使(shi)用(yong)说明：1、确(que)认在灭(mie)菌(jun)有效期内(nei)和(he)包(bao)装完好后(hou)，撕(si)开启封(feng)口，取(qu)(qu)(qu)(qu)出(chu)导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)放置在工作(zuo)台上；2、戴(dai)上薄膜手套(tao)，用(yong)镊(nie)(nie)子(zi)(zi)（圆(yuan)头(tou)）镊(nie)(nie)取(qu)(qu)(qu)(qu)碘伏棉(mian)球(qiu)/或(huo)洗必泰棉(mian)球(qiu)，对患处(chu)(chu)消毒处(chu)(chu)理(li)(li)3、在换戴(dai)灭(mie)菌(jun)橡胶(jiao)外科手套(tao)/医(yi)用(yong)橡胶(jiao)检查手套(tao)，将(jiang)治疗巾覆盖在患处(chu)(chu)，中洞(dong)处(chu)(chu)露出(chu)尿(niao)(niao)(niao)道口4、取(qu)(qu)(qu)(qu)镊(nie)(nie)子(zi)(zi)（尖头(tou)）镊(nie)(nie)取(qu)(qu)(qu)(qu)石(shi)蜡棉(mian)球(qiu)润滑导(dao)(dao)(dao)尿(niao)(niao)(niao)管，然后(hou)双手配合将(jiang)导(dao)(dao)(dao)尿(niao)(niao)(niao)管插入(ru)尿(niao)(niao)(niao)道，用(yong)液体(ti)(ti)推注器吸取(qu)(qu)(qu)(qu)定量(liang)无(wu)菌(jun)水充入(ru)导(dao)(dao)(dao)尿(niao)(niao)(niao)管球(qiu)囊(nang)，使(shi)球(qiu)囊(nang)与导(dao)(dao)(dao)尿(niao)(niao)(niao)壁相接，然后(hou)将(jiang)引流袋与导(dao)(dao)(dao)尿(niao)(niao)(niao)管连接进行导(dao)(dao)(dao)尿(niao)(niao)(niao)； 5、用(yong)取(qu)(qu)(qu)(qu)样管取(qu)(qu)(qu)(qu)样并送检 6、导(dao)(dao)(dao)尿(niao)(niao)(niao)完毕，用(yong)液体(ti)(ti)推助器抽出(chu)球(qiu)囊(nang)内(nei)的无(wu)菌(jun)水，拔出(chu)导(dao)(dao)(dao)尿(niao)(niao)(niao)管； 7、用(yong)海(hai)绵刷子(zi)(zi)蘸取(qu)(qu)(qu)(qu)酒精进行清(qing)洁处(chu)(chu)理(li)(li)，再(zai)用(yong)纱布叠片或(huo)棉(mian)球(qiu)擦试干(gan)净8、按无(wu)菌(jun)操作(zuo)规程进行，导(dao)(dao)(dao)尿(niao)(niao)(niao)完毕，丢弃所有组件。 一(yi)次性使(shi)用(yong)导(dao)(dao)(dao)尿(niao)(niao)(niao)包(bao)。注意(yi)事项：1、本产品限一(yi)次性使(shi)用(yong)，用(yong)后(hou)销毁；

一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)具(ju)体(ti)操作方法是怎样(yang)。温馨提示：为(wei)避免病人吸(xi)(xi)(xi)(xi)入(ru)的(de)空气(qi)干燥(因无鼻腔(qiang)(qiang)的(de)湿化(hua)作用(yong)(yong)(yong))，可用(yong)(yong)(yong)单层或双层盐水浸(jin)湿的(de)纱布覆盖一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)管(guan)(guan)口(kou)(kou)，干后(hou)随时更换。那(nei)么(me)，一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)具(ju)体(ti)操作方法是怎样(yang)? 一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)为(wei)无菌产品，经(jing)环(huan)氧(yang)乙烷(wan)灭菌，灭菌有效期2年;一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)限(xian)一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)，用(yong)(yong)(yong)后(hou)销毁，禁止(zhi)重复(fu)使(shi)(shi)用(yong)(yong)(yong);一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)应存放(fang)在通(tong)风、干燥、无腐(fu)蚀(shi)性(xing)物(wu)体(ti)的(de)室内。 