{"id":25611,"date":"2023-04-20T18:59:25","date_gmt":"2023-04-20T11:59:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25611"},"modified":"2023-04-21T11:51:01","modified_gmt":"2023-04-21T04:51:01","slug":"ung-dung-thang-diem-rass-trong-danh-gia-kich-thich-than-kinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/ung-dung-thang-diem-rass-trong-danh-gia-kich-thich-than-kinh\/","title":{"rendered":"\u1ee8ng d\u1ee5ng thang \u0111i\u00ea\u0309m RASS trong \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh"},"content":{"rendered":"

Thang \u0111i\u00ea\u0309m \u0111a\u0301nh gia\u0301 ki\u0301ch thi\u0301ch – an th\u00e2\u0300n<\/a> cu\u0309a Richmond (RASS: The Richmond Agitation-Sedation Scale) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 quan tr\u1ecdng. \u1ee8ng d\u1ee5ng thang \u0111i\u1ec3m RASS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch trong \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n. Thang \u0111i\u1ec3m n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u01b0\u0323 tr\u01a1\u0323 va\u0300 \u0111\u00f4\u0323 t\u01b0\u0323 chu\u0309 \u0111\u00f4\u0323ng cu\u0309a b\u00ea\u0323nh nh\u00e2n \u0111\u00f4\u0301i v\u01a1\u0301i c\u00e1c ho\u1ea1t \u0111\u1ed9ng.<\/strong><\/p>\n

\"hang
Thang \u0111i\u1ec3m RASS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch trong \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n.<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 thang \u0111i\u1ec3m RASS<\/h2>\n

Thang \u0111i\u1ec3m RASS (Richmond Agitation-Sedation Scale) \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf t\u1ea1i \u0110\u1ea1i h\u1ecdc Virginia Commonwealth, M\u1ef9 v\u00e0o nh\u1eefng n\u0103m 1990. Thang \u0111i\u1ec3m n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean theo th\u00e0nh ph\u1ed1 Richmond \u1edf ti\u1ec3u bang Virginia, n\u01a1i c\u00e1c chuy\u00ean gia \u0111\u00e3 ph\u00e1t tri\u1ec3n n\u00f3.<\/p>\n

Ban \u0111\u1ea7u, thang \u0111i\u1ec3m RASS \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u01b0\u0323 tr\u01a1\u0323 v\u00e0 \u0111\u1ed9 t\u01b0\u0323 chu\u0309 \u0111\u00f4\u0323ng c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ed1i v\u1edbi vi\u1ec7c gi\u1ea3m \u0111au trong c\u00e1c \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c t\u00edch c\u1ef1c. Sau \u0111\u00f3, n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong nhi\u1ec1u l\u0129nh v\u1ef1c, bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb \u0111au, ph\u1eabu thu\u1eadt v\u00e0 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t.<\/p>\n

Thang \u0111i\u1ec3m RASS g\u1ed3m 10 m\u1ee9c \u0111\u1ed9 t\u1eeb -5 \u0111\u1ebfn +4, v\u1edbi m\u1ed7i m\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ed9t m\u00f4 t\u1ea3 kh\u00e1c nhau v\u1ec1 tr\u1ea1ng th\u00e1i tinh th\u1ea7n v\u00e0 h\u00e0nh vi c\u1ee7a b\u1ec7nh nh\u00e2n. Thang \u0111i\u1ec3m RASS \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 ch\u1ee9ng minh l\u00e0 c\u00f3 \u0111\u1ed9 tin c\u1eady v\u00e0 t\u00ednh \u1ed5n \u0111\u1ecbnh cao trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 tr\u1ea1ng th\u00e1i t\u00e2m l\u00fd c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

T\u1eeb khi \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ebfn nay, thang \u0111i\u1ec3m RASS \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n trong nhi\u1ec1u l\u0129nh v\u1ef1c kh\u00e1c nhau c\u1ee7a y t\u1ebf v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/p>\n

