\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{doramarin} \pdfinfo{ /Title (hjukrun-hne-aogeroa.pdf) /Creator (Cheatography) /Author (doramarin) /Subject (Hjúkrun HNE aðgerða Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{7B58A3} \definecolor{LightBackground}{HTML}{F6F4F9} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Hjúkrun HNE aðgerða Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{doramarin} via \textcolor{DarkBackground}{\uline{cheatography.com/162386/cs/34335/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}doramarin \\ \uline{cheatography.com/doramarin} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Not Yet Published.\\ Updated 24th September, 2022.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{3} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{HNE: Nef}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Sinusitis (skútabólga)}}\{\{ac\}\}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Einkenni}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Nefrennsli, grænt hor, væg hitahækkun, þrýstingsh{\"o}fuðverkur og verkir í andliti.} \tn % Row Count 4 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Orsakir}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Ofnæmi, vírus, bakteríur og sveppir} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Greining}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Skoðun. R{\"o}ntgenmynd. CT. MRI.} \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Meðferð}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Sýklalyf. Bólgueyðandi lyf. Skolun. FESS skurðaðgerð í slæmum tilfellum.} \tn % Row Count 11 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{FESS- Functional endoscopic sinus surgery}}} \tn % Row Count 12 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Tækjabúnaður}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Farið er með speglunartæki um nasir og inn í nefhol.} \tn % Row Count 15 (+ 3) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Aðgerð}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Opnað inn í sinusa og slímhúðasepar fjarlægðir Sett er tróð upp í n{\"o}s/nasir í lok aðgerðar sem yfirleitt er fjarlægt einum til þremur d{\"o}gum síðar.} \tn % Row Count 20 (+ 5) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Aðrar nefaðgerðir}}} \tn % Row Count 21 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Caldwell-luc:} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Kjálkaholuaðgerð. Er gerð vegna langvarandi sinusitis. Farið eru inn í sinus maxillaris úr munni um skurð í fellinguna milli eftir varar og tannholds} \tn % Row Count 26 (+ 5) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Septumplastic:} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Rétting á sk{\"o}kku miðnesi oftast til að bæta {\"o}ndun. Tróð eða spelka sett í nef í lok aðgerðar sem yfirleitt er fjarlægt einum til þremur d{\"o}gum síðar.} \tn % Row Count 31 (+ 5) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{HNE: Nef (cont)}} \tn % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Conchotomia:} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Klippt á miðnefskel í nefholi til að bæta {\"o}ndun um nef. Stundum gert um leið og septumplastic.} \tn % Row Count 4 (+ 4) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{\{\{ac\}\}Nefbrot}}} \tn % Row Count 5 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Algengi}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Nefið er sá líkamspartur sem oftast brotnar} \tn % Row Count 7 (+ 2) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Orsakir}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Algengast vegna slysa eða áfloga} \tn % Row Count 9 (+ 2) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{ Einkenni}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Verkur, blæðing, afl{\"o}gun á nefinu**} \tn % Row Count 11 (+ 2) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Fylgikvillar}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Nef stífla getur valdið mænuv{\"o}kvaleka} \tn % Row Count 13 (+ 2) % Row 17 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Meðferð}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Kæla sem fyrst til að draga úr bólgu og blæðingu. Hafa hærra undir h{\"o}fði. Skurðaðgerð nær alltaf gerð til lagfæringar.} \tn % Row Count 17 (+ 4) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Frestun skurðaðgerðar} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Gerð ef mikil bólga í andliti} \tn % Row Count 19 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.33919 cm} x{2.63781 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun sjúklinga eftir sinus- og nefaðgerðir}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Hafa hærra undir h{\"o}fðinu}} & 30-45° hækkun \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Fylgjast með sjúklingi m.t.t.