{"id":2652,"date":"2023-03-22T09:53:11","date_gmt":"2023-03-22T09:53:11","guid":{"rendered":"https:\/\/blog.ki.se\/studentbloggen\/?p=2652"},"modified":"2023-03-22T09:56:07","modified_gmt":"2023-03-22T09:56:07","slug":"patientfall-del-3-lakarens-roll","status":"publish","type":"post","link":"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/22\/patientfall-del-3-lakarens-roll\/","title":{"rendered":"Patientfall del 3: L\u00e4karens roll"},"content":{"rendered":"\n<p>Denna vecka p\u00e5 bloggen presenterar vi en serie om ett fiktivt patientfall och de olika professionernas roll i omh\u00e4ndertagandet av patienten, idag presenterar jag l\u00e4karens roll. Du kan allts\u00e5 l\u00e4sa om vad ditt dr\u00f6myrke g\u00f6r i praktiken och arbetslivet. Ans\u00f6kan till alla program p\u00e5 KI \u00e4r \u00f6ppen och du kan s\u00f6ka via antagning.se<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/20\/patientfall-del-1-inledning\/\">Del 1: Introduktion<\/a> (patientfallet)<\/li><li><a href=\"https:\/\/blog.ki.se\/studentbloggen\/2023\/03\/21\/patientfall-del-2-sjukskoterskans-roll\/\">Del 2: Sjuksk\u00f6terskans roll<\/a><\/li><li><strong>Del 3: L\u00e4karens roll<\/strong><\/li><li>Del 4: Arbetsterapeutens roll<\/li><li>Del 5: Psykologens roll<\/li><\/ul>\n\n\n\n<p><em>Det fiktiva patientfallet handlar om en \u00e4ldre kvinna som ramlat medan hon varit ute och handlat. Hon har en misst\u00e4nkt h\u00f6ftfraktur och tas med ambulans till sjukhus&#8230;<\/em><\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Akuten<\/h5>\n\n\n\n<p><strong>Akutl\u00e4karen <\/strong>kommer till akutrummet efter att ha f\u00e5tt ett larm om en patient som ramlat. Tillsammans med sjuksk\u00f6terskor och undersk\u00f6terskor tas patienten emot och handl\u00e4ggs enligt ABCDE (airways, breathing, circulation, disability och exposure). Patienten \u00e4r stabil i sina vitalparametrar men har v\u00e4ldigt ont. <strong>L\u00e4karen <\/strong>ordinerar syrgas, v\u00e4tskebehandling, sm\u00e4rtlindring och prover. <strong>Undersk\u00f6terskan <\/strong>kopplar upp syrgasen. <strong>Sjuksk\u00f6terskan <\/strong>tar prover, s\u00e4tter en ven\u00f6s infart f\u00f6r v\u00e4tsketillf\u00f6rsel och ger sm\u00e4rtlindring.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Ut\u00e5trotationen och f\u00f6rkortningen av h\u00f6ger ben inger misstanke om en h\u00f6ftfraktur. <strong>Akutl\u00e4karen <\/strong>ringer <strong>ortopeden <\/strong>och ber henne komma ner till akutrummet. I v\u00e4ntan p\u00e5 ortopeden best\u00e4lls en sl\u00e4tr\u00f6ntgen av h\u00f6ften och akutl\u00e4karen l\u00e4gger en perifer nervblockad f\u00f6r att lindra patients sm\u00e4rta.&nbsp;<\/p>\n\n\n\n<p>R\u00f6ntgen verifierar h\u00f6ftfrakturen. Ortopeden unders\u00f6ker patienten kliniskt och bed\u00f6mer r\u00f6ntgen. <strong>Ortopeden <\/strong>ska operera patienten inom ett dygn. Typ av h\u00f6ftfraktur som ses p\u00e5 r\u00f6tgen och patients \u00e5lder avg\u00f6r vilken typ av operation som utf\u00f6rs. <\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Operation<\/h5>\n\n\n\n<p>N\u00e5gra timmar senare rullas patienten in p\u00e5 operationssalen d\u00e4r hon mottas av en <strong>anestesisjuksk\u00f6terska<\/strong>. <strong>Anestesil\u00e4karen <\/strong>g\u00f6r en preoperativ bed\u00f6mning och best\u00e4mmer om patienten ska s\u00f6vas eller bed\u00f6vas med en spinalblockad. Anestesil\u00e4karen kommer in p\u00e5 rummet medan patienten ar vaken och st\u00e4mmer av med sjuksk\u00f6terskan. Sjuksk\u00f6terskan<strong> <\/strong>\u00e4r specialist i anestesi, vid s\u00f6vning sk\u00f6ts detta av sjuksk\u00f6terskan sj\u00e4lv men om spinalbed\u00f6vning ska ges \u00e4r det l\u00e4karen som g\u00f6r det. Anestesiologen l\u00e4mnar sedan salen under operationen men \u00e4r n\u00e4ra och tillkallas vid behov.