2. C\u00e1ch t\u00ednh thang \u0111i\u1ec3m RASS<\/h2>\n
C\u00e1c b\u01b0\u1edbc \u0111\u00e1nh gi\u00e1 thang \u0111i\u1ec3m RASS<\/b><\/div>\n
B\u01b0\u1edbc 1:<\/u>\u00a0Quan s\u00e1t b\u1ec7nh nh\u00e2n. L\u00e0 b\u1ec7nh nh\u00e2n t\u1ec9nh t\u00e1o v\u00e0 b\u00ecnh t\u0129nh (\u0111i\u1ec3m 0)?<\/div>\n
B\u01b0\u1edbc 2:<\/u>\u00a0B\u1ec7nh nh\u00e2n c\u00f3 h\u00e0nh vi ph\u00f9 h\u1ee3p v\u1edbi b\u1ed3n ch\u1ed3n ho\u1eb7c k\u00edch \u0111\u1ed9ng kh\u00f4ng?<\/div>\n
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  • G\u00e1n \u0111i\u1ec3m +1 \u0111\u1ebfn +4 b\u1eb1ng c\u00e1c ti\u00eau ch\u00ed \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea \u1edf tr\u00ean.<\/li>\n<\/ul>\n<\/div>\n
    B\u01b0\u1edbc 3:<\/u>\u00a0N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng t\u1ec9nh, n\u00f3i l\u1edbn ti\u1ebfng v\u00e0 b\u1ec7nh nh\u00e2n m\u1edf m\u1eaft v\u00e0 nh\u00ecn v\u00e0o ng\u01b0\u1eddi n\u00f3i. L\u1eb7p l\u1ea1i m\u1ed9t l\u1ea7n n\u1ebfu c\u1ea7n thi\u1ebft. C\u00f3 th\u1ec3 nh\u1eafc b\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c nh\u00ecn v\u00e0o ng\u01b0\u1eddi n\u00f3i.<\/div>\n
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    • B\u1ec7nh nh\u00e2n c\u00f3 m\u1edf m\u1eaft v\u00e0 giao ti\u1ebfp b\u1eb1ng m\u1eaft, \u0111\u01b0\u1ee3c duy tr\u00ec trong h\u01a1n 10 gi\u00e2y (\u0111i\u1ec3m -1).<\/li>\n
    • B\u1ec7nh nh\u00e2n c\u00f3 m\u1edf m\u1eaft v\u00e0 giao ti\u1ebfp b\u1eb1ng m\u1eaft, nh\u01b0ng \u0111i\u1ec1u n\u00e0y kh\u00f4ng duy tr\u00ec trong 10 gi\u00e2y (\u0111i\u1ec3m -2).<\/li>\n
    • B\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t k\u1ef3 chuy\u1ec3n \u0111\u1ed9ng n\u00e0o \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi gi\u1ecdng n\u00f3i, ngo\u1ea1i tr\u1eeb giao ti\u1ebfp b\u1eb1ng m\u1eaft (\u0111i\u1ec3m -3).<\/li>\n<\/ul>\n<\/div>\n
      B\u01b0\u1edbc 4:\u00a0<\/u>N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi gi\u1ecdng n\u00f3i, k\u00edch th\u00edch th\u1ec3 ch\u1ea5t b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch l\u1eafc vai v\u00e0 sau \u0111\u00f3 c\u1ecd x\u00e1t x\u01b0\u01a1ng \u1ee9c n\u1ebfu kh\u00f4ng c\u00f3 ph\u1ea3n \u1ee9ng.<\/div>\n
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      • B\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t k\u1ef3 chuy\u1ec3n \u0111\u1ed9ng n\u00e0o \u0111\u1ebfn k\u00edch th\u00edch th\u1ec3 ch\u1ea5t (\u0111i\u1ec3m -4).<\/li>\n
      • B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 ph\u1ea3n \u1ee9ng v\u1edbi k\u00edch th\u00edch b\u1eb1ng gi\u1ecdng n\u00f3i ho\u1eb7c th\u1ec3 ch\u1ea5t (\u0111i\u1ec3m -5).<\/li>\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
