指导(dao)要(yao)(yao)点(dian)1.告(gao)(gao)知(zhi)患(huan)(huan)者胸腔引(yin)流(liu)的(de)(de)目的(de)(de)及配合方法。2.鼓(gu)励患(huan)(huan)者咳嗽,深呼吸(xi)及变换体位(wei),并告(gao)(gao)知(zhi)正确咳嗽、深呼吸(xi)、变换体位(wei)的(de)(de)方法。(四)注意(yi)(yi)事(shi)项。1.出(chu)(chu)(chu)(chu)血量多(duo)于(yu)100ml/h,呈(cheng)鲜红色,有血凝(ning)块,同时(shi)伴有脉搏增(zeng)快,提示有活动性出(chu)(chu)(chu)(chu)血的(de)(de)可能(neng),及时(shi)通(tong)知(zhi)医生(sheng)。2.水封瓶打破或(huo)接(jie)头滑(hua)脱(tuo)(tuo)时(shi),要(yao)(yao)立(li)即(ji)夹闭(bi)或(huo)反折(zhe)近胸端胸引(yin)管(guan)。3.引(yin)流(liu)管(guan)自胸壁伤(shang)(shang)口(kou)脱(tuo)(tuo)出(chu)(chu)(chu)(chu),立(li)即(ji)用手顺皮(pi)肤纹(wen)理方向(xiang)捏紧引(yin)流(liu)口(kou)周围皮(pi)肤(注意(yi)(yi)不要(yao)(yao)直接(jie)接(jie)触(chu)伤(shang)(shang)口(kou)),并立(li)即(ji)通(tong)知(zhi)医生(sheng)处理。4.患(huan)(huan)者下(xia)(xia)床活动时(shi),引(yin)流(liu)瓶的(de)(de)位(wei)置应低于(yu)膝盖且保持平(ping)稳(wen),保障长管(guan)没入液(ye)面下(xia)(xia);外出(chu)(chu)(chu)(chu)检(jian)查(cha)前须将引(yin)流(liu)管(guan)夹闭(bi),漏气明(ming)显的(de)(de)患(huan)(huan)者不可夹闭(bi)胸引(yin)管(guan)。5.拔管(guan)后注意(yi)(yi)观(guan)察患(huan)(huan)者有无胸闷(men)、憋气,皮(pi)下(xia)(xia)气肿,伤(shang)(shang)口(kou)渗液(ye)及出(chu)(chu)(chu)(chu)血等症状(zhuang),有异常(chang)及时(shi)通(tong)知(zhi)医生(sheng)。一(yi)次(ci)性使用导(dao)尿(niao)包(三)指导(dao)要(yao)(yao)点(dian)。1.告(gao)(gao)知(zhi)患(huan)(huan)者心包、纵膈引(yin)流(liu)的(de)(de)目的(de)(de)、配合方法。2.告(gao)(gao)知(zhi)患(huan)(huan)者更换体位(wei)时(shi)防止(zhi)引(yin)流(liu)管(guan)意(yi)(yi)外脱(tuo)(tuo)出(chu)(chu)(chu)(chu)或(huo)打折(zhe)、受压等措施。
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。医用一次性采血护理包插管后护理(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。一次性采血护理包厂家因此,留置(zhi)胃管(guan)期间(jian),对(dui)意识(shi)(shi)障碍患(huan)者进(jin)行口腔护理,对(dui)清(qing)醒患(huan)者嘱定(ding)时刷(shua)牙。(4)心(xin)理护理:清(qing)醒患(huan)者留置(zhi)胃管(guan)时护士应多与其沟通,加强胃管(guan)护理知识(shi)(shi)的宣教,定(ding)时匡助患(huan)者翻身(shen),推(tui)拿(na)背部(bu)、肩颈(jing)部(bu),以(yi)减轻因头颈(jing)部(bu)制动(dong)及被动(dong)---带来的不适。
