2月5日,药(yao)监(jian)(jian)局(ju)接(jie)到卫生(sheng)(sheng)健(jian)康委(wei)(wei)通报,上(shang)(shang)(shang)海(hai)新兴(xing)医药(yao)股份有限(xian)公司(以下简(jian)称(cheng)“上(shang)(shang)(shang)海(hai)新兴(xing)”)生(sheng)(sheng)产(chan)(chan)的一(yi)批(pi)次(ci)(ci)静(jing)注人(ren)免疫(yi)球(qiu)蛋白(批(pi)号(hao):20180610Z)艾滋病(bing)(bing)(bing)病(bing)(bing)(bing)毒(du)(du)抗体检(jian)测为阳性。药(yao)监(jian)(jian)局(ju)立(li)即要求上(shang)(shang)(shang)海(hai)市药(yao)监(jian)(jian)局(ju)对(dui)上(shang)(shang)(shang)海(hai)新兴(xing)开展现场(chang)检(jian)查(cha)(cha),组织对(dui)同批(pi)原料血浆生(sheng)(sheng)产(chan)(chan)的产(chan)(chan)品(pin)(pin)和相邻(lin)批(pi)次(ci)(ci)产(chan)(chan)品(pin)(pin)进行(xing)检(jian)验,并派出督导检(jian)查(cha)(cha)组抵(di)达上(shang)(shang)(shang)海(hai)、江西,督促指导地方药(yao)监(jian)(jian)部门开展调查(cha)(cha)处置工作。药(yao)监(jian)(jian)局(ju)、卫生(sheng)(sheng)健(jian)康委(wei)(wei)联合下发通知,要求立(li)即暂(zan)停(ting)使用该企业(ye)生(sheng)(sheng)产(chan)(chan)的相关产(chan)(chan)品(pin)(pin),并及(ji)时采取封存(cun)等控制(zhi)措施。上(shang)(shang)(shang)海(hai)方面对(dui)涉事批(pi)次(ci)(ci)静(jing)注人(ren)免疫(yi)球(qiu)蛋白进行(xing)的艾滋病(bing)(bing)(bing)、乙肝、丙肝三种病(bing)(bing)(bing)毒(du)(du)核酸(suan)(suan)检(jian)测,结(jie)果(guo)均(jun)为阴(yin)性;江西方面对(dui)患者(zhe)的艾滋病(bing)(bing)(bing)病(bing)(bing)(bing)毒(du)(du)核酸(suan)(suan)检(jian)测,结(jie)果(guo)为阴(yin)性。对(dui)企业(ye)现场(chang)核查(cha)(cha)等有关工作正(zheng)在进一(yi)步(bu)进行(xing)中(zhong)。
一(yi)(yi)次(ci)性(xing)换药(yao)包(bao)(bao)(bao)如(ru)何使(shi)用(yong)(yong)一(yi)(yi)次(ci)性(xing)换药(yao)包(bao)(bao)(bao)经常(chang)(chang)用(yong)(yong)在外科的(de)护理(li)上面,一(yi)(yi)次(ci)性(xing)换药(yao)包(bao)(bao)(bao)一(yi)(yi)般内装一(yi)(yi)次(ci)性(xing)镊(nie)子(zi)、沙布、棉球、乳(ru)胶手(shou)套(tao)或PE手(shou)套(tao),居家常(chang)(chang)备(bei)实用(yong)(yong)小药(yao)包(bao)(bao)(bao),有擦伤,磕(ke)碰,十分的(de)方便1一(yi)(yi)次(ci)性(xing)换药(yao)包(bao)(bao)(bao)是一(yi)(yi)个很实用(yong)(yong)的(de)物(wu)件(jian),居家旅行,家中常(chang)(chang)备(bei),当出现(xian)擦伤碰伤时使(shi)用(yong)(yong)非常(chang)(chang)方便。2打开药(yao)包(bao)(bao)(bao),里(li)面得(de)物(wu)品时非常(chang)(chang)齐全的(de),一(yi)(yi)点不(bu)足的(de)是没(mei)有消毒酒精(jing)(jing)。3取(qu)出镊(nie)子(zi),棉球,沾酒精(jing)(jing)对擦伤伤口进行消毒处(chu)理(li),如(ru)过需要纱布包(bao)(bao)(bao)的(de)话(hua)可以包(bao)(bao)(bao)一(yi)(yi)下。
一(yi)次(ci)性使用导尿包(bao) 产(chan)(chan)品(pin)卫(wei)(wei)生(sheng)(sheng)备案 过了有(you)(you)效期(qi)怎么办消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin)的(de)(de)(de)(de)定义:消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin)包(bao)括(kuo):消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)、消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)器(qi)械(含生(sheng)(sheng)物(wu)指示(shi)物(wu)、化(hua)学(xue)指示(shi)物(wu)和(he)(he)(he)(he)(灭(mie)(mie)菌(jun)(jun)(jun)物(wu)品(pin)包(bao)装(zhuang)物(wu))、卫(wei)(wei)生(sheng)(sheng)用品(pin)和(he)(he)(he)(he)一(yi)次(ci)性使用医(yi)疗(liao)用品(pin)。