        \u0110i\u1ec3m s\u1ed1<\/td>\nT\u00ecnh tr\u1ea1ng<\/td>\nTri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/td>\n<\/tr>\n
        +4<\/td>\nTranh \u0111\u1ea5u, hi\u1ebfu chi\u1ebfn<\/td>\nR\u00f5 r\u00e0ng hi\u1ebfu chi\u1ebfn, th\u00edch b\u1ea1o l\u1ef1c; c\u00f3 nguy hi\u1ec3m r\u00ecnh r\u1eadp \u0111\u1ed1i v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf<\/td>\n<\/tr>\n
        +3<\/td>\nT\u00ecnh tr\u1ea1ng n\u00e1o \u0111\u1ed9ng qu\u00e1 m\u1ee9c, c\u1ef1c k\u1ef3 b\u1ecb k\u00edch \u0111\u1ed9ng<\/td>\nC\u00f3 t\u00ednh t\u1ea5n c\u00f4ng, t\u1ef1 m\u00ecnh r\u00fat b\u1ecf c\u00e1c lo\u1ea1i \u1ed1ng, catheter<\/td>\n<\/tr>\n
        +2<\/td>\nT\u00ecnh tr\u1ea1ng n\u00e1o \u0111\u1ed9ng, b\u1ecb k\u00edch \u0111\u1ed9ng<\/td>\nTh\u01b0\u1eddng xuy\u00ean c\u00f3 nh\u1eefng c\u1eed \u0111\u1ed9ng c\u01a1 th\u1ec3 kh\u00f4ng ch\u1ee7 \u00fd, kh\u00e1ng c\u1ef1 v\u1edbi m\u00e1y th\u1edf, nh\u1ecbp th\u1edf c\u1ee7a Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u1ecbp c\u1ee7a m\u00e1y th\u1edf kh\u00f4ng \u0111\u1ed3ng \u0111i\u1ec7u (fighting)<\/td>\n<\/tr>\n
        +1<\/td>\nT\u00ecnh tr\u1ea1ng b\u1ea5t an, m\u1ea5t b\u00ecnh t\u0129nh<\/td>\nKh\u00f4ng ng\u1eebng lo l\u1eafng, hoang mang, tuy nhi\u00ean c\u1eed \u0111\u1ed9ng kh\u00f4ng mang t\u00ednh t\u1ea5n c\u00f4ng, c\u0169ng kh\u00f4ng mang t\u00ednh ho\u1ea1t b\u00e1t.<\/td>\n<\/tr>\n
        0<\/td>\nT\u00ecnh tr\u1ea1ng t\u1ec9nh t\u00e1o, an b\u00ecnh<\/td>\nC\u00f3 \u00fd th\u1ee9c, t\u1ec9nh t\u00e1o<\/td>\n<\/tr>\n
        -1<\/td>\nT\u00ecnh tr\u1ea1ng m\u01a1 m\u00e0ng<\/td>\nKh\u00f4ng t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n nh\u01b0ng m\u1edf m\u1eaft v\u00e0 ph\u1ea3n h\u1ed3i giao ti\u1ebfp b\u1eb1ng m\u1eaft t\u1eeb 10 gi\u00e2y tr\u1edf l\u00ean khi g\u1ecdi<\/td>\n<\/tr>\n
        -2<\/td>\nT\u00ecnh tr\u1ea1ng tr\u1ea5n t\u0129nh nh\u1eb9<\/td>\nM\u1edf m\u1eaft, ph\u1ea3n h\u1ed3i giao ti\u1ebfp b\u1eb1ng m\u1eaft ch\u01b0a \u0111\u1ebfn 10 gi\u00e2y khi g\u1ecdi.<\/td>\n<\/tr>\n
        -3<\/td>\nT\u00ecnh tr\u1ea1ng tr\u1ea5n t\u0129nh \u1edf m\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/td>\nPh\u1ea3n h\u1ed3i b\u1eb1ng c\u1eed \u0111\u1ed9ng c\u01a1 th\u1ec3 ho\u1eb7c m\u1edf m\u1eaft khi g\u1ecdi, nh\u01b0ng kh\u00f4ng giao ti\u1ebfp b\u1eb1ng m\u1eaft.<\/td>\n<\/tr>\n
        -4<\/td>\nT\u00ecnh tr\u1ea1ng tr\u1ea5n t\u0129nh s\u00e2u<\/td>\nKh\u00f4ng ph\u1ea3n \u1ee9ng khi g\u1ecdi, tuy nhi\u00ean c\u00f3 c\u1eed \u0111\u1ed9ng ho\u1eb7c m\u1edf m\u1eaft khi k\u00edch th\u00edch c\u01a1 th\u1ec3.<\/td>\n<\/tr>\n
        -5<\/td>\nH\u00f4n m\u00ea<\/td>\nKh\u00f4ng ph\u1ea3n \u1ee9ng d\u00f9 g\u1ecdi hay d\u00f9 k\u00edch th\u00edch c\u01a1 th\u1ec3.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

