Ramsay Sedation Scale

[mngony]

habari zenu ndugu, naomba mnisaidie kunielezea hiyo scale inayohusu levels za sedation kwa watu waliopewa sedative drugs au narcotics

 

[mngony]

jamani nasubiri msaada wenu

 

[mngony]

bado nasubiri msaada wenu wanandugu naona kimya

 

[Dr-Rick]

Level ya scale? Kwenye nin labda? Coz seductive and narotic hizi nikwaajili ya muscle and the body relaxation sasa unazungumzia level kwenye nini kwenye plasma au?sijakuelewa

 

[mngony]

nazungumzia level ya effect ya hizo drug kwa mgonjwa ambayo itaathiri mgonjwa ana respond vp. kwa mfano level ya mwisho ya sedation niliambiwa mgonjwa anakuwa ha-respond kabisa Dr-Rick

 

[Dr-Rick]

Nacho weza kukuambia ni kwamba sedactive hypnotics hutumika sana kwa ajili ya "insomania" treatment coz zina anagesic effect on the brain. Ukisema sedactive unamaana normal sleep bt ukisema hypnotic unamaanisha deep sleep. Hii hufanyika kulingana na dose let say ukimpa mtu large dose of phenobarbital atapata hypnotic bt ukimpa small dose atapata sedactive! Ambapo akishtuka anaweza kupata headeche,hangover,nausea, au ikizid anaweza kupata mental deepration even death coz dawa hizi hupunguza mascle activt such as breathng ret,or hypersenstivity! Nazan nimejibu swali lako?

 

[mngony]

ok, je hizo drug zikiwa administrd ktk kiwango fulani zinaweza kutumika as mind control drug coz kuna kiwango mgonjwa anakuwa ana respond to command tu

 

[damian marijani]

Ramsay Sedation Scale inatumika kwenye ICU ambapo baadhi ya wagonjwa wanapewa dawa zinazowafanya walale au kupumbaa.Hivyo wameweka hii scale ili waweze kurecord objectively hali ya mgonjwa. Ifuatayo ni chart ambayo inatumika. Kama haieleweki basi nifahamishe.
Ramsay sedation scale
[TABLE="class: MsoNormalTable, width: 408"]
[TR]
[TD="width: 64, bgcolor: transparent"]Score
[/TD]
[TD="width: 464, bgcolor: transparent"]Response
[/TD]
[/TR]
[TR]
[TD="width: 64, bgcolor: transparent"]1
[/TD]
[TD="width: 464, bgcolor: transparent"]Anxious or restless or both
[/TD]
[/TR]
[TR]
[TD="width: 64, bgcolor: transparent"]2
[/TD]
[TD="width: 464, bgcolor: transparent"]Cooperative, orientated and tranquil
[/TD]
[/TR]
[TR]
[TD="width: 64, bgcolor: transparent"]3
[/TD]
[TD="width: 464, bgcolor: transparent"]Responding to commands
[/TD]
[/TR]
[TR]
[TD="width: 64, bgcolor: transparent"]4
[/TD]
[TD="width: 464, bgcolor: transparent"]Brisk response to stimulus
[/TD]
[/TR]
[TR]
[TD="width: 64, bgcolor: transparent"]5
[/TD]
[TD="width: 464, bgcolor: transparent"]Sluggish response to stimulus
[/TD]
[/TR]
[TR]
[TD="width: 64, bgcolor: transparent"]6
[/TD]
[TD="width: 464, bgcolor: transparent"]No response to stimulus
[/TD]
[/TR]
[/TABLE]

