一次性(xing)使(shi)用(yong)(yong)导尿包常用(yong)(yong)指南操作要点1.定(ding)时(shi)挤(ji)压(ya)(ya)引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)，引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)液(ye)多或有血(xue)块则按需(xu)正确挤(ji)压(ya)(ya)，捏(nie)紧引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)的(de)远(yuan)端，向胸(xiong)(xiong)腔(qiang)的(de)方向挤(ji)压(ya)(ya)，再(zai)缓(huan)慢松开捏(nie)紧的(de)引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)，防止引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)瓶(ping)中液(ye)体倒吸(xi)(xi)。如接有负压(ya)(ya)装置，吸(xi)(xi)引(yin)(yin)(yin)(yin)(yin)压(ya)(ya)力适宜，过大的(de)负压(ya)(ya)引(yin)(yin)(yin)(yin)(yin)起胸(xiong)(xiong)腔(qiang)内出(chu)血(xue)及患(huan)者(zhe)疼痛。一次性(xing)使(shi)用(yong)(yong)导尿包2.根据病情尽可能采取半卧位。3.引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)装置应(ying)保持密闭和无菌(jun)，保持胸(xiong)(xiong)壁引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)口处的(de)敷(fu)(fu)料(liao)清洁干燥，敷(fu)(fu)料(liao)渗(shen)出(chu)液(ye)较多应(ying)及时(shi)通知医生(sheng)更换(huan)。4.根据病情需(xu)要定(ding)时(shi)准(zhun)确记录(lu)引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)量(liang)。5引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)瓶(ping)内无菌(jun)生(sheng)理盐水每天更换(huan)，引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)瓶(ping)每周更换(huan)，床(chuang)旁备血(xue)管(guan)钳，更换(huan)时(shi)必须(xu)夹(jia)闭引(yin)(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)，防止空气进入胸(xiong)(xiong)膜腔(qiang)引(yin)(yin)(yin)(yin)(yin)起气qi胸(xiong)(xiong)。

一(yi)(yi)(yi)(yi)次(ci)性(xing)使(shi)用(yong)(yong)(yong)换药(yao)(yao)(yao)包(bao)(bao)(bao)用(yong)(yong)(yong)于(yu)创面的(de)(de)(de)护(hu)理。现在(zai)对(dui)我们来(lai)说医(yi)院是不(bu)陌生(sheng)的(de)(de)(de)，光顾医(yi)院是在(zai)所(suo)难免的(de)(de)(de)，虽说人的(de)(de)(de)一(yi)(yi)(yi)(yi)生(sheng)无大灾(zai)大难，但是小病(bing)小灾(zai)在(zai)所(suo)难免。有(you)时候，稍微严(yan)(yan)重的(de)(de)(de)一(yi)(yi)(yi)(yi)点(dian)的(de)(de)(de)病(bing)情，医(yi)生(sheng)则会建议患者动手(shou)(shou)术。而(er)术后伤(shang)(shang)(shang)口(kou)(kou)和(he)创面的(de)(de)(de)护(hu)理则是非常重要的(de)(de)(de)一(yi)(yi)(yi)(yi)步，常常需要通(tong)过换药(yao)(yao)(yao)包(bao)(bao)(bao)来(lai)清洗、包(bao)(bao)(bao)扎伤(shang)(shang)(shang)口(kou)(kou)。一(yi)(yi)(yi)(yi)次(ci)性(xing)换药(yao)(yao)(yao)包(bao)(bao)(bao)经常用(yong)(yong)(yong)在(zai)外科(ke)的(de)(de)(de)护(hu)理上面，一(yi)(yi)(yi)(yi)次(ci)性(xing)换药(yao)(yao)(yao)包(bao)(bao)(bao)一(yi)(yi)(yi)(yi)般内(nei)装一(yi)(yi)(yi)(yi)次(ci)性(xing)镊子、沙布、棉球、乳(ru)胶(jiao)手(shou)(shou)套或PE手(shou)(shou)套，居家(jia)常备(bei)实用(yong)(yong)(yong)小药(yao)(yao)(yao)包(bao)(bao)(bao)，有(you)擦伤(shang)(shang)(shang)，磕碰(peng)，十分的(de)(de)(de)方便。