一(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)换药(yao)包用(yong)(yong)(yong)于(yu)创面的(de)(de)(de)(de)(de)护(hu)理(li)(li)。现(xian)在(zai)对我们来(lai)说医(yi)(yi)院是不(bu)陌生的(de)(de)(de)(de)(de),光顾医(yi)(yi)院是在(zai)所难免(mian)的(de)(de)(de)(de)(de),虽说人(ren)的(de)(de)(de)(de)(de)一(yi)(yi)(yi)生无大灾大难,但(dan)是小病(bing)小灾在(zai)所难免(mian)。有时候,稍微(wei)严(yan)重(zhong)的(de)(de)(de)(de)(de)一(yi)(yi)(yi)点的(de)(de)(de)(de)(de)病(bing)情,医(yi)(yi)生则(ze)会建议患者动手术(shu)。而术(shu)后(hou)伤(shang)(shang)口(kou)(kou)和(he)创面的(de)(de)(de)(de)(de)护(hu)理(li)(li)则(ze)是非常(chang)重(zhong)要的(de)(de)(de)(de)(de)一(yi)(yi)(yi)步,常(chang)常(chang)需要通过换药(yao)包来(lai)清(qing)洗、包扎伤(shang)(shang)口(kou)(kou)。一(yi)(yi)(yi)次性(xing)(xing)(xing)换药(yao)包经(jing)常(chang)用(yong)(yong)(yong)在(zai)外科的(de)(de)(de)(de)(de)护(hu)理(li)(li)上(shang)面,一(yi)(yi)(yi)次性(xing)(xing)(xing)换药(yao)包一(yi)(yi)(yi)般内装一(yi)(yi)(yi)次性(xing)(xing)(xing)镊子(zi)、沙布、棉球(qiu)、乳胶(jiao)手套(tao)或PE手套(tao),居家常(chang)备实(shi)用(yong)(yong)(yong)小药(yao)包,有擦(ca)伤(shang)(shang),磕(ke)碰,十分的(de)(de)(de)(de)(de)方(fang)便(bian)。一(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)换药(yao)包一(yi)(yi)(yi)次性(xing)(xing)(xing)无菌换药(yao)包由(you)弯盘、垫单、镊子(zi)、纱布、棉球(qiu)等组成。经(jing)密(mi)封包装及环氧乙(yi)烷灭菌仅(jin)供一(yi)(yi)(yi)次性(xing)(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)。主要用(yong)(yong)(yong)于(yu)临床伤(shang)(shang)口(kou)(kou)、创面或手术(shu)切(qie)口(kou)(kou)换药(yao)用(yong)(yong)(yong)。克服了普(pu)通医(yi)(yi)疗器(qi)重(zhong)复使(shi)(shi)用(yong)(yong)(yong)灭菌不(bu)严(yan)造成的(de)(de)(de)(de)(de)传染疾(ji)病(bing)的(de)(de)(de)(de)(de)交叉感(gan)染,又可(ke)减少医(yi)(yi)院用(yong)(yong)(yong)灭菌清(qing)毒的(de)(de)(de)(de)(de)大量(liang)人(ren)力和(he)物力,有效(xiao)的(de)(de)(de)(de)(de)提高了医(yi)(yi)院的(de)(de)(de)(de)(de)工作效(xiao)率,为医(yi)(yi)生和(he)疾(ji)病(bing)患者提供了健康保(bao)障。那么,换药(yao)包究竟如何使(shi)(shi)用(yong)(yong)(yong)?一(yi)(yi)(yi)起来(lai)看(kan)看(kan)!