&nbsp;<\/p>\n\n\n\n<p>N\u00e4r patienten \u00e4r klar och f\u00f6rbeded f\u00f6r operationen kliver <strong>ortopeden <\/strong>in p\u00e5 operationssalen och s\u00e4tter ig\u00e5ng sj\u00e4lva operationen. Med sig har ortopeden en <strong>l\u00e4karstudent<\/strong>, som f\u00e5r tydliga instruktioner av operationssjuksk\u00f6terskan att inte svimma i operationss\u00e5ret utan s\u00e4ga till direkt vid illam\u00e5ende eller svimningsk\u00e4nslor.&nbsp;&nbsp;<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Avdelning<\/h5>\n\n\n\n<p>Operationen gick bra och patienten ligger nu p\u00e5 avdelningen. En<strong> legitimerad underl\u00e4kare <\/strong>rondar patienten tillsammans med <strong>sjuksk\u00f6terskorna<\/strong>, om l\u00e4karen beh\u00f6ver hj\u00e4lp finns ortopeden n\u00e5gonstans p\u00e5 sjukhuset (troligtvis operationssalen). N\u00e4r patienten \u00e4r tillr\u00e4ckligt stabil efter operationen skickas patienten till <strong>geriatriken <\/strong>f\u00f6r rehabilitering. D\u00e4r finns <strong>l\u00e4kare <\/strong>och <strong>sjuksk\u00f6terskor <\/strong>som hj\u00e4lper patienten med det medicinska och omv\u00e5rdnad.&nbsp;&nbsp;<\/p>\n\n\n\n<p><strong>Fysioterapeuter <\/strong>finns p\u00e5 avdelningen och geriatriken, de hj\u00e4lper patienten att komma upp p\u00e5 f\u00f6tterna igen och med tr\u00e4ning f\u00f6r att \u00e5terh\u00e4mta sig fr\u00e5n skadan. \u00c4ven <strong>arbetsterapeuter <\/strong>finns p\u00e5 geriatriken och avdelningen d\u00e4r de hj\u00e4lper patienten med eventuella hj\u00e4lpmedel s\u00e5som rullator, kryckor eller anpassningar i hemmet som patienten kan beh\u00f6va vid hemg\u00e5ng.\u00a0<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Observera att handl\u00e4ggningen av h\u00f6ftfrakturer kan skilja sig \u00e5t, den baseras ofta p\u00e5 lokala rutiner. K\u00e4llor\/vidare l\u00e4sning om h\u00f6ftfrakturer och handl\u00e4ggning: <\/h5>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/lakartidningen.se\/klinik-och-vetenskap-1\/medicinens-abc\/2017\/04\/hoftfrakturer\/\" target=\"_blank\" rel=\"noreferrer noopener\">L\u00e4kartidningen: H\u00f6ftfrakturer<\/a><\/li><li><a href=\"Femurfraktur, cervikal\">Internetmedicin: Femurfraktur, <\/a><a href=\"Femurfraktur, cervikal\" target=\"_blank\" rel=\"noreferrer noopener\">cervikal<\/a><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Denna vecka p\u00e5 bloggen presenterar vi en serie om ett fiktivt patientfall och de olika professionernas roll i omh\u00e4ndertagandet av patienten, idag presenterar jag l\u00e4karens roll. Du kan allts\u00e5 l\u00e4sa [&hellip;]<\/p>\n","protected":false},"author":487,"featured_media":2653,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2652","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studentliv"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Patientfall del 3: L\u00e4karens roll - Studentbloggen<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/blog.ki.se\/studentbloggen\/2023\/03\/22\/patientfall-del-3-lakarens-roll\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patientfall del 3: L\u00e4karens roll - Studentbloggen\" \/>\n<meta property=\"og:description\" content=\"Denna vecka p\u00e5 bloggen presenterar vi en serie om ett fiktivt patientfall och de olika professionernas roll i omh\u00e4ndertagandet av patienten, idag presenterar jag l\u00e4karens roll. 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