一(yi)(yi)(yi)(yi)次(ci)性(xing)使(shi)用(yong)(yong)(yong)换药(yao)(yao)(yao)包(bao)(bao)(bao)一(yi)(yi)(yi)(yi)次(ci)性(xing)无菌换药(yao)(yao)(yao)包(bao)(bao)(bao)由弯(wan)盘、垫单、镊子、纱布、棉球等组(zu)成。经密封包(bao)(bao)(bao)装及(ji)环氧(yang)乙(yi)烷(wan)灭菌仅供一(yi)(yi)(yi)(yi)次(ci)性(xing)使(shi)用(yong)(yong)(yong)。主要用(yong)(yong)(yong)于(yu)临床伤(shang)(shang)(shang)口(kou)(kou)、创面或手(shou)(shou)术切口(kou)(kou)换药(yao)(yao)(yao)用(yong)(yong)(yong)。克服(fu)了普通(tong)医(yi)疗器重复使(shi)用(yong)(yong)(yong)灭菌不(bu)严(yan)(yan)造成的(de)(de)(de)传染疾(ji)病(bing)的(de)(de)(de)交(jiao)叉(cha)感(gan)染，又可减(jian)少(shao)医(yi)院用(yong)(yong)(yong)灭菌清毒的(de)(de)(de)大量人力和(he)物(wu)力，有(you)效(xiao)的(de)(de)(de)提(ti)高了医(yi)院的(de)(de)(de)工(gong)作效(xiao)率，为(wei)医(yi)生(sheng)和(he)疾(ji)病(bing)患者提(ti)供了健(jian)康(kang)保障。那么(me)，换药(yao)(yao)(yao)包(bao)(bao)(bao)究(jiu)竟(jing)如何使(shi)用(yong)(yong)(yong)？一(yi)(yi)(yi)(yi)起来(lai)看看！

一(yi)次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰管(guan)(guan)(guan)(guan)操(cao)作方法(1)检查吸(xi)(xi)(xi)引器各部(bu)(bu)(bu)连接是否完善(shan)，有无漏气(qi)。接通电(dian)源，打开(kai)(kai)开(kai)(kai)关(guan)，检查吸(xi)(xi)(xi)引器性能，调节负(fu)压。一(yi)般成(cheng)人(ren)吸(xi)(xi)(xi)痰负(fu)压约40-50 kPa，小儿吸(xi)(xi)(xi)痰约13-30kPa，将(jiang)(jiang)一(yi)次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰管(guan)(guan)(guan)(guan)置(zhi)于水中(zhong)，试验吸(xi)(xi)(xi)引力，并冲洗皮(pi)管(guan)(guan)(guan)(guan)。(2)将(jiang)(jiang)病人(ren)头部(bu)(bu)(bu)转向护士，铺治疗巾于颌下。(3)插(cha)(cha)入(ru)一(yi)次性使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰管(guan)(guan)(guan)(guan)，其(qi)顺(shun)序是由(you)口(kou)腔(qiang)前(qian)庭→颊部(bu)(bu)(bu)→咽部(bu)(bu)(bu)，将(jiang)(jiang)各部(bu)(bu)(bu)吸(xi)(xi)(xi)尽。如口(kou)腔(qiang)吸(xi)(xi)(xi)痰有困难时，可(ke)(ke)由(you)鼻腔(qiang)插(cha)(cha)入(ru)(颅底骨折患者禁用(yong)(yong))，其(qi)顺(shun)序由(you)鼻腔(qiang)前(qian)庭→下鼻道(dao)→鼻后孔→咽部(bu)(bu)(bu)→气(qi)管(guan)(guan)(guan)(guan)(约20-25cm)，将(jiang)(jiang)分泌物逐段吸(xi)(xi)(xi)尽。若有气(qi)管(guan)(guan)(guan)(guan)插(cha)(cha)管(guan)(guan)(guan)(guan)或气(qi)管(guan)(guan)(guan)(guan)切开(kai)(kai)时，可(ke)(ke)由(you)插(cha)(cha)管(guan)(guan)(guan)(guan)或套管(guan)(guan)(guan)(guan)内插(cha)(cha)入(ru)，将(jiang)(jiang)痰液吸(xi)(xi)(xi)出(chu)。昏迷病人(ren)可(ke)(ke)用(yong)(yong)压舌板或开(kai)(kai)口(kou)器先将(jiang)(jiang)口(kou)启开(kai)(kai)，再(zai)行吸(xi)(xi)(xi)引。