一(yi)(yi)(yi)次性(xing)(xing)使(shi)用(yong)换(huan)药(yao)包(bao)(bao)(bao)怎(zen)么换(huan)药(yao)?我(wo)们应该怎(zen)么使(shi)用(yong)一(yi)(yi)(yi)次性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao)?所谓一(yi)(yi)(yi)次性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao),顾名(ming)思义(yi)当然是作为(wei)一(yi)(yi)(yi)款一(yi)(yi)(yi)次性(xing)(xing)换(huan)药(yao)的(de)(de)产(chan)(chan)(chan)品,一(yi)(yi)(yi)般情(qing)况(kuang)下里面都会有一(yi)(yi)(yi)次性(xing)(xing)镊(nie)子、纱布、棉球(qiu)、乳胶手(shou)套(tao)(tao)/PE手(shou)套(tao)(tao)等等,放在(zai)家中,随(sui)时(shi)随(sui)地都可(ke)以使(shi)用(yong),而且就算(suan)出去旅(lv)游(you)时(shi),也可(ke)以携带一(yi)(yi)(yi)次性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao),遇(yu)到擦伤(shang)或磕碰的(de)(de)时(shi)候,就可(ke)直接使(shi)用(yong)。需(xu)要注(zhu)意的(de)(de)是,一(yi)(yi)(yi)次性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao)内(nei)一(yi)(yi)(yi)般没有消毒酒精,所以家里好(hao)配备消毒酒精。一(yi)(yi)(yi)次性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao)使(shi)用(yong)方法:1取(qu)出一(yi)(yi)(yi)次性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao)内(nei)的(de)(de)医(yi)用(yong)手(shou)套(tao)(tao),戴上;2、取(qu)出镊(nie)子、棉球(qiu),沾酒精,对擦伤(shang)的(de)(de)伤(shang)口进行(xing)消毒处理;3、如果伤(shang)口比较大(da),就需(xu)要用(yong)纱布进行(xing)包(bao)(bao)(bao)扎。4、使(shi)用(yong)后,销毁换(huan)药(yao)包(bao)(bao)(bao)内(nei)的(de)(de)所有物品,内(nei)置产(chan)(chan)(chan)品皆(jie)为(wei)一(yi)(yi)(yi)次性(xing)(xing)使(shi)用(yong)产(chan)(chan)(chan)品,不(bu)可(ke)重复之用(yong)。
插(cha)管(guan)(guan)(guan)(guan)(guan)时(shi)的(de)(de)护(hu)(hu)(hu)理⑴清醒(xing)患(huan)(huan)者(zhe)(zhe)(zhe):操纵(zong)中应(ying)(ying)鼓励其增强(qiang)决心信念,调(diao)动(dong)自我控(kong)制(zhi)能力,从(cong)而(er)按捺(na)不良情(qing)绪,配合插(cha)管(guan)(guan)(guan)(guan)(guan)。插(cha)管(guan)(guan)(guan)(guan)(guan)时(shi)如碰到(dao)阻力,切勿强(qiang)行(xing)置(zhi)(zhi)(zhi)入(ru),应(ying)(ying)查明发生原因(yin),如管(guan)(guan)(guan)(guan)(guan)腔(qiang)内有(you)堵塞(sai),可向(xiang)胃管(guan)(guan)(guan)(guan)(guan)内注入(ru)空气,若(ruo)(ruo)泛起呃逆(ni),说明管(guan)(guan)(guan)(guan)(guan)腔(qiang)启齿部位在食(shi)管(guan)(guan)(guan)(guan)(guan)内,可将胃管(guan)(guan)(guan)(guan)(guan)向(xiang)下试插(cha)。⑵意识障(zhang)碍患(huan)(huan)者(zhe)(zhe)(zhe):可采(cai)用(yong)(yong)诱导(dao)吞(tun)咽(yan)(yan)法(fa)插(cha)胃管(guan)(guan)(guan)(guan)(guan):患(huan)(huan)者(zhe)(zhe)(zhe)取(qu)平卧(wo)或头高位,操纵(zong)者(zhe)(zhe)(zhe)两(liang)人分站两(liang)侧(ce)(ce),左侧(ce)(ce)操纵(zong)者(zhe)(zhe)(zhe)按传统方法(fa)将胃管(guan)(guan)(guan)(guan)(guan)轻(qing)插(cha)至14~16cm休止(zhi),待患(huan)(huan)者(zhe)(zhe)(zhe)不适(shi)症状消失(shi)后,左侧(ce)(ce)操纵(zong)者(zhe)(zhe)(zhe)用(yong)(yong)木帛签蘸(zhan)水,轻(qing)擦(ca)患(huan)(huan)者(zhe)(zhe)(zhe)唇部及舌面,见患(huan)(huan)者(zhe)(zhe)(zhe)泛起吞(tun)咽(yan)(yan)动(dong)作,右侧(ce)(ce)操纵(zong)者(zhe)(zhe)(zhe)即将胃管(guan)(guan)(guan)(guan)(guan)向(xiang)前推进送入(ru)食(shi)道再插(cha)至胃部。