}}} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{1. Blæðingar frá nefi} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{2. Sjónskerðing} \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{3. Verkir} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{4. Sýkingar} \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{5. Fráhv{\"o}rf} \tn % Row Count 8 (+ 1) % Row 7 \SetRowColor{white} {\bf{Umbúðarskiptingar}} & Eftir þ{\"o}rfum, oftast með tróð. \tn % Row Count 10 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Tíð munnhreinsun}}} \tn % Row Count 11 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Kæling á nefi}}} \tn % Row Count 12 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Skipta á umbúðum eftir þ{\"o}rfum- (eru oftast með tróð sem ekki á að eiga við) \newline Kæling á nef \newline Hvetja til að drekka vel \newline Verkjameðferð} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrunarmeðferð eftir nefaðgerðir}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Skipta á umbúðum eftir þ{\"o}rfum- (eru oftast með tróð sem ekki á að eiga við)} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Kæling á nef} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Hvetja til að drekka vel} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Verkjameðferð} \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Fræðsla um eftirmeðferð}}} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Forðast snýta sér og hnerra fyrstu 3-5 dagana á eftir} \tn % Row Count 8 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Ekki lyfta þungu né beygja sig fram} \tn % Row Count 9 (+ 1) % Row 7 \SetRowColor{white} Geta búist við sv{\"o}rtum/d{\"o}kkum hægðum & - ekki rembast – forðast hægðatregðu \tn % Row Count 12 (+ 3) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Geta búist við mari kringum augu og nef} \tn % Row Count 13 (+ 1) % Row 9 \SetRowColor{white} Hafa samband við lækni ef merki um sýkingu; & hiti, auknir verkir, graftalegt sem kemur í umbúðir \tn % Row Count 16 (+ 3) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Taka sýklalyf skv. fyrirmælum læknis} \tn % Row Count 17 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Taka því rólega í nokkra daga} \tn % Row Count 18 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Líffærafræði}}}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Sinuses (Skútar)}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\emph{Fj{\"o}gur p{\"o}r af loftfylltum holum í andlitsbeinum}}} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Maxillary - kinnholur} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Frontal - ennisholur} \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Ethmoid – milli ennisholu og kinnholu} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Sphenoid - fleygbeins} \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Hlutverk}}} \tn % Row Count 8 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Framleiða slím í nefholi} \tn % Row Count 9 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Raddómun (vocal resonance)} \tn % Row Count 10 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Sýkingar í sínusum}}} \tn % Row Count 11 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Afrennsli stíflast við kvef, sýkingar geta orðið langvinnar. Sýkingum og stíflum geta fylgt miklir verkir og langvinnar bólgur} \tn % Row Count 14 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Nefblæðing}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/doramarin_1664027432_Screenshot 2022-09-24 at 13.50.06.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Skjaldkirtilsbrottnám}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/doramarin_1664027527_Screenshot 2022-09-24 at 13.51.45.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.33919 cm} x{2.63781 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Aðgerð á skjaldkirtli og kalkkirtlum}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Thyroidectomy (aðgerð á skjaldkirtili)}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Partial Thyroid Lobectomy} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Thyroid Lobectomy} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Subtotal Thyroidectomy} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} Total Thyroidectomy: & Þá er allur skjaldkirtillinn tekinn \tn % Row Count 6 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Thyroid Lobectomy with Istmusectomy} \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Hjúkrun sjúklinga eftir skjaldkirtilst{\"o}ku (Thyroidectomy) og / eða kalkkirtlat{\"o}ku (parathyroidectomy)}}} \tn % Row Count 10 (+ 3) % Row 7 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hækka undir h{\"o}fðalagi, 30-45°} \tn % Row Count 11 (+ 1) % Row 8 \SetRowColor{LightBackground} Fylgjast með einkennum blæðingar & Í umbúðir, undir húð, í dren \tn % Row Count 13 (+ 2) % Row 9 \SetRowColor{white} {\emph{Fylgjast með ummáls háls}} & Það