一次性婴儿吸痰管的使用方法1、一次性婴儿吸痰管的使用方法。胎儿头部娩出后,迅速用左手从鼻根向下挤压口鼻,清除口鼻内的粘液及羊水。医用一次性使用灌肠包婴儿娩出后,立即将婴儿仰头平卧,将吸痰管轻轻插入婴儿气管内、食管内、胃内,一边吸引一边将吸痰管慢慢往上拉,由下至上,将气管、食管、胃、咽腔、口腔的羊水及分泌物吸干净。一次性使用灌肠包价格可如此反复吸(xi)(xi)引2~3次,直到(dao)婴儿(er)哭(ku)声响亮(liang),无痰(tan)(tan)(tan)(tan)鸣(ming)音为止(zhi)。2、吸(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)的使用操(cao)作步骤。接通电源,检查吸(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)性(xing)能是(shi)否良好(hao),吸(xi)(xi)引管(guan)是(shi)否通畅。使病人(ren)面(mian)向操(cao)作者,头(tou)略后仰,昏(hun)迷(mi)病人(ren)可用开口器帮(bang)助张口,再将(jiang)吸(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)插入(ru)口腔(qiang)颊(jia)部(bu)、咽部(bu)。若口腔(qiang)吸(xi)(xi)痰(tan)(tan)(tan)(tan)有困难,可由鼻腔(qiang)插管(guan)至咽部(bu),当插入(ru)到(dao)适当位(wei)置(zhi)后再接通电源,并使吸(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)左(zuo)右旋转,缓慢上移,向上提出(chu),将(jiang)咽部(bu)及口、鼻分泌物逐(zhu)段吸(xi)(xi)尽。吸(xi)(xi)引过(guo)程中,应随(sui)时吸(xi)(xi)水冲洗汲(ji)痰(tan)(tan)(tan)(tan)管(guan),以(yi)免痰(tan)(tan)(tan)(tan)液(ye)堵塞。如痰(tan)(tan)(tan)(tan)液(ye)过(guo)深不易汲(ji)出(chu),可借助吸(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)插入(ru)的机械刺(ci)激,使病人(ren)作有效咳嗽(sou)(sou)动(dong)作,待咳嗽(sou)(sou)停止(zhi)后再吸(xi)(xi)。
一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)的(de)具体(ti)操(cao)作(zuo)(zuo)方法是怎样。温馨提示:为(wei)避免(mian)病人吸(xi)(xi)(xi)(xi)入的(de)空气(qi)干(gan)燥(因无(wu)鼻腔(qiang)的(de)湿(shi)化作(zuo)(zuo)用(yong)(yong)(yong)),可用(yong)(yong)(yong)单层(ceng)或双(shuang)层(ceng)盐(yan)水浸湿(shi)的(de)纱布覆盖一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)管(guan)(guan)(guan)(guan)口(kou),干(gan)后(hou)随时更换。那么,一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)的(de)具体(ti)操(cao)作(zuo)(zuo)方法是怎样? 一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)为(wei)无(wu)菌产品,经环氧(yang)乙烷(wan)灭菌,灭菌有效期(qi)2年(nian);一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)限一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong),用(yong)(yong)(yong)后(hou)销毁(hui),禁止(zhi)重复使(shi)(shi)(shi)(shi)用(yong)(yong)(yong);一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)应(ying)存放在通(tong)风(feng)、干(gan)燥、无(wu)腐(fu)蚀(shi)性(xing)(xing)物(wu)体(ti)的(de)室内(nei)(nei)。 一次(ci)性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)的(de)具体(ti)操(cao)作(zuo)(zuo)方法如下: 吸(xi)(xi)(xi)(xi)引前先检(jian)查吸(xi)(xi)(xi)(xi)引器效能是否(fou)良好,吸(xi)(xi)(xi)(xi)引导管(guan)(guan)(guan)(guan)是否(fou)通(tong)畅。2.备齐用(yong)(yong)(yong)物(wu),置床头柜,向(xiang)患(huan)(huan)(huan)者解释。3.将(jiang)患(huan)(huan)(huan)者头偏向(xiang)一侧,并略向(xiang)后(hou)仰。昏迷患(huan)(huan)(huan)者可用(yong)(yong)(yong)压舌板(ban)将(jiang)口(kou)启开,夹持(chi)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)由口(kou)腔(qiang)颊部插至咽喉(hou)部,乘(cheng)患(huan)(huan)(huan)者吸(xi)(xi)(xi)(xi)气(qi)时将(jiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)(guan)插入气(qi)管(guan)(guan)(guan)(guan)。如口(kou)腔(qiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)有困(kun)难时,可由鼻腔(qiang)插入(颅底骨折患(huan)(huan)(huan)者禁用(yong)(yong)(yong));气(qi)管(guan)(guan)(guan)(guan)插管(guan)(guan)(guan)(guan)或气(qi)管(guan)(guan)(guan)(guan)切开患(huan)(huan)(huan)者,可由插管(guan)(guan)(guan)(guan)或套管(guan)(guan)(guan)(guan)内(nei)(nei)插入。
