如(ru)何预(yu)(yu)防(fang)(fang)插(cha)(cha)导(dao)(dao)尿(niao)(niao)(niao)(niao)包时出现感染现象?全科医(yi)(yi)(yi)生(sheng)是(shi)经(jing)过全科医(yi)(yi)(yi)学专(zhuan)业培训(xun),临床(chuang)技能全面、医(yi)(yi)(yi)德高(gao)尚的(de)高(gao)素(su)质(zhi)基(ji)层(ceng)医(yi)(yi)(yi)疗(liao)保(bao)(bao)健人才(cai),富有独(du)立工作(zuo)能力(li),对个人家庭(ting)及(ji)社区提(ti)供(gong)便捷(jie)、廉价的(de)防(fang)(fang)、 治保(bao)(bao)康全方(fang)位的(de)优质(zhi)服务(wu)。开展全科医(yi)(yi)(yi)疗(liao)服务(wu), 如(ru)果没有具有活力(li)的(de)全科医(yi)(yi)(yi)生(sheng)做坚实的(de)基(ji)础,工作(zuo)将缺乏生(sheng)气和动力(li),那种(zhong)以(yi)单(dan)纯(chun)的(de)专(zhuan)科医(yi)(yi)(yi)疗(liao)的(de)服务(wu)体系,势必造成医(yi)(yi)(yi)疗(liao)秩(zhi)序(xu)的(de)混乱(luan),也没有任(ren)何国家的(de)经(jing)济能够负担得(de)起。那么,插(cha)(cha)导(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan)如(ru)何预(yu)(yu)防(fang)(fang)感染呢?导(dao)(dao)尿(niao)(niao)(niao)(niao)包相(xiang)关(guan)尿(niao)(niao)(niao)(niao)路感染预(yu)(yu)防(fang)(fang)SOP尿(niao)(niao)(niao)(niao)路感染(UTI)是(shi)二(er)位常(chang)见医(yi)(yi)(yi)院感染类(lei)型, 75% ~ 80%与(yu)留(liu)置(zhi)导(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan)相(xiang)关(guan)。为有效预(yu)(yu)防(fang)(fang)导(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan)相(xiang)关(guan)尿(niao)(niao)(niao)(niao)路感染,特制(zhi)(zhi)定以(yi)下控制(zhi)(zhi)措施(shi):插(cha)(cha)管(guan)(guan)(guan)前准备与(yu)插(cha)(cha)管(guan)(guan)(guan)时的(de)措施(shi)1.尽量避(bi)免不必要的(de)留(liu)置(zhi)导(dao)(dao)尿(niao)(niao)(niao)(niao);2.仔细(xi)检查(cha)无(wu)菌(jun)导(dao)(dao)尿(niao)(niao)(niao)(niao)包,如(ru)过期、外(wai)(wai)(wai)包装(zhuang)破(po)损(sun)潮湿,不得(de)使用(yong)(yong);3.根据年(nian)龄、性(xing)别(bie)、尿(niao)(niao)(niao)(niao)道(dao)情况选(xuan)择合适(shi)的(de)导(dao)(dao)尿(niao)(niao)(niao)(niao)管(guan)(guan)(guan)口(kou)(kou)(kou)径、类(lei)型。通常(chang)成年(nian)男性(xing)选(xuan)16F ,女(nv)性(xing)选(xuan)14F ;4.规范手(shou)卫生(sheng)和载手(shou)套的(de)程序(xu);5.常(chang)规的(de)消(xiao)(xiao)毒(du)方(fang)法:用(yong)(yong)0.1%的(de)新洁尔灭消(xiao)(xiao)毒(du)尿(niao)(niao)(niao)(niao)道(dao)口(kou)(kou)(kou)及(ji)其(qi)周围皮肤粘膜,程序(xu)如(ru)下:男性(xing):自尿(niao)(niao)(niao)(niao)道(dao)口(kou)(kou)(kou)、龟(gui)头向外(wai)(wai)(wai)旋转擦拭(shi)消(xiao)(xiao)毒(du),注意洗(xi)净包皮及(ji)冠状沟。女(nv)性(xing):先清(qing)洗(xi)外(wai)(wai)(wai)阴(yin)(yin),其(qi)原(yuan)则(ze)由上至下,由内向外(wai)(wai)(wai),然(ran)后(hou)清(qing)洗(xi)尿(niao)(niao)(niao)(niao)道(dao)口(kou)(kou)(kou)、前庭(ting)、两侧大小阴(yin)(yin)唇,后(hou)会(hui)阴(yin)(yin)、肛门,每一个棉球(qiu)不能重复使用(yong)(yong);6.插(cha)(cha)管(guan)(guan)(guan)过程严格执(zhi)行无(wu)菌(jun)操(cao)作(zuo),动作(zuo)要轻柔,避(bi)免尿(niao)(niao)(niao)(niao)道(dao)粘膜损(sun)伤;7.对留(liu)置(zhi)导(dao)(dao)尿(niao)(niao)(niao)(niao)患者(zhe),应(ying)采(cai)用(yong)(yong)密闭(bi)式引流系统。