er blæðing undir húð \tn % Row Count 15 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Erfiðleikar með {\"o}ndun /kyngingu} \tn % Row Count 16 (+ 1) % Row 11 \SetRowColor{white} Þr{\"o}ngar umbúðir & Hafa saumat{\"o}kusett við rúm sjúklings. \tn % Row Count 18 (+ 2) % Row 12 \SetRowColor{LightBackground} Fylgjast með lífsm{\"o}rkum & Tachycardia og hypotension einkenni blæðingar: \tn % Row Count 21 (+ 3) % Row 13 \SetRowColor{white} Sýkingar & Sjaldgæfar. Fylgjast með hita, útliti, blóðprufum. \tn % Row Count 24 (+ 3) % Row 14 \SetRowColor{LightBackground} Taugaskaði & Hæsi og \seqsplit{kyngingarerfiðelikar} \tn % Row Count 26 (+ 2) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Kalsíum skortur}}} \tn % Row Count 27 (+ 1) % Row 16 \SetRowColor{LightBackground} Einkenni & Erting/dofi kringum munnvik, á tám og fingrum \tn % Row Count 30 (+ 3) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{x{2.33919 cm} x{2.63781 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Aðgerð á skjaldkirtli og kalkkirtlum (cont)}} \tn % Row 17 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Lækkun á se kalsíum} \tn % Row Count 1 (+ 1) % Row 18 \SetRowColor{white} {\bf{Trousseaus sign:}} & Spasmi á hendi þegar \seqsplit{blóðþrýsingsmælir} er hertur að hendi (sjá B) \tn % Row Count 5 (+ 4) % Row 19 \SetRowColor{LightBackground} {\bf{Chvosteks sign}} & Potað andlit og munnvik brosir (sjá A) \tn % Row Count 7 (+ 2) % Row 20 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Ef grunur; taka blóðprufur} \tn % Row Count 8 (+ 1) % Row 21 \SetRowColor{LightBackground} Fylgikvillar kalsíumskorts & Krampi \tn % Row Count 10 (+ 2) % Row 22 \SetRowColor{white} {\bf{Meðferð}} & Kalsíum gluconat í æð \tn % Row Count 12 (+ 2) % Row 23 \SetRowColor{LightBackground} {\bf{Thyroid strom }} & Mj{\"o}g sjaldgæft; ójafnvægi í \seqsplit{skjaldkirtilshormónum} \tn % Row Count 15 (+ 3) % Row 24 \SetRowColor{white} Eftir aðgerð á skjaldkirtil & Í aðgerð eða fyrstu 18 klst. \tn % Row Count 17 (+ 2) % Row 25 \SetRowColor{LightBackground} Einkenni & Hraður hjartsláttur, hiti, ógleði, ofsa kvíði, óróleiki, coma \tn % Row Count 21 (+ 4) % Row 26 \SetRowColor{white} Meðferð & Minnka einkenni, laga hátt \seqsplit{skjaldkirtilshormónalevel} í blóði \tn % Row Count 25 (+ 4) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Tons/nefblæðing}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{} \tn % Row Count 0 (+ 0) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{H{\"o}fðalag upphækkað \newline Reisið sjúkling vel upp í rúmi, látið halla sér fram \newline Hafa sog tilbúið við rúm sjúklings \newline Ef nefblæðing- klemma nefið saman \newline Kæling við háls/nef \newline V{\"o}kvagj{\"o}f í æð \newline Inj. Octostim eða cyklocapron samkvæmt fyrirmælum \newline \newline Gefa verkjalyf, róandi og ógleðistillandi lyf pn \newline Fylgjast með lífsm{\"o}rkum \newline Ef mikil blæðing, panta blóðprufu og fylgjast með blóðhag \newline Hringið eftir aðstoð ef blæðing er mikil eða st{\"o}ðvast ekki} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{2.53827 cm} x{2.43873 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun sjúklinga eftir hálskirtlat{\"o}ku}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Post op}} & H{\"o}fuð, blæðing, verkir, kæling \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Hafa hækkað undir h{\"o}fðalagi} \tn % Row Count 3 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Fylgjast með blæðingu} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Fylgjast með verkjum og líðan} \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Gefa kalda drykki og klaka} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Fræðsla}}} \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} Forðast í 1-2 vikur... & Hósta, hnerra, ræskja og reyna á sig \tn % Row Count 10 (+ 3) % Row 7 \SetRowColor{white} Drekka mikið og borða mjúkt fæði & í 1-2 vikur \tn % Row Count 12 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Munnhirða} \tn % Row Count 13 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{{\bf{Búast við}}} \tn % Row Count 14 (+ 1) % Row 10 \SetRowColor{LightBackground} Verkjum & í kringum 10 daga \tn % Row Count 15 (+ 1) % Row 11 \SetRowColor{white} Verstu verkir post op & 4-8 degi \tn % Row Count 17 (+ 2) % Row 12 \SetRowColor{LightBackground} Aukin blæðingarhætta þegar hrúðrið dettur af & 7-10 degi \tn % Row Count 20 (+ 3) % Row 13 \SetRowColor{white} Í nokkra daga.. & Hitaslen, d{\"o}kkar/svartar hægðir \tn % Row Count 22 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Skurðaðgerðir á hálsi}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Hálskirtlataka (Tonsilectomy)} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Skjaldkirtilstaka (Thyroidectomy)} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Munnvatnskirtlataka (Parotidectomy)} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Kalkkirtlataka (Parathyroidectomy)} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Barkakýlistaka (Laryngectomy)} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Radical neck dissection} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Eitlataka vegna krabbameins} \tn % Row Count 7 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{UPP (uvulopalatoplasty):} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Úfur og hluti mjúka gómsins fjarlægður} \tn % Row Count 9 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{UPPP} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}UPP, en þá er einnig gerð tonsillectomy (hálskirtlataka)} \tn % Row Count 12 (+ 3) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Tilgangur UPP og UPPP} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}UPP/UPPP eru gerðar í þeim tilgangi að opna betur {\"o}ndunarveg og bæta kæfisvefn og hrotur.} \tn % Row Count 16 (+ 4) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Tracheostomia (barkarauf)} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Gert er op á barka til að tryggja opin {\"o}ndunarveg} \tn % Row Count 19 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun sjúklinga með sýkingar í hálsi}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Fæða }}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Yfirleitt fastandi eða fljótandi} \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{V{\"o}kvajafnvægi }}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}V{\"o}kvagj{\"o}f í æð} \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{ Lyf}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Hitalækkandi, súrefnismeðferð + sýklalyf} \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{ Lega}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Hvetja til að sitja við drykkju vegna kyngingar{\"o}rðuleika. Hafa hærra undir h{\"o}fði} \tn % Row Count 9 (+ 3) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{ Lífsm{\"o}rk}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}ÖT og súrefnismettun} \tn % Row Count 11 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{ Stuðningur}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Nærvera} \tn % Row Count 13 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{1.29402 cm} x{3.68298 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Sýkingar og bólgur í hálsi}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Tegundir sýkinga og bólgna í hálsi}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Epiglottitis and (barkakýlisloksbólga)} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Laryngitis (barkakýlisbólga=} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Pharyngitis (kokbólga)} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Tonsillitis (hálsbólga)} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Mónonucleosis (einkyrningasótt)} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} {\bf{Alvarleiki}} & Sýkingar í hálsi geta verið lífshættulegar, bólgan getur valdið {\"o}ndunarerfiðleikum og sjúklingar eiga á hættu að kafna \tn % Row Count 11 (+ 5) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Krabbamein í barkakýli}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{} \tn % Row Count 0 (+ 0) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Barkakýli er í efsta hluta barkans \newline Í því eru raddb{\"o}ndin \newline 5 til 10 íslendingar greinast árlega \newline Tóbak, áfengi, krónískt laryngitis, ofnotkun raddar og fj{\"o}lskyldusaga auka líkur \newline \newline -{}-{}-{}-{}-{}-} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{x{1.94103 cm} x{3.03597 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hjúkrun brottnám barkakýlis}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{PRE OP}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Fræðsla, samband við sjúklingasamt{\"o}k; ný r{\"o}dd. Breytt líkamsímynd} \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{{\bf{Post op}}} \tn % Row Count 4 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Gj{\"o}rgæslumeðferð eða nótt á v{\"o}knun} \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} Lega & Hafa hækkað undir h{\"o}fðalagi 30-45° \tn % Row Count 7 (+ 2) % Row 5 \SetRowColor{white} Fylgjast með {\"o}ndun & Gæði, dýpt, tíðni. Súrefni eftir þ{\"o}rfum \tn % Row Count 9 (+ 2) % Row 6 \SetRowColor{LightBackground} Meta þ{\"o}rf fyrir sogun & Slím úr barkatúbum munni og nefi \tn % Row Count 11 (+ 2) % Row 7 \SetRowColor{white} Tracheostomy & Hreinsa og skipta um umbúðir \tn % Row Count 13 (+ 2) % Row 8 \SetRowColor{LightBackground} Munnhreinsun & a.m.k. x 2/dag \tn % Row Count 14 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{2}{x{5.377cm}}{Eftirlit með skurðsári} \tn % Row Count 15 (+ 1) % Row 10 \SetRowColor{LightBackground} Eftirlit með sl{\"o}ngum & Dren, þvagleggur og magaslanga \tn % Row Count 17 (+ 2) % Row 11 \SetRowColor{white} Næring og v{\"o}kvajafnvægi & Gefa