Tabela 2.
MEWS
Z uporabo teh osnovnih kliničnih parametrov lahko ugotovimo, kateri bolniki potrebujejo dodatno
pozornost. Absolutna vrednost seštevka
ali porast te, sta sprožilec za opozorilo zdravniku ali bolj
izkušeni medicinski sestri (14, 15). Pri seštevku 6 ali več točk je bolnik zelo nujen in sodi v prvo ali drugo
skupino nujnosti.
Zaključek
Na IPP se kot povsod drugod srečujemo z vedno večjim prilivom bolnikov. Da bi med temi našli
bolnike, ki so življenjsko ogroženi in preprečili pojav ZS, smo v opazovalnicah IPP začeli uvajati
prilagojen točkovni sistem MEWS.
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1.
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Točke
3
2
1
0
1
2
3
Sistolični tlak
<70
71-80
81-100
101-199
>200
Srčna frekvenca
<40
41-50
51-100
101-110
111-129
>130
Frekvenca dihanja
<9
9-14
15-20
21-29
>30
Temperatura (°C)
<35
35.0-38.4
>38.5
Stanje zavesti (AVPU)
zmeden
buden,
normalen
reagira na
glas
reagira na
bolečino
neodziven
URGENTNA MEDICINA - IZBRANA POGLAVJA 2010
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