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Care for a patient intoxicated by mushrooms - preparation of simulation scenarios
KOHOUTOVÁ, Denisa
The thesis focuses on patients mushroom poisoning and preparation of simulated scenarios. The thesis is mainly theoretical with addition of two simulated scenarios, which are supported by specialised literature, magazines and Czech or foreign websites. Firstly, intoxications in general overview, symptoms, first aid and treatment are studied. In the next chapters complete overview and description of mushrooms is given, without it the thesis would be incomplete. Lastly, mushroom intoxication, its symptoms, pre-hospital care, treatment and hospital care are described. Mushroom intoxication is immediate life threatening condition, if it is not treated correctly and in time. Suicide and accident can be reasons for this type of intoxication. Early diagnoses of the toxic substance in the mushroom and early treatment are used to treat even the harshest of cases. Most common, however less serious, intoxications are caused by panther cap, this type of mushroom is easily mistaken for blusher. As the most dangerous mushrooms intoxication is considered the one caused by death angel. Death angel consists of high number of toxins and is often mistaken for blusher or champignon. The death doses of this mushroom is estimated to only few tenths of a gram - in other words to one mushroom or less. Consumption of poisonous mushroom mostly affects liver and kidneys. Blood chemistry test, urine test and test of the gastric content are important parts of diagnosing mushroom intoxication. Important step of removing and eliminating toxins from patient's body is invoked vomiting and gastric lavage with administration of bituminous coal. Hospital care provided by nurse is significant part of intoxication treatment. Nurses take care of airways, they monitor basic vital functions, assist during invasive procedure, collect blood samples based on doctor's ordination and they provide hygienic care and decubitus prevention. Diploma thesis can be provided as a textbook material for nurses and paramedics. Mostly in regard to simulated scenarios.
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Training of cardiopulmonary resuscitation in hospital - preparation of the simulation scenarios
BUROŇOVÁ, Nikola
Presented thesis deals with the topic of training of cardiopulmonary resuscitation at hospital and preparation of the simulation scenarios. It contains theoretical and empirical part. The objective of the thesis was to find out about the process of the training for nurses at hospital. To analyze their readiness for providing cardiopulmonary resuscitation based on training they absolve. And then to map missing elements within cardiopulmonary resuscitation training. Three research questions were focused on these objectives. In which way current training of cardiopulmonary resuscitation at hospital takes place? To what extent are nurses ready to provide cardiopulmonary resuscitation to a patient at their workplace? Which shortcoming contain trainings of cardiopulmonary resuscitation at hospital to this point? For gathering the necessary information, qualitative research was chosen. The technique of semi-structured interviews and observation was chosen. The research sample was made up of 11 probands, meaning nurses working at chirurgical and intern standard department and chirurgical and internal intensive care unit at the same hospital. The condition of the same workplace was chosen so all nurses will have absolved the same trainings. The results of the research shown that training does not involve simulation training, but nurses would welcome this option. Training takes place at prepared mannequins, not within a simulation scenario and authentic situation at a department. Also, mostly on the basis of absolved trainings they feel prepared to provide CPR at their department but mostly because they know that they are not alone at the department. Among the most common shortcomings of the training they rank aids to CPR - real mannequins, real situation but also training room. The thesis will be beneficial to development of CPR training for nurses but also for students getting ready for the profession of general nurse. And that mostly because of simulation scenarios creation which are output of the thesis and is based on research in which we tried to find out opinions and needs of nurses connected with training.
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