111o l\u1ea1i l\u1ea7n 2 sau 30 gi\u00e2y \u0111\u1ebfn 1 ph\u00fat, khi \u0111o y\u00eau c\u1ea7u gi\u1eef y\u00ean v\u1ecb tr\u00ed \u0111o).<\/p>\n<p>4) M\u1ea1ch nhanh &gt; 120 nh\u1ecbp\/ph\u00fat ho\u1eb7c &lt; 50 nh\u1ecbp\/ph\u00fat.<\/p>\n<p>5) Huy\u1ebft \u00e1p th\u1ea5p: huy\u1ebft \u00e1p t\u1ed1i \u0111a &lt; 90 mmHg, huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u &lt; 60 mmHg (n\u1ebfu c\u00f3 th\u1ec3 \u0111o).<\/p>\n<p>6) \u0110au t\u1ee9c ng\u1ef1c th\u01b0\u1eddng xuy\u00ean, c\u1ea3m gi\u00e1c b\u00f3 th\u1eaft ng\u1ef1c, \u0111au t\u0103ng khi h\u00edt s\u00e2u.<\/p>\n<p>7) Thay \u0111\u1ed5i \u00fd th\u1ee9c: l\u00fa l\u1eabn, ng\u1ee7 r\u0169, l\u01a1 m\u01a1, r\u1ea5t m\u1ec7t\/m\u1ec7t l\u1ea3, tr\u1ebb qu\u1ea5y kh\u00f3c, li b\u00ec kh\u00f3 \u0111\u00e1nh th\u1ee9c, co gi\u1eadt.<\/p>\n<p>8) T\u00edm m\u00f4i, t\u00edm \u0111\u1ea7u m\u00f3ng tay, m\u00f3ng ch\u00e2n, da xanh, m\u00f4i nh\u1ee3t, l\u1ea1nh \u0111\u1ea7u ng\u00f3n tay, ng\u00f3n ch\u00e2n.<\/p>\n<p>9) Kh\u00f4ng th\u1ec3 u\u1ed1ng ho\u1eb7c b\u00fa k\u00e9m\/gi\u1ea3m, \u0103n k\u00e9m, n\u00f4n (\u1edf tr\u1ebb em). Tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng vi\u00eam \u0111a h\u1ec7 th\u1ed1ng: s\u1ed1t cao, \u0111\u1ecf m\u1eaft, m\u00f4i \u0111\u1ecf, l\u01b0\u1ee1i d\u00e2u t\u00e2y, ng\u00f3n tay ch\u00e2n s\u01b0ng ph\u00f9 n\u1ed5i h\u1ed3ng ban&#8230;<\/p>\n<p>10) M\u1eafc th\u00eam b\u1ec7nh c\u1ea5p t\u00ednh: s\u1ed1t xu\u1ea5t huy\u1ebft, tay ch\u00e2n mi\u1ec7ng&#8230;<\/p>\n<p>11) B\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng b\u1ea5t \u1ed5n n\u00e0o c\u1ee7a ng\u01b0\u1eddi m\u1eafc COVID-19 m\u00e0 th\u1ea5y c\u1ea7n b\u00e1o c\u01a1 s\u1edf y t\u1ebf.<\/p>\n<p>B\u1ed9 Y t\u1ebf n\u00eau r\u00f5 ng\u01b0\u1eddi m\u1eafc COVID-19 n\u00ean ngh\u1ec9 ng\u01a1i, v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c nh\u1eb9 (ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe); t\u1eadp th\u1edf \u00edt nh\u1ea5t 15 ph\u00fat m\u1ed7i ng\u00e0y; U\u1ed1ng n\u01b0\u1edbc th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng \u0111\u1ee3i \u0111\u1ebfn khi kh\u00e1t m\u1edbi u\u1ed1ng n\u01b0\u1edbc; kh\u00f4ng b\u1ecf b\u1eefa; t\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng: \u0103n \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t, \u0103n tr\u00e1i c\u00e2y, u\u1ed1ng n\u01b0\u1edbc hoa qu\u1ea3\u2026 v\u00e0 suy ngh\u0129 t\u00edch c\u1ef1c, duy tr\u00ec t\u00e2m l\u00fd tho\u1ea3i m\u00e1i.<\/p>\n<p><strong>B\u1ed9 Y t\u1ebf.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Khi ph\u00e1t hi\u1ec7n b\u1ea5t c\u1ee9 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh COVID-19 (F0) \u0111\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n ph\u1ea3i b\u00e1o c\u00e1o ngay v\u1edbi c\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19; tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng; ho\u1eb7c tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng, Trung t\u00e2m v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u\u2026 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":12291,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241,235],"tags":[],"class_list":["post-12580","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=12580"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12580\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12291"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12580"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12580"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}