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。医用一次性使用无菌阴道扩张器插管后护理(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。一次性使用无菌阴道扩张器厂家因(yin)此,留置(zhi)(zhi)胃(wei)(wei)管期间,对意识(shi)障碍患(huan)(huan)者进行口腔护理(li),对清醒患(huan)(huan)者嘱定时刷牙。(4)心理(li)护理(li):清醒患(huan)(huan)者留置(zhi)(zhi)胃(wei)(wei)管时护士应多与(yu)其沟通,加强(qiang)胃(wei)(wei)管护理(li)知识(shi)的宣教,定时匡助患(huan)(huan)者翻身,推(tui)拿背部(bu)(bu)、肩颈部(bu)(bu),以减轻(qing)因(yin)头颈部(bu)(bu)制动及(ji)被动---带来(lai)的不适。
一次性使(shi)用吸(xi)(xi)痰(tan)(tan)管操作方法(1)检查(cha)吸(xi)(xi)引(yin)器(qi)各部连接(jie)是否完善,有无漏气(qi)。接(jie)通电源,打开(kai)开(kai)关,检查(cha)吸(xi)(xi)引(yin)器(qi)性能,调节负(fu)压。一般成人吸(xi)(xi)痰(tan)(tan)负(fu)压约(yue)40-50 kPa,小儿吸(xi)(xi)痰(tan)(tan)约(yue)13-30kPa,将(jiang)(jiang)一次性使(shi)用吸(xi)(xi)痰(tan)(tan)管置于(yu)水中(zhong),试(shi)验吸(xi)(xi)引(yin)力,并冲洗皮管。(2)将(jiang)(jiang)病人头(tou)部转向护士(shi),铺(pu)治(zhi)疗(liao)巾于(yu)颌下。(3)插(cha)(cha)(cha)入(ru)一次性使(shi)用吸(xi)(xi)痰(tan)(tan)管,其(qi)顺序是由(you)口(kou)腔前庭→颊部→咽部,将(jiang)(jiang)各部吸(xi)(xi)尽。如口(kou)腔吸(xi)(xi)痰(tan)(tan)有困难时(shi),可由(you)鼻(bi)(bi)腔插(cha)(cha)(cha)入(ru)(颅底(di)骨折(zhe)患者禁用),其(qi)顺序由(you)鼻(bi)(bi)腔前庭→下鼻(bi)(bi)道→鼻(bi)(bi)后孔→咽部→气(qi)管(约(yue)20-25cm),将(jiang)(jiang)分泌物逐(zhu)段(duan)吸(xi)(xi)尽。若有气(qi)管插(cha)(cha)(cha)管或气(qi)管切开(kai)时(shi),可由(you)插(cha)(cha)(cha)管或套管内插(cha)(cha)(cha)入(ru),将(jiang)(jiang)痰(tan)(tan)液吸(xi)(xi)出。昏迷(mi)病人可用压舌(she)板或开(kai)口(kou)器(qi)先将(jiang)(jiang)口(kou)启(qi)开(kai),再行吸(xi)(xi)引(yin)。
一次性使用(yong)(yong)无菌阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)扩(kuo)(kuo)张(zhang)器(qi)(qi)(qi),是(shi)妇科医生查看你(ni)(ni)的阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao),或(huo)(huo)者(zhe)是(shi)子(zi)(zi)宫(gong)(gong)(gong)时用(yong)(yong)到(dao)的一种工具(ju)。运用(yong)(yong)扩(kuo)(kuo)张(zhang)器(qi)(qi)(qi)是(shi)为了保护你(ni)(ni)的子(zi)(zi)宫(gong)(gong)(gong)不遭到(dao)损(sun)伤(shang),用(yong)(yong)它来查看你(ni)(ni)的阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)是(shi)否有病(bing)变,或(huo)(huo)者(zhe)是(shi)查看子(zi)(zi)宫(gong)(gong)(gong)里(li)边是(shi)否存在(zai)什么相同的肿瘤。有些(xie)阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)手术也是(shi)需(xu)(xu)(xu)求(qiu)(qiu)(qiu)这个(ge)扩(kuo)(kuo)张(zhang)器(qi)(qi)(qi)的,在(zai)阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)手术中,一向选用(yong)(yong)妇科的鸭嘴状阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)扩(kuo)(kuo)张(zhang)器(qi)(qi)(qi),将(jiang)阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)扩(kuo)(kuo)开,但(dan)扩(kuo)(kuo)张(zhang)器(qi)(qi)(qi)外(wai)口不能随意扩(kuo)(kuo)大和(he)缩(suo)小,这样(yang)扩(kuo)(kuo)张(zhang)阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao),手术起来会(hui)方便许(xu)多。需(xu)(xu)(xu)求(qiu)(qiu)(qiu)留意哪些(xie)问题(ti):但(dan)需(xu)(xu)(xu)求(qiu)(qiu)(qiu)留意的是(shi),运用(yong)(yong)阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)扩(kuo)(kuo)张(zhang)器(qi)(qi)(qi)进行阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)查看今后(hou),回家有必要运用(yong)(yong)护理液清洗阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao),防止阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)扩(kuo)(kuo)张(zhang)器(qi)(qi)(qi)不洁净带(dai)来一些(xie)细(xi)菌,或(huo)(huo)者(zhe)是(shi)不洁物(wu)。总(zong)之(zhi)阴(yin)(yin)(yin)(yin)(yin)(yin)道(dao)(dao)是(shi)个(ge)很灵敏,简单感染的当(dang)地,咱们女性朋友(you)一定要留意卫(wei)生。