一(yi)次性(xing)使(shi)(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)具(ju)体(ti)操作方法如下(xia)： 吸(xi)(xi)(xi)(xi)引前先检查吸(xi)(xi)(xi)(xi)引器效能(neng)是否(fou)良好，吸(xi)(xi)(xi)(xi)引导(dao)管(guan)(guan)是否(fou)通(tong)畅(chang)。2.备齐用(yong)(yong)(yong)物(wu)，置床头(tou)柜，向患(huan)者(zhe)解释。3.将(jiang)患(huan)者(zhe)头(tou)偏向一(yi)侧，并略向后(hou)仰。昏(hun)迷(mi)患(huan)者(zhe)可用(yong)(yong)(yong)压舌板将(jiang)口(kou)(kou)启开，夹持(chi)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)由口(kou)(kou)腔(qiang)(qiang)颊部插(cha)至咽喉部，乘患(huan)者(zhe)吸(xi)(xi)(xi)(xi)气(qi)时将(jiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)插(cha)入(ru)气(qi)管(guan)(guan)。如口(kou)(kou)腔(qiang)(qiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)有困难(nan)时，可由鼻腔(qiang)(qiang)插(cha)入(ru)(颅底骨折患(huan)者(zhe)禁用(yong)(yong)(yong));气(qi)管(guan)(guan)插(cha)管(guan)(guan)或气(qi)管(guan)(guan)切开患(huan)者(zhe)，可由插(cha)管(guan)(guan)或套(tao)管(guan)(guan)内插(cha)入(ru)。

2月13日(ri)，联(lian)(lian)合整治“保(bao)健”市(shi)(shi)(shi)场乱象(xiang)百(bai)(bai)(bai)日(ri)行(xing)动(dong)(dong)联(lian)(lian)合工(gong)(gong)作组在市(shi)(shi)(shi)场监(jian)管(guan)总(zong)(zong)(zong)(zong)(zong)局(ju)(ju)(ju)召(zhao)开(kai)工(gong)(gong)作组会议。市(shi)(shi)(shi)场监(jian)管(guan)总(zong)(zong)(zong)(zong)(zong)局(ju)(ju)(ju)副局(ju)(ju)(ju)长甘霖同(tong)志(zhi)出席会议并讲话(hua)，市(shi)(shi)(shi)场监(jian)管(guan)总(zong)(zong)(zong)(zong)(zong)局(ju)(ju)(ju)、工(gong)(gong)业(ye)(ye)和(he)信息(xi)化部(bu)(bu)、公安部(bu)(bu)、民(min)政部(bu)(bu)、住房和(he)城乡建(jian)(jian)设部(bu)(bu)、农业(ye)(ye)农村(cun)部(bu)(bu)、商务(wu)部(bu)(bu)、文化和(he)旅(lv)游部(bu)(bu)、卫生健康(kang)委员会、广播电视总(zong)(zong)(zong)(zong)(zong)局(ju)(ju)(ju)、中医药管(guan)理局(ju)(ju)(ju)、药品(pin)监(jian)督管(guan)理局(ju)(ju)(ju)、网信办等(deng)13部(bu)(bu)门(men)成员单位负责同(tong)志(zhi)及联(lian)(lian)络(luo)员和(he)市(shi)(shi)(shi)场监(jian)管(guan)总(zong)(zong)(zong)(zong)(zong)局(ju)(ju)(ju)“百(bai)(bai)(bai)日(ri)行(xing)动(dong)(dong)”工(gong)(gong)作组成员单位负责同(tong)志(zhi)及联(lian)(lian)络(luo)员参加(jia)会议。“百(bai)(bai)(bai)日(ri)行(xing)动(dong)(dong)”开(kai)展以来，各部(bu)(bu)门(men)积极落(luo)实(shi)《关于开(kai)展联(lian)(lian)合整治“保(bao)健”市(shi)(shi)(shi)场乱象(xiang)百(bai)(bai)(bai)日(ri)行(xing)动(dong)(dong)的通知(zhi)》要求，立足自(zi)身(shen)职能，迅(xun)速部(bu)(bu)署落(luo)实(shi)，在相关领域(yu)和(he)行(xing)业(ye)(ye)内开(kai)展行(xing)动(dong)(dong)。