        M\u1ee5c ti\u00eau RASS: – 2 \u0111\u1ebfn 0 \u0111i\u1ec3m.<\/p>\n<\/div>\n

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        \u0110i\u1ec3m<\/th>\n\u00dd ngh\u0129a<\/th>\n<\/tr>\n
        \u2265 1<\/td>\nCh\u01b0a \u0111\u1ea1t m\u1ee9c \u0111\u1ed9 an th\u1ea7n, c\u1ea7n th\u00eam thu\u1ed1c an th\u1ea7n<\/td>\n<\/tr>\n
        – 2 \u0111\u1ebfn 0<\/td>\n\u0110\u1ea1t m\u1ee5c ti\u00eau an th\u1ea7n<\/td>\n<\/tr>\n
        < -2<\/td>\nAn th\u1ea7n qu\u00e1 m\u1ee9c, c\u00e2n nh\u1eafc gi\u1ea3m b\u1edbt thu\u1ed1c an th\u1ea7n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n

        3. \u1ee8ng d\u1ee5ng c\u1ee7a thang \u0111i\u1ec3m RASS<\/h2>\n

        Thang \u0111i\u1ec3m RASS (Richmond Agitation-Sedation Scale) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong nhi\u1ec1u l\u0129nh v\u1ef1c, bao g\u1ed3m:<\/p>\n

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        • Ch\u0103m s\u00f3c \u0111\u1eddi s\u1ed1ng: trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c gi\u1eef \u1ed5n \u0111\u1ecbnh tr\u1ea1ng th\u00e1i t\u00e2m l\u00fd v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n.<\/li>\n
        • \u0110i\u1ec1u tr\u1ecb \u0111au: trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111au m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3.<\/li>\n
        • Ph\u1eabu thu\u1eadt: trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb m\u00ea ho\u1eb7c \u0111\u1ec3 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3.<\/li>\n
        • Ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t: trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong c\u00e1c \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t, nh\u01b0 \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c t\u00edch c\u1ef1c, \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t cho tr\u1ebb s\u01a1 sinh, ho\u1eb7c \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao.<\/li>\n
        • Ngo\u00e0i ra, thang \u0111i\u1ec3m RASS c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c an th\u1ea7n, gi\u1ea3m \u0111au v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. Thang \u0111i\u1ec3m n\u00e0y cung c\u1ea5p m\u1ed9t c\u00e1ch \u0111\u00e1nh gi\u00e1 kh\u00e1ch quan v\u1ec1 m\u1ee9c \u0111\u1ed9 t\u01b0\u0323 tr\u01a1\u0323 v\u00e0 \u0111\u1ed9 t\u01b0\u0323 chu\u0309 \u0111\u00f4\u0323ng c\u1ee7a b\u1ec7nh nh\u00e2n, gi\u00fap c\u00e1c chuy\u00ean gia y t\u1ebf qu\u1ea3n l\u00fd k\u00edch th\u00edch th\u1ea7n kinh v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/li>\n<\/ul>\n

          4. H\u1ea1n ch\u1ebf<\/h2>\n

          M\u1eb7c d\u00f9 thang \u0111i\u1ec3m RASS (Richmond Agitation-Sedation Scale) l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf:<\/p>\n

            \n
          • 1. S\u1ef1 ch\u1ee7 quan: \u0110\u00e1nh gi\u00e1 c\u1ee7a thang \u0111i\u1ec3m RASS ph\u1ee5 thu\u1ed9c v\u00e0o quan s\u00e1t c\u1ee7a ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1, do \u0111\u00f3, s\u1ef1 ch\u1ee7 quan c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00ednh kh\u00e1ch quan c\u1ee7a k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1.<\/li>\n
          • 2. Kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n: Thang \u0111i\u1ec3m RASS kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng nhanh ch\u00f3ng.<\/li>\n
          • 3. Kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c: Thang \u0111i\u1ec3m RASS ch\u1ec9 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 t\u01b0\u0323 tr\u01a1\u0323 va\u0300 \u0111\u00f4\u0323 t\u01b0\u0323 chu\u0309 \u0111\u00f4\u0323ng c\u1ee7a b\u1ec7nh nh\u00e2n trong vi\u1ec7c la\u0300m thoa\u0309i ma\u0301i, nh\u01b0ng kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 \u0111au \u0111\u1edbn, m\u1ec7t m\u1ecfi hay c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu kh\u00e1c.<\/li>\n
          • 4. \u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c: Thang \u0111i\u1ec3m RASS c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. V\u00ed d\u1ee5, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ho\u1eb7c t\u0103ng c\u01b0\u1eddng t\u00ecnh tr\u1ea1ng t\u01b0\u0323 tr\u01a1\u0323 va\u0300 \u0111\u00f4\u0323 t\u01b0\u0323 chu\u0309 \u0111\u00f4\u0323ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

            Tuy nhi\u00ean, m\u1eb7c d\u00f9 c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf, thang \u0111i\u1ec3m RASS v\u1eabn l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

            T\u00f3m l\u1ea1i, thang \u0111i\u1ec3m RASS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

             <\/p>\n","protected":false},"excerpt":{"rendered":"

            Thang \u0111i\u00ea\u0309m \u0111a\u0301nh gia\u0301 ki\u0301ch thi\u0301ch – an th\u00e2\u0300n cu\u0309a Richmond (RASS: The Richmond Agitation-Sedation Scale) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 quan tr\u1ecdng. \u1ee8ng d\u1ee5ng thang \u0111i\u1ec3m RASS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu \u00edch trong \u0111\u00e1nh gi\u00e1 k\u00edch th\u00edch th\u1ea7n kinh c\u1ee7a b\u1ec7nh nh\u00e2n. 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