一(yi)次(ci)性(xing)使用(yong)口腔护理(li)(li)包(bao)(bao)，包(bao)(bao)括方(fang)盘、弯(wan)盘、金(jin)属(shu)镊(nie)子、纸巾、生(sheng)理(li)(li)盐水(shui)、备用(yong)棉球、压(ya)(ya)舌板、围兜、干(gan)棉球，其(qi)特征在于上述(shu)药品及用(yong)具均密封于一(yi)塑料(liao)薄(bo)膜包(bao)(bao)内(nei)。该塑料(liao)薄(bo)膜包(bao)(bao)置于另(ling)一(yi)密封外(wai)包(bao)(bao)装塑料(liao)薄(bo)膜包(bao)(bao)内(nei)，护理(li)(li)包(bao)(bao)内(nei)配备有严(yan)格消毒过的方(fang)盘１个(ge)、弯(wan)盘１个(ge)、金(jin)属(shu)镊(nie)子２把、纸巾１张、生(sheng)理(li)(li)盐水(shui)１袋(dai)、备用(yong)棉球１袋(dai)、压(ya)(ya)舌板１根、围兜１块、干(gan)棉球１９个(ge)，可满足(zu)临床上一(yi)次(ci)口腔护理(li)(li)操作所需(xu)。适(shi)合(he)在灾害、野外(wai)救护、战争条件下使用(yong)，当遇有患者需(xu)进(jin)行口腔护理(li)(li)时，即可打开护理(li)(li)包(bao)(bao)，针对护理(li)(li)所需(xu)采用(yong)不(bu)同用(yong)品用(yong)具进(jin)行口腔护理(li)(li)操作。

如何预防插导尿包时出现感染现象?全科医生是经过全科医学专业培训，临床技能全面、医德高尚的高素质基层医疗保健人才,富有独立工作能力,对个人家庭及社区提供便捷、廉价的防、 治保康全方位的优质服务。推荐一次性使用灌肠包开展全科医疗服务, 如果没有具有活力的全科医生做坚实的基础,工作将缺乏生气和动力,那种以单纯的专科医疗的服务体系,势必造成医疗秩序的混乱,也没有任何国家的经济能够负担得起。那么,插导尿管如何预防感染呢?导尿包相关尿路感染预防SOP尿路感染(UTI)是二位常见医院感染类型, 75% ~ 80%与留置导尿管相关。为有效预防导尿管相关尿路感染,特制定以下控制措施:插管前准备与插管时的措施1.尽量避免不必要的留置导尿;2.仔细检查无菌导尿包，如过期、外包装破损潮湿,不得使用;3.根据年龄、性别、尿道情况选择合适的导尿管口径、类型。通常成年男性选16F ,女性选14F ;4.规范手卫生和载手套的程序;5.常规的消毒方法:用0.1%的新洁尔灭消毒尿道口及其周围皮肤粘膜,程序如下:男性:自尿道口、龟头向外旋转擦拭消毒,注意洗净包皮及冠状沟。一次性使用灌肠包厂家女性:先(xian)清(qing)洗(xi)外阴,其原则由(you)(you)上至下,由(you)(you)内向外,然后清(qing)洗(xi)尿道(dao)口、前庭、两侧(ce)大(da)小阴唇,后会阴、肛(gang)门,每(mei)一个(ge)棉球不能重复使(shi)用(yong);6.插管(guan)过(guo)程(cheng)严格执(zhi)行无菌操作,动(dong)作要轻柔,避(bi)免尿道(dao)粘膜(mo)损伤;7.对留置导尿患者(zhe),应采(cai)用(yong)密闭(bi)式引(yin)流系统。

导(dao)尿(niao)(niao)设备在(zai)医疗当中(zhong)也(ye)是(shi)(shi)(shi)(shi)(shi)经常(chang)(chang)(chang)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)一(yi)(yi)种(zhong)(zhong)产(chan)(chan)(chan)品(pin)(pin),在(zai)泌尿(niao)(niao)肛肠等(deng)医疗科(ke)室经常(chang)(chang)(chang)用(yong)(yong)(yong)到导(dao)尿(niao)(niao)设备一(yi)(yi)般都(dou)是(shi)(shi)(shi)(shi)(shi)一(yi)(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)。下面(mian)介绍的(de)(de)(de)(de)(de)这(zhei)(zhei)种(zhong)(zhong)-次(ci)(ci)性(xing)的(de)(de)(de)(de)(de)无(wu)莹导(dao)尿(niao)(niao)产(chan)(chan)(chan)品(pin)(pin)就(jiu)是(shi)(shi)(shi)(shi)(shi)同类产(chan)(chan)(chan)品(pin)(pin)中(zhong)性(xing)能(neng)非(fei)(fei)常(chang)(chang)(chang)优越(yue)的(de)(de)(de)(de)(de)一(yi)(yi)种(zhong)(zhong)。