一(yi)次(ci)性使(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)的使(shi)(shi)用(yong)(yong)。导(dao)读(du):如(ru)何使(shi)(shi)用(yong)(yong)一(yi)次(ci)性吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)?小编(bian)为(wei)大家准备(bei)了(le)使(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)的方(fang)法和(he)使(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)需(xu)要注(zhu)意的三点,这可能对你有帮助。使(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)的方(fang)法:1.检查吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan),检查吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)装置(zhi)功能,检查吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)导(dao)管(guan)(guan)(guan)是否通(tong)畅(chang),是否影响正常(chang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)手(shou)术(shu)。2.准备(bei)所(suo)有吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)项(xiang)目,将(jiang)这些物品放在床头柜上(shang),向(xiang)(xiang)病(bing)人(ren)解(jie)释下(xia)一(yi)次(ci)手(shou)术(shu),说(shuo)明某(mou)些项(xiang)目的使(shi)(shi)用(yong)(yong)情况,并为(wei)病(bing)人(ren)做好准备(bei)。3.让病(bing)人(ren)侧头,稍向(xiang)(xiang)后,如(ru)果病(bing)人(ren)本身处于昏(hun)迷(mi)状态,需(xu)要用(yong)(yong)舌板打(da)开(kai)(kai)病(bing)人(ren)的嘴,然后将(jiang)痰(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)侧到咽喉等,当病(bing)人(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)气时,将(jiang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)插(cha)入(ru)(ru)气管(guan)(guan)(guan)。如(ru)果病(bing)人(ren)很(hen)难(nan)从嘴里吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan),就可以(yi)从鼻腔插(cha)入(ru)(ru)痰(tan)(tan)(tan)(tan)。当然,禁(jin)止使(shi)(shi)用(yong)(yong)颅底骨折患(huan)者。对于气管(guan)(guan)(guan)内插(cha)管(guan)(guan)(guan)或气管(guan)(guan)(guan)切开(kai)(kai)术(shu)的病(bing)人(ren),可以(yi)从插(cha)管(guan)(guan)(guan)或插(cha)管(guan)(guan)(guan)中插(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)。4.插(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)管(guan)(guan)(guan)前,打(da)开(kai)(kai)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)入(ru)(ru)开(kai)(kai)关(guan)(guan)。然而,T管(guan)(guan)(guan)的侧孔(kong)应该放松(song),当痰(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)在一(yi)定(ding)深(shen)度插(cha)入(ru)(ru)气管(guan)(guan)(guan)时,可根(gen)据闭合侧孔(kong)立即吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)。吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)时,吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)应从底部慢(man)慢(man)抬起,左右旋转,以(yi)便吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)。防止粘膜被(bei)破(po)坏,通(tong)过固定(ding)一(yi)个地方(fang),或向(xiang)(xiang)上(shang)和(he)向(xiang)(xiang)下(xia),以(yi)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引它(ta)。吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)取(qu)出(chu)后,吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)收水分,冲洗管(guan)(guan)(guan)内痰(tan)(tan)(tan)(tan),以(yi)免堵(du)塞痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)。关(guan)(guan)掉吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)开(kai)(kai)关(guan)(guan)。