市(shi)(shi)(shi)场监(jian)管(guan)总(zong)(zong)(zong)(zong)(zong)局(ju)(ju)(ju)切实(shi)履行(xing)监(jian)管(guan)执(zhi)法(fa)、联(lian)(lian)络(luo)调度、汇集信息(xi)、服(fu)务(wu)保(bao)障等(deng)职责，通过建(jian)(jian)立工(gong)(gong)作协调机制、建(jian)(jian)立工(gong)(gong)作台账、召(zhao)开(kai)调度会议、加(jia)强(qiang)新闻宣传等(deng)方(fang)式，组织各部(bu)(bu)门(men)、市(shi)(shi)(shi)场监(jian)管(guan)系(xi)统迅(xun)速深入开(kai)展“百(bai)(bai)(bai)日(ri)行(xing)动(dong)(dong)”。

2月5日，药监局接到卫生健康委通报，上海新兴医药股份有限公司（以下简称“上海新兴”）生产的一批次静注人免疫球蛋白（批号：20180610Z）艾滋病病毒抗体检测为阳性。医用一次性使用胃镜检查包药监局立即要求上海市药监局对上海新兴开展现场检查，组织对同批原料血浆生产的产品和相邻批次产品进行检验，并派出督导检查组抵达上海、江西，督促指导地方药监部门开展调查处置工作。一次性使用胃镜检查包批发药(yao)监局、卫(wei)生健康(kang)委(wei)联合下发通知，要(yao)求立即暂停使用该企业(ye)生产(chan)的(de)相关(guan)产(chan)品，并及时采取封存等控(kong)制措施(shi)。上(shang)海方(fang)面对涉事批次静注人免疫(yi)球蛋(dan)白进行(xing)的(de)艾滋病、乙(yi)肝(gan)、丙肝(gan)三种病毒核酸检(jian)测(ce)，结果均为阴(yin)性(xing)(xing)；江西方(fang)面对患者的(de)艾滋病病毒核酸检(jian)测(ce)，结果为阴(yin)性(xing)(xing)。对企业(ye)现场核查等有关(guan)工作正在进一步进行(xing)中。

插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)时的护(hu)(hu)理(li)(li)⑴清(qing)醒(xing)患(huan)(huan)者(zhe)：操(cao)(cao)纵中应鼓(gu)励其增(zeng)强(qiang)决心信念，调动(dong)(dong)自我控制能力(li)，从(cong)而(er)按捺不良情(qing)绪，配合插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)。插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)时如碰到阻力(li)，切勿强(qiang)行置(zhi)入(ru)(ru)，应查明发(fa)生原因(yin)(yin)，如管(guan)(guan)(guan)(guan)腔(qiang)(qiang)内有堵(du)塞，可(ke)向(xiang)(xiang)胃(wei)(wei)管(guan)(guan)(guan)(guan)内注入(ru)(ru)空气(qi)，若(ruo)泛起(qi)呃逆，说(shuo)明管(guan)(guan)(guan)(guan)腔(qiang)(qiang)启齿(chi)部(bu)位在(zai)食(shi)管(guan)(guan)(guan)(guan)内，可(ke)将胃(wei)(wei)管(guan)(guan)(guan)(guan)向(xiang)(xiang)下试插(cha)(cha)(cha)。⑵意(yi)识(shi)障碍(ai)患(huan)(huan)者(zhe)：可(ke)采用(yong)诱(you)导吞(tun)咽法(fa)(fa)插(cha)(cha)(cha)胃(wei)(wei)管(guan)(guan)(guan)(guan)：患(huan)(huan)者(zhe)取(qu)平卧或(huo)头高(gao)位，操(cao)(cao)纵者(zhe)两人(ren)分站两侧，左(zuo)侧操(cao)(cao)纵者(zhe)按传统方法(fa)(fa)将胃(wei)(wei)管(guan)(guan)(guan)(guan)轻插(cha)(cha)(cha)至(zhi)14～16cm休止，待患(huan)(huan)者(zhe)不适(shi)症状消失后(hou)，左(zuo)侧操(cao)(cao)纵者(zhe)用(yong)木帛签(qian)蘸水，轻擦(ca)患(huan)(huan)者(zhe)唇部(bu)及舌面，见患(huan)(huan)者(zhe)泛起(qi)吞(tun)咽动(dong)(dong)作，右(you)侧操(cao)(cao)纵者(zhe)即(ji)将胃(wei)(wei)管(guan)(guan)(guan)(guan)向(xiang)(xiang)前推进送入(ru)(ru)食(shi)道(dao)再插(cha)(cha)(cha)至(zhi)胃(wei)(wei)部(bu)。