根据(ju)《中华人(ren)民共和(he)(he)(he)(he)国(guo)传染病(bing)防治(zhi)法》、《消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)管(guan)(guan)(guan)理(li)办法》、《消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin)标签说明书管(guan)(guan)(guan)理(li)规(gui)范(fan)》、《消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin)卫(wei)(wei)生(sheng)(sheng)安(an)全评价规(gui)定》、《消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)技术规(gui)范(fan)》、《卫(wei)(wei)生(sheng)(sheng)行(xing)(xing)政(zheng)许可管(guan)(guan)(guan)理(li)办法》、《新消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin)和(he)(he)(he)(he)新涉水产(chan)(chan)品(pin)卫(wei)(wei)生(sheng)(sheng)行(xing)(xing)政(zheng)许可管(guan)(guan)(guan)理(li)规(gui)定》的(de)(de)(de)(de)要(yao)求,在(zai)中国(guo)境内销售(shou)和(he)(he)(he)(he)生(sheng)(sheng)产(chan)(chan)的(de)(de)(de)(de)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)类(lei)产(chan)(chan)品(pin)根据(ju)风(feng)险不同(tong),实行(xing)(xing)分类(lei)管(guan)(guan)(guan)理(li)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin)分类(lei):按(an)照消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin)用途、使用对(dui)象的(de)(de)(de)(de)风(feng)险程度(du)实行(xing)(xing)分类(lei),具体(ti)如下:一(yi)类(lei)是具有(you)(you)较高(gao)风(feng)险,需要(yao)严格管(guan)(guan)(guan)理(li)以保障(zhang)安(an)全、有(you)(you)效的(de)(de)(de)(de)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)产(chan)(chan)品(pin),包(bao)括(kuo)用于(yu)医(yi)疗(liao)器(qi)械的(de)(de)(de)(de)高(gao)水平(ping)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)和(he)(he)(he)(he)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)器(qi)械、灭(mie)(mie)菌(jun)(jun)(jun)剂(ji)(ji)和(he)(he)(he)(he)灭(mie)(mie)菌(jun)(jun)(jun)器(qi)械、皮肤黏膜消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji),生(sheng)(sheng)物(wu)指示(shi)物(wu)和(he)(he)(he)(he)灭(mie)(mie)菌(jun)(jun)(jun)效果(guo)化(hua)学(xue)指示(shi)物(wu)。(注(zhu):高(gao)水平(ping)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji):是指可杀灭(mie)(mie)一(yi)切(qie)细菌(jun)(jun)(jun)繁殖体(ti)、分枝杆(gan)菌(jun)(jun)(jun)、病(bing)毒(du)(du)(du)(du)、真菌(jun)(jun)(jun)及(ji)其孢(bao)子等,对(dui)致(zhi)病(bing)性细菌(jun)(jun)(jun)芽孢(bao)也有(you)(you)一(yi)定的(de)(de)(de)(de)杀灭(mie)(mie)作(zuo)用,达到高(gao)水平(ping)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)要(yao)求的(de)(de)(de)(de)消(xiao)(xiao)(xiao)(xiao)毒(du)(du)(du)(du)剂(ji)(ji)。)
一(yi)(yi)次(ci)性使(shi)(shi)(shi)用(yong)吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)使(shi)(shi)(shi)用(yong)。导读:如(ru)何使(shi)(shi)(shi)用(yong)一(yi)(yi)次(ci)性吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)?小编为大(da)家准备了使(shi)(shi)(shi)用(yong)吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)方(fang)(fang)法和(he)使(shi)(shi)(shi)用(yong)吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)需(xu)要(yao)注(zhu)意的(de)(de)三(san)点,这可(ke)能对你有帮助。