2月5日,药(yao)监(jian)局(ju)接到卫生健康委(wei)通报,上海新(xin)兴(xing)医药(yao)股份有限公司(以下(xia)简称“上海新(xin)兴(xing)”)生产(chan)(chan)的(de)(de)(de)一批(pi)(pi)次(ci)静注(zhu)人(ren)免疫球蛋白(批(pi)(pi)号:20180610Z)艾滋(zi)病(bing)病(bing)毒(du)抗体检测为(wei)(wei)阳性。药(yao)监(jian)局(ju)立即要求上海市(shi)药(yao)监(jian)局(ju)对上海新(xin)兴(xing)开展(zhan)现场(chang)(chang)检查,组织(zhi)对同批(pi)(pi)原料血浆生产(chan)(chan)的(de)(de)(de)产(chan)(chan)品和相(xiang)邻批(pi)(pi)次(ci)产(chan)(chan)品进行(xing)检验,并派出督导检查组抵达上海、江西,督促指导地方药(yao)监(jian)部门开展(zhan)调查处置工(gong)作。药(yao)监(jian)局(ju)、卫生健康委(wei)联合下(xia)发通知(zhi),要求立即暂停使用该企业(ye)生产(chan)(chan)的(de)(de)(de)相(xiang)关产(chan)(chan)品,并及时采取封(feng)存等(deng)控制措施。上海方面(mian)对涉(she)事批(pi)(pi)次(ci)静注(zhu)人(ren)免疫球蛋白进行(xing)的(de)(de)(de)艾滋(zi)病(bing)、乙肝、丙肝三种(zhong)病(bing)毒(du)核(he)酸(suan)检测,结果(guo)均(jun)为(wei)(wei)阴性;江西方面(mian)对患(huan)者的(de)(de)(de)艾滋(zi)病(bing)病(bing)毒(du)核(he)酸(suan)检测,结果(guo)为(wei)(wei)阴性。对企业(ye)现场(chang)(chang)核(he)查等(deng)有关工(gong)作正在进一步(bu)进行(xing)中。
如(ru)何(he)预(yu)防插导(dao)尿(niao)(niao)(niao)(niao)包(bao)时出(chu)现感染(ran)现象?全(quan)科(ke)(ke)医(yi)(yi)生(sheng)是(shi)经过(guo)全(quan)科(ke)(ke)医(yi)(yi)学(xue)专(zhuan)业培训,临床技能(neng)全(quan)面、医(yi)(yi)德(de)高(gao)尚(shang)的(de)(de)(de)高(gao)素(su)质(zhi)基(ji)层医(yi)(yi)疗(liao)保(bao)健人才,富有独立工作(zuo)能(neng)力,对个(ge)人家庭及社区提供便捷(jie)、廉价的(de)(de)(de)防、 治(zhi)保(bao)康全(quan)方(fang)位(wei)的(de)(de)(de)优质(zhi)服(fu)务(wu)。开(kai)展全(quan)科(ke)(ke)医(yi)(yi)疗(liao)服(fu)务(wu), 如(ru)果没有具(ju)有活力的(de)(de)(de)全(quan)科(ke)(ke)医(yi)(yi)生(sheng)做坚实的(de)(de)(de)基(ji)础,工作(zuo)将缺乏生(sheng)气(qi)和(he)动力,那(nei)种以单纯的(de)(de)(de)专(zhuan)科(ke)(ke)医(yi)(yi)疗(liao)的(de)(de)(de)服(fu)务(wu)体系(xi),势必造成医(yi)(yi)疗(liao)秩序(xu)的(de)(de)(de)混乱,也没有任何(he)国家的(de)(de)(de)经济能(neng)够负担得(de)起。那(nei)么(me),插导(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)如(ru)何(he)预(yu)防感染(ran)呢?导(dao)尿(niao)(niao)(niao)(niao)包(bao)相(xiang)(xiang)关尿(niao)(niao)(niao)(niao)路感染(ran)预(yu)防SOP尿(niao)(niao)(niao)(niao)路感染(ran)(UTI)是(shi)二位(wei)常(chang)见医(yi)(yi)院感染(ran)类(lei)型, 75% ~ 80%与留置导(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)相(xiang)(xiang)关。为(wei)有效预(yu)防导(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)相(xiang)(xiang)关尿(niao)(niao)(niao)(niao)路感染(ran),特制(zhi)定以下(xia)控制(zhi)措(cuo)(cuo)施:插管(guan)(guan)前准备与插管(guan)(guan)时的(de)(de)(de)措(cuo)(cuo)施1.尽量避免不必要(yao)的(de)(de)(de)留置导(dao)尿(niao)(niao)(niao)(niao);2.