一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)无菌导尿包是(shi)一(yi)(yi)(yi)款身体行动不(bu)(bu)方便或者手(shou)术后(hou)没有办法自 由行动患者设计而成的(de)一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong)产品(pin)。本产品(pin)是(shi)由注(zhu)(zhu)射(she)器(qi)、导尿管(guan)、 导管(guan)夹(jia)、塑料(liao)镊(nie).塑料(liao)试管(guan)、孔巾、展巾、纱布块、止水(shui)(shui)(shui)器(qi)、润(run)滑(hua)(hua)(hua)剂(ji)、引(yin)流袋托盘、消毒棉球(qiu)手(shou)套(tao)组成的(de)-套(tao)产品(pin)。那么,本产品(pin)如何使(shi)用(yong)(yong)(yong)(yong)?有哪些(xie)注(zhu)(zhu)意(yi)事项?在使(shi)用(yong)(yong)(yong)(yong)本产品(pin)的(de)时候(hou)首先(xian)要(yao)润(run)滑(hua)(hua)(hua),就是(shi)胶乳(ru)导尿管(guan)插入前,需用(yong)(yong)(yong)(yong)医(yi)用(yong)(yong)(yong)(yong)润(run)滑(hua)(hua)(hua)剂(ji)润(run)滑(hua)(hua)(hua)。超滑(hua)(hua)(hua)胶乳(ru)导尿管(guan)插入前先(xian)用(yong)(yong)(yong)(yong)无菌水(shui)(shui)(shui)充分(fen)湿润(run),即达到(dao)超滑(hua)(hua)(hua)效果,无需使(shi)用(yong)(yong)(yong)(yong)润(run)滑(hua)(hua)(hua)剂(ji)。然后(hou)就是(shi)插入和注(zhu)(zhu)水(shui)(shui)(shui)等的(de)步(bu)骤了。就是(shi)将润(run)滑(hua)(hua)(hua)后(hou)的(de)导管(guan)小心(xin)插入膀(bang)胱,用(yong)(yong)(yong)(yong)不(bu)(bu)带针的(de)注(zhu)(zhu)射(she)器(qi)注(zhu)(zhu)入定量无菌水(shui)(shui)(shui),使(shi)膨胀(zhang)了的(de)水(shui)(shui)(shui)妻(qi)卡信膀(bang)胱即可。后(hou)取出排水(shui)(shui)(shui)管(guan)。还需要(yao)医(yi)护人(ren)员留置(zhi)观察以及护理。在使(shi)用(yong)(yong)(yong)(yong)时也要(yao)注(zhu)(zhu)意(yi),不(bu)(bu)要(yao)使(shi)用(yong)(yong)(yong)(yong)含石油(you)基质的(de)润(run)滑(hua)(hua)(hua)剂(ji);而且,本产品(pin)经环氧(yang)乙(yi)烷(wan)灭莹,供一(yi)(yi)(yi)次(ci)性使(shi)用(yong)(yong)(yong)(yong),如包装破损,不(bu)(bu)能使(shi)用(yong)(yong)(yong)(yong);本产品(pin)仅(jin)供医(yi)护人(ren)员操作(zuo)使(shi)用(yong)(yong)(yong)(yong),储(chu)藏要(yao)避光防热。
一(yi)次(ci)性(xing)使用(yong)(yong)吸(xi)(xi)痰(tan)管(guan)操作(zuo)方法(1)检(jian)查吸(xi)(xi)引(yin)器各部连接是(shi)否(fou)完善,有(you)无(wu)漏气(qi)。接通电源,打开(kai)开(kai)关,检(jian)查吸(xi)(xi)引(yin)器性(xing)能,调节负(fu)压(ya)(ya)。一(yi)般成人(ren)吸(xi)(xi)痰(tan)负(fu)压(ya)(ya)约(yue)(yue)(yue)40-50 kPa,小儿吸(xi)(xi)痰(tan)约(yue)(yue)(yue)13-30kPa,将一(yi)次(ci)性(xing)使用(yong)(yong)吸(xi)(xi)痰(tan)管(guan)置(zhi)于水中,试(shi)验吸(xi)(xi)引(yin)力,并冲洗皮管(guan)。(2)将病人(ren)头部转向护士,铺治疗巾于颌下(xia)。(3)插入(ru)一(yi)次(ci)性(xing)使用(yong)(yong)吸(xi)(xi)痰(tan)管(guan),其(qi)顺(shun)序(xu)是(shi)由(you)(you)口(kou)腔前庭→颊(jia)部→咽部,将各部吸(xi)(xi)尽(jin)。如口(kou)腔吸(xi)(xi)痰(tan)有(you)困难时,可由(you)(you)鼻(bi)腔插入(ru)(颅底骨折(zhe)患(huan)者禁用(yong)(yong)),其(qi)顺(shun)序(xu)由(you)(you)鼻(bi)腔前庭→下(xia)鼻(bi)道(dao)→鼻(bi)后孔→咽部→气(qi)管(guan)(约(yue)(yue)(yue)20-25cm),将分泌物(wu)逐段吸(xi)(xi)尽(jin)。若(ruo)有(you)气(qi)管(guan)插管(guan)或气(qi)管(guan)切开(kai)时,可由(you)(you)插管(guan)或套管(guan)内(nei)插入(ru),将痰(tan)液吸(xi)(xi)出。昏迷病人(ren)可用(yong)(yong)压(ya)(ya)舌(she)板或开(kai)口(kou)器先将口(kou)启开(kai),再行吸(xi)(xi)引(yin)。