使(shi)(shi)(shi)用(yong)吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)方(fang)(fang)法:1.检(jian)查吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan),检(jian)查吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)装(zhuang)置功能,检(jian)查吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)导管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)是(shi)否通畅,是(shi)否影响正(zheng)常(chang)吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)手术。2.准备所有吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)项目,将(jiang)这些(xie)物品放在床头柜上(shang),向病(bing)(bing)人(ren)(ren)解释下(xia)一(yi)(yi)次(ci)手术,说明某些(xie)项目的(de)(de)使(shi)(shi)(shi)用(yong)情况,并为病(bing)(bing)人(ren)(ren)做好(hao)准备。3.让病(bing)(bing)人(ren)(ren)侧(ce)(ce)头,稍向后(hou),如(ru)果(guo)病(bing)(bing)人(ren)(ren)本身处于昏迷状态,需(xu)要(yao)用(yong)舌板(ban)打开病(bing)(bing)人(ren)(ren)的(de)(de)嘴,然(ran)(ran)后(hou)将(jiang)痰(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)侧(ce)(ce)到咽喉等,当病(bing)(bing)人(ren)(ren)吸(xi)(xi)气时(shi),将(jiang)吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)插(cha)入气管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。如(ru)果(guo)病(bing)(bing)人(ren)(ren)很难(nan)从嘴里吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan),就可(ke)以(yi)从鼻腔插(cha)入痰(tan)(tan)(tan)(tan)(tan)(tan)。当然(ran)(ran),禁止使(shi)(shi)(shi)用(yong)颅底(di)骨折患(huan)者。对于气管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)内插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)或(huo)气管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)切开术的(de)(de)病(bing)(bing)人(ren)(ren),可(ke)以(yi)从插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)或(huo)插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)中插(cha)入吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。4.插(cha)入吸(xi)(xi)入管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)前,打开吸(xi)(xi)入开关(guan)。然(ran)(ran)而,T管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)(de)侧(ce)(ce)孔应该放松,当痰(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)在一(yi)(yi)定深度插(cha)入气管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)时(shi),可(ke)根(gen)据闭(bi)合侧(ce)(ce)孔立即吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)。吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)时(shi),吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)应从底(di)部慢慢抬起(qi),左右(you)旋(xuan)转(zhuan),以(yi)便吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)。防止粘膜被破坏(huai),通过(guo)固定一(yi)(yi)个地方(fang)(fang),或(huo)向上(shang)和(he)向下(xia),以(yi)吸(xi)(xi)引它(ta)。吸(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)取出后(hou),吸(xi)(xi)收水(shui)分,冲(chong)洗(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)内痰(tan)(tan)(tan)(tan)(tan)(tan),以(yi)免(mian)堵(du)塞痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。关(guan)掉吸(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)开关(guan)。