产(chan)(chan)(chan)品(pin)(pin)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)途和(he)性(xing)能(neng),这(zhei)(zhei)种(zhong)(zhong)-次(ci)(ci)性(xing)的(de)(de)(de)(de)(de)无(wu)菌导(dao)尿(niao)(niao)包(bao)主要(yao)(yao)是(shi)(shi)(shi)(shi)(shi)给临(lin)床上的(de)(de)(de)(de)(de)患者导(dao)尿(niao)(niao)之用(yong)(yong)(yong)，这(zhei)(zhei)种(zhong)(zhong)产(chan)(chan)(chan)品(pin)(pin)是(shi)(shi)(shi)(shi)(shi)经过(guo)了(le)(le)环氧乙烷灭莹,非(fei)(fei)常(chang)(chang)(chang)的(de)(de)(de)(de)(de)卫(wei)生和(he)安(an)全，使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)起来也(ye)非(fei)(fei)常(chang)(chang)(chang)方(fang)便。该产(chan)(chan)(chan)品(pin)(pin)是(shi)(shi)(shi)(shi)(shi)由洞巾,布和(he)一(yi)(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)导(dao)尿(niao)(niao)管、橡胶(jiao)医用(yong)(yong)(yong)手套(tao)、海绵刷、纱布块、石蜡棉球物(wu)品(pin)(pin)盒和(he)一(yi)(yi)次(ci)(ci)性(xing)的(de)(de)(de)(de)(de)引流袋等(deng)几(ji)部分组(zu)成(cheng)。这(zhei)(zhei)种(zhong)(zhong)- -次(ci)(ci)性(xing)产(chan)(chan)(chan)品(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)起来也(ye)非(fei)(fei)常(chang)(chang)(chang)方(fang)便。这(zhei)(zhei)种(zhong)(zhong)产(chan)(chan)(chan)品(pin)(pin)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)起来也(ye)比较(jiao)简单,首先,在(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)前要(yao)(yao)检查单包(bao)装是(shi)(shi)(shi)(shi)(shi)不是(shi)(shi)(shi)(shi)(shi)没有损(sun)坏(huai),灭菌的(de)(de)(de)(de)(de)有效(xiao)期(qi)是(shi)(shi)(shi)(shi)(shi)不是(shi)(shi)(shi)(shi)(shi)正常(chang)(chang)(chang);其(qi)次(ci)(ci),在(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)的(de)(de)(de)(de)(de)时(shi)候,先打开(kai)包(bao)装,在(zai)将包(bao)布打开(kai),再戴上手套(tao),然后;按照常(chang)(chang)(chang)规的(de)(de)(de)(de)(de)方(fang)法来使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)导(dao)尿(niao)(niao)包(bao)里的(de)(de)(de)(de)(de)组(zu)件(jian);其(qi)三,-般的(de)(de)(de)(de)(de)产(chan)(chan)(chan)品(pin)(pin)的(de)(de)(de)(de)(de)有效(xiao)期(qi)是(shi)(shi)(shi)(shi)(shi)两年(nian) ,如果产(chan)(chan)(chan)品(pin)(pin)已(yi)经过(guo)了(le)(le)有效(xiao)期(qi),绝对不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong);四,如果包(bao)装破(po)损(sun)了(le)(le)也(ye)不能(neng)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong);五(wu),这(zhei)(zhei)是(shi)(shi)(shi)(shi)(shi)-次(ci)(ci)性(xing)的(de)(de)(de)(de)(de)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)产(chan)(chan)(chan)品(pin)(pin)，禁止重复使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong),在(zai)使(shi)(shi)(shi)(shi)(shi)用(yong)(yong)(yong)完后要(yao)(yao)销毁,生产(chan)(chan)(chan)日期(qi)般在(zai)包(bao)装封(feng)口处。