næringu \tn % Row Count 19 (+ 2) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Meta verki og líðan} \tn % Row Count 20 (+ 1) % Row 13 \SetRowColor{white} Tanventill & Hreinsun og kennsla á hreinsun (sjúklingur og aðstandnedur) \tn % Row Count 23 (+ 3) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Talþjálfun hjá talmeinafræðingi} \tn % Row Count 24 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Að missa barkakýlið}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{} \tn % Row Count 0 (+ 0) \hhline{>{\arrayrulecolor{DarkBackground}}--} \SetRowColor{LightBackground} \mymulticolumn{2}{x{5.377cm}}{Ekki er hægt að endurlífga á hefðbundin hátt \newline Finna hvorki bragð né lykt \newline Einmanaleiki, kvíði og þunglyndi \newline Breytt líkamsímynd \newline Skert lífsgæði \newline Bakflæði og ropar \newline Fistlamyndanir \newline Mega ekki fara í sund, bað eða stunda siglingar \newline Fáir sjúklingar en við getum rekist á þá hvar sem er í heilbrigðiskerfinu} \tn \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Barkarauf-tracheostomy}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\emph{Oft eru sjúklingar með tracheostomy í stuttan tíma, t.d. á gj{\"o}rgæslu. Það verður algengara að sjúklingar á almennum deildum séu með tracheostomy}}} \tn % Row Count 4 (+ 4) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Skilgreining}}} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Gert er op/rauf á barka til að tryggja opin {\"o}ndunarveg. Túpa er þá sett í raufina og {\"o}ndun fer fram í gegnum hana. Hægt er að fjarlægja túpu ef ekki er þ{\"o}rf á henni lengur.} \tn % Row Count 9 (+ 5) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Ábendingar}}} \tn % Row Count 10 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{1. Oftast þegar fólk lendir í slysi} \tn % Row Count 11 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{2. Ef það getur ekki andað eðlilega} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Krabbamein, sjúkdómar; {\"o}ndunarbilun} \tn % Row Count 13 (+ 2) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{3. Langvarandi {\"o}ndunaraðstoð} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}MND og MS} \tn % Row Count 15 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Hlutir sem þurfa að vera við rúm sjúklings}}} \tn % Row Count 17 (+ 2) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Sog , sogleggir, hanskar og vatn} \tn % Row Count 18 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Súrefni, súrefnisglas með sæfðu vatni} \tn % Row Count 19 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Öndunarbelgur og maski} \tn % Row Count 20 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Tracheostomiutúpur} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}ein af s{\"o}mu stærð og ein númeri minni en sjúklingurinn er með} \tn % Row Count 23 (+ 3) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Sprauta (5 eða 10 ml) og Xylocain krem} \tn % Row Count 24 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Bjalla} \tn % Row Count 25 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Verkþættir}}} \tn % Row Count 26 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Soga eftir þ{\"o}rfum} \tn % Row Count 27 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Fylgjast með cuffi} \tn % Row Count 28 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Sárameðferð} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Skipta á umbúðum, hirða um húð kringum stomíuna og undir b{\"o}ndunum} \tn % Row Count 31 (+ 3) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Barkarauf-tracheostomy (cont)}} \tn % Row 17 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Munnhreinsun} \tn % Row Count 1 (+ 1) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Gefa næringu} \tn % Row Count 2 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Tjáning og gefa sjúklingum tíma} \tn % Row Count 3 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Talventill + cuff} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Aldrei setja talventil á túbu þegar loft er í cuffi. Ef cuff er á túpunni þá kemst loftið ekki út aftur} \tn % Row Count 7 (+ 4) % Row 21 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Talventill}}} \tn % Row Count 8 (+ 1) % Row 22 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Einstefnuloki} \tn % Row Count 9 (+ 1) % Row 23 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Raddmyndun} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Loft dregið inn um ventil, kemst ekki aftur út um ventil. Fer upp, framhjá túbu og í gegnum raddb{\"o}nd. Þannig myndast r{\"o}dd} \tn % Row Count 13 (+ 4) % Row 24 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Barkaraufartúpur\{\{ac\}\}}}} \tn % Row Count 14 (+ 1) % Row 25 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Tracheostomy cuff} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Tracheostomy tubes may have a cuff. This is a little balloon at the end of the tube which can help to 'seal off' the airway. An inflated cuff can reduce the chance of material being inhaled or 'aspirated' into the lungs by offering a degree of 'airway protection.