一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)的(de)具体(ti)操作方法是(shi)(shi)怎(zen)样。温馨提示:为(wei)避(bi)免病人吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)入(ru)的(de)空(kong)气干燥(因无鼻(bi)腔(qiang)的(de)湿化(hua)作用(yong)(yong)),可用(yong)(yong)单层或(huo)双层盐水浸(jin)湿的(de)纱布覆盖一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)管(guan)(guan)口,干后(hou)(hou)随时(shi)更换。那么(me),一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)的(de)具体(ti)操作方法是(shi)(shi)怎(zen)样? 一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)为(wei)无菌产品,经环氧乙烷灭(mie)菌,灭(mie)菌有效(xiao)期2年;一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)限一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong),用(yong)(yong)后(hou)(hou)销毁,禁止重复使(shi)(shi)(shi)(shi)用(yong)(yong);一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)应(ying)存(cun)放(fang)在通风、干燥、无腐蚀性物体(ti)的(de)室内(nei)。 一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)的(de)具体(ti)操作方法如下: 吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)前先检查吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器效(xiao)能(neng)是(shi)(shi)否(fou)良好,吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)导(dao)管(guan)(guan)是(shi)(shi)否(fou)通畅。2.备(bei)齐(qi)用(yong)(yong)物,置床头(tou)柜,向(xiang)患(huan)者解释。3.将患(huan)者头(tou)偏向(xiang)一(yi)(yi)侧(ce),并略(lve)向(xiang)后(hou)(hou)仰。昏迷患(huan)者可用(yong)(yong)压舌板将口启(qi)开(kai),夹持吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)由(you)口腔(qiang)颊(jia)部插(cha)至咽喉部,乘(cheng)患(huan)者吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)气时(shi)将吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)插(cha)入(ru)气管(guan)(guan)。如口腔(qiang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)有困(kun)难时(shi),可由(you)鼻(bi)腔(qiang)插(cha)入(ru)(颅底骨折患(huan)者禁用(yong)(yong));气管(guan)(guan)插(cha)管(guan)(guan)或(huo)气管(guan)(guan)切开(kai)患(huan)者,可由(you)插(cha)管(guan)(guan)或(huo)套管(guan)(guan)内(nei)插(cha)入(ru)。
插管时的护理⑴清醒患者:操纵中应鼓励其增强决心信念,调动自我控制能力,从而按捺不良情绪,配合插管。插管时如碰到阻力,切勿强行置入,应查明发生原因,如管腔内有堵塞,可向胃管内注入空气,若泛起呃逆,说明管腔启齿部位在食管内,可将胃管向下试插。⑵意识障碍患者:可采用诱导吞咽法插胃管:患者取平卧或头高位,操纵者两人分站两侧,左侧操纵者按传统方法将胃管轻插至14~16cm休止,待患者不适症状消失后,左侧操纵者用木帛签蘸水,轻擦患者唇部及舌面,见患者泛起吞咽动作,右侧操纵者即将胃管向前推进送入食道再插至胃部。优质一次性使用医用无菌塑柄手术刀插管后护理(1)胃管留置时间:长期鼻饲患者7天更换1次胃管,一次性使用灌肠包,改插另一侧鼻孔,以预防鼻咽黏膜---性损伤;若为硅胶胃管则每月更换1次。(2)保持胃管通畅:逐日用20ml生理盐水冲刷2次,防止胃管因堵塞或胃液黏稠而引流不畅。(3)口腔护理:住院患者在留置胃管期间机体抵挡力降低,导致口腔的自洁作用减弱。一次性使用医用无菌塑柄手术刀价格因此,留(liu)置(zhi)胃管期间,对(dui)意识障碍患(huan)者(zhe)(zhe)进行口(kou)腔护理(li),对(dui)清醒患(huan)者(zhe)(zhe)嘱(zhu)定(ding)时刷牙。(4)心(xin)理(li)护理(li):清醒患(huan)者(zhe)(zhe)留(liu)置(zhi)胃管时护士(shi)应多(duo)与其(qi)沟通,加强胃管护理(li)知识的(de)宣(xuan)教,定(ding)时匡助患(huan)者(zhe)(zhe)翻身,推拿背部、肩(jian)颈(jing)部,以减轻(qing)因头颈(jing)部制动及被动---带来的(de)不适。