一次性吸痰包的使用方法一次性使用吸痰管用于临床患者抽取气管内痰液或分泌液用。一次性使用吸痰管吸痰动作要轻、稳。一次吸痰时间不应超过15秒,吸引器连续使用时间不超过3分钟。1检查吸引器各部连接是否完善,有无漏气。接通电源,打开开关,检查吸引器性能,调节负压。一般成人吸痰负压约40-50 kPa,小儿吸痰约13-30kPa,将一次性使用吸痰管置于水中,试验吸引力,并冲洗皮管。2将病人头部转向护士,铺治疗巾于颌下。医用一次性使用胃镜检查包插入一次性使用吸痰管,其顺序是由口腔前庭→颊部→咽部,将各部吸尽。如口腔吸痰有困难时,可由鼻腔插入(颅底骨折患者禁用),其顺序由鼻腔前庭→下鼻道→鼻后孔→咽部→气管(约20-25cm),将分泌物逐段吸尽。3气管内吸痰,待病人吸气时,快速将导管插入,自下而上边退边左右旋转导管,消除气道分泌物,并注意观察病人的呼吸。在吸引过程中,如病人咳嗽厉害,应稍等片刻后再行吸出。一次性使用胃镜检查包厂家并随时(shi)冲洗吸(xi)引(yin)(yin)管,以(yi)免痰(tan)液堵塞。4吸(xi)毕(bi),关闭吸(xi)引(yin)(yin)器开关,弃吸(xi)痰(tan)导管于(yu)小桶内(nei),吸(xi)引(yin)(yin)胶管玻璃接头插入床栏上盛有消毒液瓶内(nei)备(bei)用(yong),将病人口腔周围(wei)擦(ca)净。观(guan)察吸(xi)出液的量、颜色及(ji)性质,必(bi)要时(shi)做好记录。
一次(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)导(dao)尿(niao)(niao)包(bao)相(xiang)关问(wen)答(da)(da)(da)问(wen):有什么区别次(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)导(dao)尿(niao)(niao)包(bao)+18?答(da)(da)(da):导(dao)尿(niao)(niao)包(bao)咨询热线 :0512-66615979答(da)(da)(da):导(dao)尿(niao)(niao)管的(de)(de)外直(zhi)径,一般男性临床(chuang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)12~16比较多见,问(wen): 一次(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)引(yin)尿(niao)(niao)包(bao)的(de)(de)注意(yi)事项(xiang)有哪(na)些(xie)?答(da)(da)(da):1、本品经环(huan)氧(yang)乙环(huan)灭菌,使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)前请注意(yi)内(nei)袋(dai)包(bao)装(zhuang)上灭菌指(zhi)示标志。2、本品灭菌后(hou),在包(bao)装(zhuang)完好(hao)时,包(bao)内(nei)所(suo)有器件(jian)均为无毒、无菌。3、包(bao)装(zhuang)破(po)损(sun),禁止使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)。4、本产(chan)品灭菌有效期两年(nian),生产(chan)日期见封口处。5、本产(chan)品仅限于一次(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)后(hou)销(xiao)毁(hui)。问(wen): 一次(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)引(yin)尿(niao)(niao)包(bao)的(de)(de)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)方法(fa)是怎样的(de)(de)?答(da)(da)(da):1、取出本品,从启(qi)口处撕开(kai),取出无菌内(nei)包(bao),放(fang)置工(gong)作台中央。2、打开(kai)内(nei)包(bao),戴(dai)上无菌医用(yong)(yong)(yong)(yong)(yong)(yong)(yong)手套(tao),按(an)操(cao)作规程(cheng)进行操(cao)作。