插(cha)管(guan)(guan)(guan)(guan)(guan)后护(hu)(hu)(hu)理(1)胃管(guan)(guan)(guan)(guan)(guan)留(liu)置(zhi)(zhi)(zhi)时(shi)间(jian):长期鼻(bi)(bi)饲(si)患(huan)(huan)者(zhe)(zhe)(zhe)7天更(geng)换(huan)1次(ci)胃管(guan)(guan)(guan)(guan)(guan),一次(ci)性使用(yong)(yong)灌肠包,改(gai)插(cha)另(ling)一侧(ce)(ce)鼻(bi)(bi)孔(kong),以(yi)预防鼻(bi)(bi)咽(yan)(yan)黏膜---性损伤;若(ruo)(ruo)为硅胶胃管(guan)(guan)(guan)(guan)(guan)则每月(yue)更(geng)换(huan)1次(ci)。(2)保持(chi)胃管(guan)(guan)(guan)(guan)(guan)通(tong)畅(chang):逐日用(yong)(yong)20ml生理盐水冲刷2次(ci),防止(zhi)胃管(guan)(guan)(guan)(guan)(guan)因(yin)堵塞(sai)或胃液黏稠而(er)引流不畅(chang)。(3)口(kou)腔(qiang)护(hu)(hu)(hu)理:住院患(huan)(huan)者(zhe)(zhe)(zhe)在留(liu)置(zhi)(zhi)(zhi)胃管(guan)(guan)(guan)(guan)(guan)期间(jian)机体抵挡力降低,导(dao)致(zhi)口(kou)腔(qiang)的(de)(de)自洁作用(yong)(yong)减(jian)弱。因(yin)此,留(liu)置(zhi)(zhi)(zhi)胃管(guan)(guan)(guan)(guan)(guan)期间(jian),对意识障(zhang)碍患(huan)(huan)者(zhe)(zhe)(zhe)进行(xing)口(kou)腔(qiang)护(hu)(hu)(hu)理,对清醒(xing)患(huan)(huan)者(zhe)(zhe)(zhe)嘱定时(shi)刷牙。(4)心理护(hu)(hu)(hu)理:清醒(xing)患(huan)(huan)者(zhe)(zhe)(zhe)留(liu)置(zhi)(zhi)(zhi)胃管(guan)(guan)(guan)(guan)(guan)时(shi)护(hu)(hu)(hu)士应(ying)(ying)多与其沟通(tong),加强(qiang)胃管(guan)(guan)(guan)(guan)(guan)护(hu)(hu)(hu)理知识的(de)(de)宣教(jiao),定时(shi)匡(kuang)助(zhu)患(huan)(huan)者(zhe)(zhe)(zhe)翻身,推拿背(bei)部、肩颈部,以(yi)减(jian)轻(qing)因(yin)头颈部制(zhi)动(dong)及被(bei)动(dong)---带来的(de)(de)不适(shi)。
一次性使用换药包使用步骤,药店里有卖一次性换药包吗?不知道大家有没有用过换药包,不过如果身边有人是在医院工作的,一定会经常接触一次性换药包,推荐医用无菌塑柄手术刀特别是外科护理时,换药包的使用频率更是极高那么一次性换药包的使用步骤怎么做?如果想要购买一次性换药包,去医院能买到吗?一次性换药包的使用步骤:1、确认产品包装是否完整,以及灭菌期限是否在有效期内,一旦发现两者之中任何一个有问题,都不能再使用换药包。2、取出一次性换药包内的物品,一般来说,一次性换药包内的物品比较齐全,医用无菌塑柄手术刀批发比如有薄膜手套、棉球(qiu)、方(fang)(fang)盘(pan)、一次性使(shi)用(yong)橡胶(jiao)检查手套、纱(sha)布叠片、塑料镊子(zi)、碘伏棉球(qiu)等,如果是(shi)在家中(zhong)使(shi)用(yong),可以根据需求取出相(xiang)应(ying)产品,如果是(shi)在医院使(shi)用(yong),可以将全部(bu)物品取出放在方(fang)(fang)盘(pan)上,根据需要选择使(shi)用(yong)的产品。
一(yi)次(ci)性(xing)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)包的(de)(de)使(shi)用(yong)(yong)方法一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)用(yong)(yong)于临(lin)床患者抽取气(qi)管(guan)内(nei)痰(tan)(tan)液(ye)或分泌(mi)液(ye)用(yong)(yong)。一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)动作(zuo)要轻、稳。一(yi)次(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)时(shi)(shi)间不应超(chao)过15秒,吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器连续使(shi)用(yong)(yong)时(shi)(shi)间不超(chao)过3分钟。1检查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器各(ge)部连接是(shi)否完善,有(you)无漏气(qi)。