} \tn % Row Count 21 (+ 7) % Row 26 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Uppsetning tracheostomy} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Einf{\"o}ld túpa með cuffi (belgur sem blásinn er upp) er alltaf sett fyrst} \tn % Row Count 24 (+ 3) % Row 27 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Alltaf hafa cuff uppblásið til að byrja með} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Þetta hindrar ásvelgingu} \tn % Row Count 26 (+ 2) % Row 28 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Verkþættir} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Fylgjast með cuff þrýsting, fara seinna yfir í tv{\"o}falda túbu.} \tn % Row Count 29 (+ 3) % Row 29 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Cuff þrýstingur} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Fylgjast með x1 á vakt} \tn % Row Count 31 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Barkarauf-tracheostomy (cont)}} \tn % Row 30 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Tv{\"o}f{\"o}ld túba - er með innri túbu.} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Sett upp eftir ca 1 viku.} \tn % Row Count 2 (+ 2) % Row 31 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Mun einfaldara að hreinsa og hugsa um sjúkling með tv{\"o}falda túpu} \tn % Row Count 4 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Túbur}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/doramarin_1664032042_Screenshot 2022-09-24 at 15.06.51.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Cuff þrýstingsmælir}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/doramarin_1664032129_Screenshot 2022-09-24 at 15.08.04.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sogun}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\emph{Sogun úr munni, stómíu og túpu}}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{{\bf{Verkþættir}}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Nota granna leggi ef hægt er} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Byrja vakt á að tékka sogi} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Er það það virkt og poki ekki yfirfullur} \tn % Row Count 5 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Aldrei nota sama legg í stómíu/túbu sem verið notuð í munn} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Sýkingarhætta} \tn % Row Count 8 (+ 3) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Soga sterílt} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}og hámark 10 sek í einu} \tn % Row Count 10 (+ 2) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{{\bf{Stífluð barkarauf}} Hvað á að gera?} \tn % Row Count 11 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Fer eftir því hvort túpa er einf{\"o}ld eða tv{\"o}f{\"o}ld} \tn % Row Count 13 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Ef túba er tv{\"o}f{\"o}ld} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Fjarlægja innri túbu og þrífa hana. Koma aukatúbu fyrir á meðan.} \tn % Row Count 16 (+ 3) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Ef einf{\"o}ld} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Reyna að soga upp úr túbu} \tn % Row Count 18 (+ 2) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Ef gengur ekki} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Dreypa 0,5 – 1 ml af NaCl ofan í túpuna og soga.} \tn % Row Count 21 (+ 3) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Gæti þurft að endurtaka} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}þetta er aðeins gert í neyðartilfellum vegna hættu á ásvelgingu} \tn % Row Count 24 (+ 3) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Ef ennþá andnauð} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Kalla á lækni og fá aðstoð við að skipta um túpu} \tn % Row Count 27 (+ 3) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Ef algj{\"o}r stífla} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Klippa á bandið, taka túbu af. Setja nýja túbu í sama númeri eða númeri minna.} \tn % Row Count 30 (+ 3) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{5.377cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Sogun (cont)}} \tn % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{5.377cm}}{Fyrirbyggja stíflu} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}NaCI friðarpípa; viðheldur raka og allt mýkra.} \tn % Row Count 3 (+ 3) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{5.377cm}}{Mj{\"o}g þykkt} \tn \mymulticolumn{1}{x{5.377cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}Gefa mucomyst friðarpípu. Íhuga hvort sjúklingur sé fá nægan v{\"o}kva} \tn % Row Count 6 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}