3、使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)时注意(yi)正确使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)引(yin)流袋(dai)等各种配(pei)件(jian)。4、本产(chan)品使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)结束后(hou),丢(diu)弃所(suo)有组件(jian),不(bu)可重复使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)。
插(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)时(shi)的(de)护(hu)(hu)理⑴清(qing)醒患者(zhe)(zhe)(zhe)(zhe):操(cao)纵中(zhong)应(ying)(ying)鼓励其(qi)增(zeng)强(qiang)决(jue)心信念,调动(dong)自我控制能力(li),从而按捺(na)不良(liang)情(qing)绪,配合插(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)。插(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)时(shi)如(ru)碰到阻力(li),切勿强(qiang)行置(zhi)(zhi)入(ru),应(ying)(ying)查(cha)明发(fa)生原因(yin),如(ru)管(guan)(guan)(guan)(guan)腔(qiang)内(nei)有(you)堵塞,可向(xiang)(xiang)胃(wei)管(guan)(guan)(guan)(guan)内(nei)注(zhu)入(ru)空气,若(ruo)泛起(qi)呃(e)逆,说(shuo)明管(guan)(guan)(guan)(guan)腔(qiang)启(qi)齿部(bu)(bu)(bu)位在食管(guan)(guan)(guan)(guan)内(nei),可将胃(wei)管(guan)(guan)(guan)(guan)向(xiang)(xiang)下试(shi)插(cha)(cha)(cha)(cha)。⑵意识(shi)障(zhang)碍(ai)患者(zhe)(zhe)(zhe)(zhe):可采用诱导吞(tun)咽法插(cha)(cha)(cha)(cha)胃(wei)管(guan)(guan)(guan)(guan):患者(zhe)(zhe)(zhe)(zhe)取平卧或(huo)头高位,操(cao)纵者(zhe)(zhe)(zhe)(zhe)两(liang)(liang)人分站(zhan)两(liang)(liang)侧(ce),左(zuo)侧(ce)操(cao)纵者(zhe)(zhe)(zhe)(zhe)按传(chuan)统方法将胃(wei)管(guan)(guan)(guan)(guan)轻插(cha)(cha)(cha)(cha)至(zhi)14~16cm休止,待患者(zhe)(zhe)(zhe)(zhe)不适(shi)症状(zhuang)消失(shi)后(hou)(hou),左(zuo)侧(ce)操(cao)纵者(zhe)(zhe)(zhe)(zhe)用木帛签蘸水,轻擦患者(zhe)(zhe)(zhe)(zhe)唇部(bu)(bu)(bu)及(ji)舌(she)面,见患者(zhe)(zhe)(zhe)(zhe)泛起(qi)吞(tun)咽动(dong)作(zuo),右侧(ce)操(cao)纵者(zhe)(zhe)(zhe)(zhe)即将胃(wei)管(guan)(guan)(guan)(guan)向(xiang)(xiang)前推进送入(ru)食道(dao)再插(cha)(cha)(cha)(cha)至(zhi)胃(wei)部(bu)(bu)(bu)。插(cha)(cha)(cha)(cha)管(guan)(guan)(guan)(guan)后(hou)(hou)护(hu)(hu)理(1)胃(wei)管(guan)(guan)(guan)(guan)留置(zhi)(zhi)时(shi)间(jian)(jian)(jian):长(zhang)期(qi)鼻饲(si)患者(zhe)(zhe)(zhe)(zhe)7天更(geng)(geng)换1次胃(wei)管(guan)(guan)(guan)(guan),一(yi)次性使(shi)用灌肠(chang)包,改插(cha)(cha)(cha)(cha)另一(yi)侧(ce)鼻孔,以(yi)预(yu)防(fang)鼻咽黏膜---性损(sun)伤;若(ruo)为硅(gui)胶胃(wei)管(guan)(guan)(guan)(guan)则每月更(geng)(geng)换1次。