Motor activity assessment scale
[TABLE="class: MsoNormalTable, width: 100%"]
[TR]
[TD="width: 7%, bgcolor: transparent"]Score
[/TD]
[TD="width: 19%, bgcolor: transparent"]Level of sedation
[/TD]
[TD="width: 25%, bgcolor: transparent"]Response to stimulation
[/TD]
[TD="width: 21%, bgcolor: transparent"]Response to command
[/TD]
[TD="width: 24%, bgcolor: transparent"]Examples of type of complex motor activity
[/TD]
[/TR]
[TR]
[TD="width: 7%, bgcolor: transparent"]6
[/TD]
[TD="width: 19%, bgcolor: transparent"]Dangerously agitated and uncooperative.
[/TD]
[TD="width: 25%, bgcolor: transparent"]No external stimulus required to elicit movement.
[/TD]
[TD="width: 21%, bgcolor: transparent"]Does not calm down when asked.
[/TD]
[TD="width: 24%, bgcolor: transparent"]Patient pulling at tubes or catheters or thrashing from side to side or striking at staff or trying to climb out of bed.
[/TD]
[/TR]
[TR]
[TD="width: 7%, bgcolor: transparent"]5
[/TD]
[TD="width: 19%, bgcolor: transparent"]Agitated.
[/TD]
[TD="width: 25%, bgcolor: transparent"]No external stimulus required to elicit movement.
[/TD]
[TD="width: 21%, bgcolor: transparent"]Does not consistently obey commands (eg will lie down when asked but soon reverts to attempts to sit up)
[/TD]
[TD="width: 24%, bgcolor: transparent"]Patient attempts to sit up and moves limbs out of bed.
[/TD]
[/TR]
[TR]
[TD="width: 7%, bgcolor: transparent"]4
[/TD]
[TD="width: 19%, bgcolor: transparent"]Restless but cooperative
[/TD]
[TD="width: 25%, bgcolor: transparent"]No external stimulus required to elicit movement.
[/TD]
[TD="width: 21%, bgcolor: transparent"]Obeys commands.
[/TD]
[TD="width: 24%, bgcolor: transparent"]Patient is picking at sheets or tubes or uncovering self.
[/TD]
[/TR]
[TR]
[TD="width: 7%, bgcolor: transparent"]3
[/TD]
[TD="width: 19%, bgcolor: transparent"]Calm and cooperative
[/TD]
[TD="width: 25%, bgcolor: transparent"]No external stimulus required to elicit movement.
[/TD]
[TD="width: 21%, bgcolor: transparent"]Obeys commands.
[/TD]
[TD="width: 24%, bgcolor: transparent"]Patient adjusts sheets or clothes purposefully.
[/TD]
[/TR]
[TR]
[TD="width: 7%, bgcolor: transparent"]2
[/TD]
[TD="width: 19%, bgcolor: transparent"]Responsive to touch or name
[/TD]
[TD="width: 25%, bgcolor: transparent"]Opens eyes or raises eyebrows or turns head toward stimulus or moves limbs when touched or name is loudly spoken.
[/TD]
[TD="width: 21%, bgcolor: transparent"]
[/TD]
[TD="width: 24%, bgcolor: transparent"]
[/TD]
[/TR]
[TR]
[TD="width: 7%, bgcolor: transparent"]1
[/TD]
[TD="width: 19%, bgcolor: transparent"]Responsive only to noxious stimuli
[/TD]
[TD="width: 25%, bgcolor: transparent"]Opens eyes or raises eyebrows or turns head toward stimulus or moves limbs in response to noxious stimulus (tracheal suctioning or 5 secs of vigorous orbital, sternal or nailbed pressure)
[/TD]
[TD="width: 21%, bgcolor: transparent"]
[/TD]
[TD="width: 24%, bgcolor: transparent"]
[/TD]
[/TR]
[TR]
[TD="width: 7%, bgcolor: transparent"]0
[/TD]
[TD="width: 19%, bgcolor: transparent"]Unresponsive
[/TD]
[TD="width: 25%, bgcolor: transparent"]Does not move with noxious stimulus
[/TD]
[TD="width: 21%, bgcolor: transparent"]
[/TD]
[TD="width: 24%, bgcolor: transparent"]
[/TD]
[/TR]
[/TABLE]