插(cha)(cha)(cha)管(guan)(guan)(guan)(guan)后(hou)护(hu)(hu)理(li)(li)（1）胃(wei)(wei)管(guan)(guan)(guan)(guan)留(liu)置(zhi)时间(jian)：长(zhang)期(qi)鼻饲患(huan)(huan)者(zhe)7天(tian)更换1次(ci)(ci)胃(wei)(wei)管(guan)(guan)(guan)(guan)，一次(ci)(ci)性使用(yong)灌(guan)肠包(bao)，改插(cha)(cha)(cha)另一侧鼻孔，以(yi)预(yu)防鼻咽黏膜(mo)---性损(sun)伤(shang)；若(ruo)为硅胶胃(wei)(wei)管(guan)(guan)(guan)(guan)则(ze)每月(yue)更换1次(ci)(ci)。（2）保(bao)持胃(wei)(wei)管(guan)(guan)(guan)(guan)通畅：逐日用(yong)20ml生理(li)(li)盐水冲刷2次(ci)(ci)，防止胃(wei)(wei)管(guan)(guan)(guan)(guan)因(yin)(yin)堵(du)塞或(huo)胃(wei)(wei)液黏稠而(er)引(yin)流不畅。（3）口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)：住院患(huan)(huan)者(zhe)在(zai)留(liu)置(zhi)胃(wei)(wei)管(guan)(guan)(guan)(guan)期(qi)间(jian)机(ji)体抵挡力(li)降低，导致口(kou)(kou)腔(qiang)(qiang)的自洁作用(yong)减弱。因(yin)(yin)此，留(liu)置(zhi)胃(wei)(wei)管(guan)(guan)(guan)(guan)期(qi)间(jian)，对意(yi)识(shi)障碍(ai)患(huan)(huan)者(zhe)进行口(kou)(kou)腔(qiang)(qiang)护(hu)(hu)理(li)(li)，对清(qing)醒(xing)患(huan)(huan)者(zhe)嘱(zhu)定时刷牙。（4）心理(li)(li)护(hu)(hu)理(li)(li)：清(qing)醒(xing)患(huan)(huan)者(zhe)留(liu)置(zhi)胃(wei)(wei)管(guan)(guan)(guan)(guan)时护(hu)(hu)士应多与其沟通，加强(qiang)胃(wei)(wei)管(guan)(guan)(guan)(guan)护(hu)(hu)理(li)(li)知识(shi)的宣教(jiao)，定时匡助患(huan)(huan)者(zhe)翻(fan)身，推拿(na)背部(bu)、肩颈部(bu)，以(yi)减轻因(yin)(yin)头颈部(bu)制动(dong)(dong)及被(bei)动(dong)(dong)---带来的不适(shi)。

一次性(xing)换药(yao)(yao)包(bao)(bao)(bao)(bao)如(ru)何使用一次性(xing)换药(yao)(yao)包(bao)(bao)(bao)(bao)经常(chang)用在外科(ke)的(de)护(hu)理(li)上(shang)面，一次性(xing)换药(yao)(yao)包(bao)(bao)(bao)(bao)一般内装一次性(xing)镊子、沙(sha)布、棉球、乳胶手套或PE手套，居(ju)家(jia)常(chang)备实用小(xiao)药(yao)(yao)包(bao)(bao)(bao)(bao)，有(you)擦伤，磕碰(peng)，十分的(de)方便(bian)1一次性(xing)换药(yao)(yao)包(bao)(bao)(bao)(bao)是(shi)一个很实用的(de)物件(jian)，居(ju)家(jia)旅行，家(jia)中常(chang)备，当出现擦伤碰(peng)伤时(shi)使用非常(chang)方便(bian)。2打开药(yao)(yao)包(bao)(bao)(bao)(bao)，里(li)面得物品时(shi)非常(chang)齐全的(de)，一点不足的(de)是(shi)没有(you)消(xiao)毒酒(jiu)精。3取出镊子，棉球，沾酒(jiu)精对(dui)擦伤伤口进行消(xiao)毒处(chu)理(li)，如(ru)过需(xu)要纱布包(bao)(bao)(bao)(bao)的(de)话可以包(bao)(bao)(bao)(bao)一下。