(2)保持胃(wei)管(guan)(guan)(guan)(guan)通(tong)畅(chang):逐日(ri)用20ml生理盐水冲(chong)刷2次,防(fang)止胃(wei)管(guan)(guan)(guan)(guan)因(yin)堵塞或(huo)胃(wei)液黏稠(chou)而引流(liu)不畅(chang)。(3)口腔(qiang)护(hu)(hu)理:住院患者(zhe)(zhe)(zhe)(zhe)在留置(zhi)(zhi)胃(wei)管(guan)(guan)(guan)(guan)期(qi)间(jian)(jian)(jian)机体(ti)抵挡力(li)降低,导致口腔(qiang)的(de)自洁作(zuo)用减(jian)弱。因(yin)此,留置(zhi)(zhi)胃(wei)管(guan)(guan)(guan)(guan)期(qi)间(jian)(jian)(jian),对(dui)意识(shi)障(zhang)碍(ai)患者(zhe)(zhe)(zhe)(zhe)进行口腔(qiang)护(hu)(hu)理,对(dui)清(qing)醒患者(zhe)(zhe)(zhe)(zhe)嘱定(ding)时(shi)刷牙。(4)心理护(hu)(hu)理:清(qing)醒患者(zhe)(zhe)(zhe)(zhe)留置(zhi)(zhi)胃(wei)管(guan)(guan)(guan)(guan)时(shi)护(hu)(hu)士应(ying)(ying)多与(yu)其(qi)沟(gou)通(tong),加强(qiang)胃(wei)管(guan)(guan)(guan)(guan)护(hu)(hu)理知识(shi)的(de)宣教,定(ding)时(shi)匡(kuang)助患者(zhe)(zhe)(zhe)(zhe)翻(fan)身,推拿背部(bu)(bu)(bu)、肩颈部(bu)(bu)(bu),以(yi)减(jian)轻因(yin)头颈部(bu)(bu)(bu)制动(dong)及(ji)被动(dong)---带来的(de)不适(shi)。
一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)导尿(niao)(niao)(niao)包(bao)有什(shen)么作用(yong)(yong)(yong)(yong)(yong)(yong)及(ji)注(zhu)意事项呢?尿(niao)(niao)(niao)液(ye)(ye)是(shi)(shi)人(ren)体基本的(de)(de)(de)(de)(de)分(fen)泌(mi)物(wu),是(shi)(shi)人(ren)体中排出(chu)的(de)(de)(de)(de)(de)代谢废(fei)物(wu)和毒(du)(du)素。一(yi)(yi)(yi)些(xie)重(zhong)症患者(zhe)没有办法将自己膀(bang)(bang)胱(guang)里的(de)(de)(de)(de)(de)尿(niao)(niao)(niao)液(ye)(ye)排出(chu)来,那么,他们怎(zen)样才(cai)能够有效地把(ba)这(zhei)些(xie)毒(du)(du)素和代谢废(fei)物(wu)排出(chu)来呢?下面就由小编(bian)为您介绍一(yi)(yi)(yi)款专门(men)导尿(niao)(niao)(niao)的(de)(de)(de)(de)(de)产品——一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)导尿(niao)(niao)(niao)包(bao)。那么,它有什(shen)么作用(yong)(yong)(yong)(yong)(yong)(yong)呢?在使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)时又有什(shen)么注(zhu)意事项呢?一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)导尿(niao)(niao)(niao)包(bao)。一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)导尿(niao)(niao)(niao)包(bao)多用(yong)(yong)(yong)(yong)(yong)(yong)在为一(yi)(yi)(yi)些(xie)重(zhong)症患者(zhe)的(de)(de)(de)(de)(de)护理(li)中,它可(ke)以(yi)正确有效地帮(bang)助病人(ren)排出(chu)尿(niao)(niao)(niao)液(ye)(ye),使(shi)尿(niao)(niao)(niao)失禁(jin)病人(ren)保(bao)持会阴清洁干燥,避免(mian)伤(shang)到膀(bang)(bang)胱(guang)和减少肾(shen)脏的(de)(de)(de)(de)(de)并发症发生。导尿(niao)(niao)(niao)宝是(shi)(shi)吸痰管(guan)和薄(bo)膜手(shou)套(tao)组(zu)成,主要是(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)在为病人(ren)导尿(niao)(niao)(niao)。