仔(zi)细检查无(wu)菌导(dao)尿(niao)(niao)(niao)(niao)包(bao),如(ru)过(guo)期、外(wai)包(bao)装破损(sun)潮湿,不得(de)使用;3.根据年龄、性(xing)(xing)(xing)别、尿(niao)(niao)(niao)(niao)道(dao)情况选择合(he)适的(de)(de)(de)导(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)口径、类(lei)型。通常(chang)成年男(nan)性(xing)(xing)(xing)选16F ,女(nv)性(xing)(xing)(xing)选14F ;4.规范手卫生(sheng)和(he)载手套的(de)(de)(de)程(cheng)(cheng)序(xu);5.常(chang)规的(de)(de)(de)消(xiao)毒方(fang)法:用0.1%的(de)(de)(de)新(xin)洁尔灭消(xiao)毒尿(niao)(niao)(niao)(niao)道(dao)口及其周围皮肤粘膜(mo),程(cheng)(cheng)序(xu)如(ru)下(xia):男(nan)性(xing)(xing)(xing):自尿(niao)(niao)(niao)(niao)道(dao)口、龟头向外(wai)旋转擦(ca)拭消(xiao)毒,注(zhu)意洗(xi)净包(bao)皮及冠状沟。女(nv)性(xing)(xing)(xing):先清洗(xi)外(wai)阴(yin),其原则由上(shang)至下(xia),由内向外(wai),然后清洗(xi)尿(niao)(niao)(niao)(niao)道(dao)口、前庭、两(liang)侧大小阴(yin)唇(chun),后会(hui)阴(yin)、肛门,每一个(ge)棉球不能(neng)重复使用;6.插管(guan)(guan)过(guo)程(cheng)(cheng)严格(ge)执行(xing)无(wu)菌操作(zuo),动作(zuo)要(yao)轻柔(rou),避免尿(niao)(niao)(niao)(niao)道(dao)粘膜(mo)损(sun)伤;7.对留置导(dao)尿(niao)(niao)(niao)(niao)患者(zhe),应采用密闭式引(yin)流系(xi)统。
女性(xing)在(zai)(zai)进行(xing)(xing)妇科(ke)检(jian)(jian)(jian)查(cha)(cha)时发现一种辅助性(xing)检(jian)(jian)(jian)查(cha)(cha)器(qi)(qi)械(xie),人们将其称(cheng)为阴(yin)(yin)道(dao)(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)。很多女性(xing)对这个检(jian)(jian)(jian)查(cha)(cha)器(qi)(qi)械(xie)不甚了(le)解,因此在(zai)(zai)检(jian)(jian)(jian)查(cha)(cha)时都存在(zai)(zai)畏惧心(xin)理(li)。那么(me),在(zai)(zai)进行(xing)(xing)妇科(ke)检(jian)(jian)(jian)查(cha)(cha)时阴(yin)(yin)道(dao)(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)的(de)(de)使用方(fang)法是(shi)(shi)怎样的(de)(de)呢?以(yi)下(xia)就相关方(fang)面(mian)的(de)(de)知(zhi)识(shi)内容为您进行(xing)(xing)相应的(de)(de)介(jie)绍。1.术(shu)者(zhe)或者(zhe)检(jian)(jian)(jian)查(cha)(cha)者(zhe)带(dai)无菌手套,准备好阴(yin)(yin)道(dao)(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)。一手执器(qi)(qi),一手轻(qing)轻(qing)分开(kai)(kai)两侧小阴(yin)(yin)唇,暴露阴(yin)(yin)道(dao)(dao)(dao)(dao)。 2.将阴(yin)(yin)道(dao)(dao)(dao)(dao)扩(kuo)张(zhang)器(qi)(qi)轻(qing)轻(qing)顺着(zhe)阴(yin)(yin)道(dao)(dao)(dao)(dao)走行(xing)(xing)、阴(yin)(yin)道(dao)(dao)(dao)(dao)纵线与(yu)扩(kuo)张(zhang)器(qi)(qi)大的(de)(de)横径呈0度(du)角度(du)送入。慢慢张(zhang)开(kai)(kai)上(shang)下(xia)双叶。3.暴露宫颈(jing)。至此,观察阴(yin)(yin)道(dao)(dao)(dao)(dao)壁(bi)、阴(yin)(yin)道(dao)(dao)(dao)(dao)穹窿(long)部情况(kuang),是(shi)(shi)否(fou)有(you)肿(zhong)(zhong)瘤(liu)(liu)、擦伤、红(hong)肿(zhong)(zhong);赘生物等(deng)。继而观察阴(yin)(yin)道(dao)(dao)(dao)(dao)分泌物的(de)(de)性(xing)状:味儿、色、粘稠度(du)等(deng),记录之(zhi)。宫颈(jing)情况(kuang)所见:表面(mian)是(shi)(shi)否(fou)光滑、是(shi)(shi)否(fou)有(you)赘生物以(yi)及肿(zhong)(zhong)瘤(liu)(liu)、息肉;宫颈(jing)表面(mian)是(shi)(shi)否(fou)有(you)隐藏或暴露的(de)(de)囊肿(zhong)(zhong)等(deng)。是(shi)(shi)否(fou)肥大、出血、肿(zhong)(zhong)胀,记录之(zhi);是(shi)(shi)否(fou)红(hong)肿(zhong)(zhong)紫(zi),记录之(zhi)。