一(yi)次性使(shi)用(yong)(yong)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)使(shi)用(yong)(yong)方(fang)(fang)法1、导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)配置和(he)(he)包(bao)(bao)装(zhuang)设(she)计是根据(ju)《中(zhong)(zhong)华护理大全》中(zhong)(zhong)关(guan)于导(dao)(dao)尿(niao)(niao)(niao)部分的(de)操(cao)(cao)作(zuo)程(cheng)(cheng)序和(he)(he)各(ge)医(yi)(yi)院实际导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)过程(cheng)(cheng)中(zhong)(zhong)的(de)要(yao)求(qiu)设(she)计制定。2 导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)的(de)使(shi)用(yong)(yong)方(fang)(fang)法可按(an)各(ge)医(yi)(yi)院规定的(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)规程(cheng)(cheng)进行操(cao)(cao)作(zuo)。3如在使(shi)用(yong)(yong)过程(cheng)(cheng)中(zhong)(zhong)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)内(nei)的(de)配置和(he)(he)包(bao)(bao)装(zhuang)顺序与贵医(yi)(yi)院的(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)规程(cheng)(cheng)有不(bu)相符的(de)情况请(qing)向(xiang)供应(ying)商提出改进建议。4在使(shi)用(yong)(yong)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)前请(qing)确(que)认您所使(shi)用(yong)(yong)的(de)导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)是否是您选用(yong)(yong)的(de)型号,并确(que)认导(dao)(dao)尿(niao)(niao)(niao)包(bao)(bao)包(bao)(bao)装(zhuang)完好(hao)无破损(sun)。5 在操(cao)(cao)作(zuo)前请(qing)做好(hao)准备工(gong)作(zuo),安(an)排患者(zhe)(zhe)正确(que)体(ti)位铺好(hao)洞(dong)巾。并对患者(zhe)(zhe)进行安(an)慰。6、请(qing)按(an)医(yi)(yi)院的(de)导(dao)(dao)尿(niao)(niao)(niao)操(cao)(cao)作(zuo)规程(cheng)(cheng)进行外(wai)消毒(du)(du)和(he)(he)内(nei)消毒(du)(du)两(liang)次消毒(du)(du)。消毒(du)(du)时(shi)不(bu)能选择对皮肤(fu)有较强刺(ci)激的(de)消毒(du)(du)剂(ji),建议使(shi)用(yong)(yong)0.5%的(de)碘伏的(de)消毒(du)(du)剂(ji)或其(qi)他低刺(ci)激的(de)消毒(du)(du)剂(ji)。7、使(shi)用(yong)(yong)前请(qing)将导(dao)(dao)尿(niao)(niao)(niao)管球囊进行充(chong)(chong)水试验,确(que)认导(dao)(dao)尿(niao)(niao)(niao)管球囊是否正常。充(chong)(chong)水后的(de)球囊应(ying)在球囊中(zhong)(zhong)留2-3ml蒸(zheng)馏水,用(yong)(yong)于保障(zhang)球囊外(wai)表(biao)光滑。