一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)(yong)(yong)导尿(niao)(niao)(niao)宝为无菌(jun)产品,经过环氧乙烷灭(mie)菌(jun),而灭(mie)菌(jun)的(de)(de)(de)(de)(de)有效期为2年;插入、拔出(chu)导尿(niao)(niao)(niao)管(guan)时,动作要轻(qing)、慢(man)、稳、切勿用(yong)(yong)(yong)(yong)(yong)(yong)力过度(du),损伤(shang)尿(niao)(niao)(niao)道的(de)(de)(de)(de)(de)粘膜;导尿(niao)(niao)(niao)宝包(bao)只限一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)(yong)(yong),用(yong)(yong)(yong)(yong)(yong)(yong)完应(ying)立即销(xiao)毁(hui),禁(jin)止重(zhong)复使(shi)用(yong)(yong)(yong)(yong)(yong)(yong);在存放导尿(niao)(niao)(niao)宝时,应(ying)存放在通风、干燥、没有腐蚀物(wu)体的(de)(de)(de)(de)(de)室内。
导(dao)(dao)尿(niao)(niao)(niao)包使(shi)(shi)用(yong)(yong)(yong)过(guo)程(cheng)(cheng)中(zhong)(zhong)的禁忌症(zheng)及(ji)注意(yi)事项1 本(ben)品(pin)(pin)(pin)请(qing)(qing)在(zai)医生处方后使(shi)(shi)用(yong)(yong)(yong),使(shi)(shi)用(yong)(yong)(yong)前(qian)请(qing)(qing)阅(yue)读说明书。2本(ben)产(chan)品(pin)(pin)(pin)在(zai)操作(zuo)过(guo)程(cheng)(cheng)中(zhong)(zhong)应(ying)按无菌(jun)操作(zuo)技术规(gui)范进行。3 导(dao)(dao)尿(niao)(niao)(niao)包的使(shi)(shi)用(yong)(yong)(yong)和导(dao)(dao)尿(niao)(niao)(niao)的操作(zuo)应(ying)由受过(guo)专业培训的医护人员(yuan)进行。4、插入(ru)(ru)导(dao)(dao)尿(niao)(niao)(niao)管(guan)(guan)时(shi)应(ying)让(rang)患者保持正确体位,插管(guan)(guan)动作(zuo)轻柔,避免损伤(shang)尿(niao)(niao)(niao)道粘膜。女(nv)性患者如导(dao)(dao)尿(niao)(niao)(niao)管(guan)(guan)误(wu)入(ru)(ru)阴(yin)道应(ying)换管(guan)(guan)重(zhong)(zhong)新插入(ru)(ru)。男性患者插入(ru)(ru)导(dao)(dao)尿(niao)(niao)(niao)管(guan)(guan)时(shi)应(ying)保障阴(yin)茎与腹(fu)壁成(cheng)60度角。5、患有(you)尿(niao)(niao)(niao)道疾(ji)病及(ji)橡胶(jiao)过(guo)敏(min)者请(qing)(qing)慎重(zhong)(zhong)使(shi)(shi)用(yong)(yong)(yong)!6 使(shi)(shi)用(yong)(yong)(yong)本(ben)产(chan)品(pin)(pin)(pin)的过(guo)程(cheng)(cheng)中(zhong)(zhong),如发现瘙痒、皮肤(fu)发红、荨麻疹、水肿等过(guo)敏(min)症(zheng)状应(ying)立即停止使(shi)(shi)用(yong)(yong)(yong),并请(qing)(qing)医生进行处置。7、本(ben)产(chan)品(pin)(pin)(pin)为环氧(yang)乙烷灭(mie)菌(jun)产(chan)品(pin)(pin)(pin)。产(chan)品(pin)(pin)(pin)有(you)效(xiao)期(qi)两(liang)年(nian)。8、生产(chan)日期(qi)见(jian)产(chan)品(pin)(pin)(pin)封口(kou)、消毒日期(qi)见(jian)外(wai)(wai)包装(zhuang)箱。9本(ben)产(chan)品(pin)(pin)(pin)仅限于一次性使(shi)(shi)用(yong)(yong)(yong),失效(xiao)日期(qi)见(jian)产(chan)品(pin)(pin)(pin)外(wai)(wai)包装(zhuang)。