接通电源,打(da)开开关,检查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器性(xing)能,调节负压。一(yi)般成(cheng)人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)负压约(yue)40-50 kPa,小儿吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)约(yue)13-30kPa,将一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)置于水中,试验吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)力,并(bing)冲(chong)洗皮管(guan)。2将病人(ren)头(tou)部转(zhuan)向护士(shi),铺(pu)治疗巾(jin)于颌下。插入(ru)一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan),其顺序是(shi)由(you)口腔前(qian)庭→颊部→咽部,将各(ge)部吸(xi)(xi)(xi)(xi)(xi)(xi)尽。如口腔吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)有(you)困难时(shi)(shi),可由(you)鼻腔插入(ru)(颅底(di)骨折患者禁用(yong)(yong)),其顺序由(you)鼻腔前(qian)庭→下鼻道→鼻后孔→咽部→气(qi)管(guan)(约(yue)20-25cm),将分泌(mi)物(wu)逐段吸(xi)(xi)(xi)(xi)(xi)(xi)尽。3气(qi)管(guan)内(nei)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan),待(dai)病人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)气(qi)时(shi)(shi),快速将导(dao)管(guan)插入(ru),自(zi)下而上边(bian)退边(bian)左(zuo)右旋转(zhuan)导(dao)管(guan),消除气(qi)道分泌(mi)物(wu),并(bing)注(zhu)意观察病人(ren)的(de)(de)呼吸(xi)(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)过程(cheng)中,如病人(ren)咳嗽厉害,应稍等片(pian)刻后再行(xing)吸(xi)(xi)(xi)(xi)(xi)(xi)出(chu)。并(bing)随(sui)时(shi)(shi)冲(chong)洗吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)管(guan),以免痰(tan)(tan)液(ye)堵(du)塞。4吸(xi)(xi)(xi)(xi)(xi)(xi)毕,关闭吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器开关,弃吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)导(dao)管(guan)于小桶内(nei),吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)胶管(guan)玻璃接头(tou)插入(ru)床栏上盛(sheng)有(you)消毒液(ye)瓶内(nei)备用(yong)(yong),将病人(ren)口腔周围擦(ca)净。观察吸(xi)(xi)(xi)(xi)(xi)(xi)出(chu)液(ye)的(de)(de)量(liang)、颜色及性(xing)质,必要时(shi)(shi)做好记录。
使(shi)用一(yi)次(ci)性(xing)换(huan)(huan)药(yao)(yao)包(bao)时,换(huan)(huan)药(yao)(yao)拆(chai)线前需要(yao)做哪些准(zhun)备(bei)(bei)(bei)工(gong)作(zuo)(zuo)?首(shou)先换(huan)(huan)药(yao)(yao)室(shi)清洁消毒,再通知(zhi)病人(ren)准(zhun)时去换(huan)(huan)药(yao)(yao)室(shi)拆(chai)线,然后操(cao)作(zuo)(zuo)者(zhe)准(zhun)备(bei)(bei)(bei)用物(wu)。具体准(zhun)备(bei)(bei)(bei)的用物(wu)放治(zhi)疗车上(shang),有(you)一(yi)次(ci)性(xing)无(wu)菌换(huan)(huan)药(yao)(yao)包(bao)、碘(dian)伏(fu)(fu)包(bao)或碘(dian)伏(fu)(fu)、无(wu)菌刀片、无(wu)菌敷料,医用垃圾袋(dai),锐器盒(he),最好带一(yi)个助手(shou),要(yao)帮忙倒碘(dian)伏(fu)(fu)。操(cao)作(zuo)(zuo)者(zhe)和助手(shou)洗手(shou),戴口罩(zhao)和帽子。准(zhun)备(bei)(bei)(bei)工(gong)作(zuo)(zuo)大概(gai)就是这些,因为现在规定换(huan)(huan)药(yao)(yao)包(bao)内不(bu)能放碘(dian)伏(fu)(fu)包(bao),所以只能拿碘(dian)伏(fu)(fu)瓶倒在棉球上(shang)或者(zhe)一(yi)次(ci)性(xing)碘(dian)伏(fu)(fu)包(bao)。