Читать книгу Small Animal Surgical Emergencies - Группа авторов - Страница 138
Monitoring Response to Treatment
ОглавлениеMonitoring the response to treatment should begin immediately and should be performed repeatedly throughout resuscitation. Frequent reassessment of heart rate, pulse rate and quality, mucous membrane color, capillary refill time, and level of consciousness should be made, in addition to repeated measurements of blood pressure, blood lactate, blood oxygen saturation via pulse oximetry, and electrocardiogram (ECG) monitoring. Positive responses to resuscitation are reflected by normalization of heart rate and pulse quality, return of mucous membrane color to pink, with a capillary refill time of less than two seconds, normalization of respiratory rate and effort, and an improved level of consciousness. Measured responses include normalization of blood pressure and lactate, stabilization and/or elevation of hematocrit, and blood oxygen saturation greater than 95%.