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。推荐一次性使用导尿包插管后护理（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。一次性使用导尿包价格因此，留置(zhi)胃(wei)管期间，对意识障碍患(huan)(huan)者(zhe)进行口腔护理(li)，对清醒(xing)患(huan)(huan)者(zhe)嘱定时(shi)刷牙。（4）心理(li)护理(li)：清醒(xing)患(huan)(huan)者(zhe)留置(zhi)胃(wei)管时(shi)护士(shi)应(ying)多与其沟(gou)通(tong)，加(jia)强胃(wei)管护理(li)知识的(de)宣(xuan)教，定时(shi)匡助患(huan)(huan)者(zhe)翻身，推拿背(bei)部、肩颈部，以减(jian)轻因头颈部制(zhi)动及被动---带来的(de)不适。

一(yi)次(ci)性(xing)(xing)使(shi)用导尿(niao)包(bao)(bao)(bao)相(xiang)关问(wen)答问(wen)：有(you)什么区别次(ci)性(xing)(xing)使(shi)用导尿(niao)包(bao)(bao)(bao)+18？答：导尿(niao)包(bao)(bao)(bao)咨询热(re)线 :0512-66615979答：导尿(niao)管的(de)外直径,一(yi)般(ban)男性(xing)(xing)临床用12~16比较多见(jian),问(wen)： 一(yi)次(ci)性(xing)(xing)使(shi)用引(yin)尿(niao)包(bao)(bao)(bao)的(de)注意(yi)事项(xiang)有(you)哪些(xie)？答：1、本品(pin)经环(huan)氧(yang)乙(yi)环(huan)灭(mie)菌(jun)，使(shi)用前请注意(yi)内袋包(bao)(bao)(bao)装(zhuang)上(shang)(shang)灭(mie)菌(jun)指(zhi)示标志。2、本品(pin)灭(mie)菌(jun)后，在(zai)包(bao)(bao)(bao)装(zhuang)完好时(shi)，包(bao)(bao)(bao)内所有(you)器(qi)件均为(wei)无(wu)(wu)(wu)毒、无(wu)(wu)(wu)菌(jun)。3、包(bao)(bao)(bao)装(zhuang)破(po)损，禁止使(shi)用。4、本产品(pin)灭(mie)菌(jun)有(you)效(xiao)期两(liang)年，生产日期见(jian)封口处(chu)。5、本产品(pin)仅限于(yu)一(yi)次(ci)性(xing)(xing)使(shi)用，用后销毁。问(wen)： 一(yi)次(ci)性(xing)(xing)使(shi)用引(yin)尿(niao)包(bao)(bao)(bao)的(de)使(shi)用方法是怎样的(de)？答：1、取出本品(pin)，从启口处(chu)撕(si)开(kai)，取出无(wu)(wu)(wu)菌(jun)内包(bao)(bao)(bao)，放置工(gong)作台(tai)中央。2、打开(kai)内包(bao)(bao)(bao)，戴(dai)上(shang)(shang)无(wu)(wu)(wu)菌(jun)医用手套(tao)，按操作规程(cheng)进行操作。3、使(shi)用时(shi)注意(yi)正(zheng)确使(shi)用引(yin)流(liu)袋等各种配件。4、本产品(pin)使(shi)用结束(shu)后，丢弃所有(you)组件，不可重(zhong)复使(shi)用。

一(yi)(yi)(yi)次(ci)(ci)性(xing)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)包的(de)使用(yong)(yong)(yong)方(fang)法一(yi)(yi)(yi)次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)用(yong)(yong)(yong)于(yu)临床患(huan)者抽取(qu)气(qi)管(guan)(guan)(guan)(guan)(guan)内(nei)痰(tan)(tan)(tan)液或分(fen)(fen)泌(mi)(mi)液用(yong)(yong)(yong)。一(yi)(yi)(yi)次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)动(dong)作要(yao)轻、稳。一(yi)(yi)(yi)次(ci)(ci)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)时(shi)(shi)间不(bu)应(ying)超过(guo)15秒(miao)，吸(xi)(xi)(xi)(xi)引(yin)(yin)器(qi)连(lian)续(xu)使用(yong)(yong)(yong)时(shi)(shi)间不(bu)超过(guo)3分(fen)(fen)钟(zhong)。1检(jian)(jian)查吸(xi)(xi)(xi)(xi)引(yin)(yin)器(qi)各部(bu)(bu)连(lian)接(jie)是否完善，有(you)无漏气(qi)。接(jie)通电(dian)源，打开开关，检(jian)(jian)查吸(xi)(xi)(xi)(xi)引(yin)(yin)器(qi)性(xing)能，调节负(fu)压。一(yi)(yi)(yi)般(ban)成人(ren)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)负(fu)压约40-50 kPa，小儿吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)约13-30kPa，将(jiang)(jiang)(jiang)一(yi)(yi)(yi)次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)置于(yu)水中(zhong)，试验吸(xi)(xi)(xi)(xi)引(yin)(yin)力(li)，并(bing)冲(chong)洗(xi)皮管(guan)(guan)(guan)(guan)(guan)。2将(jiang)(jiang)(jiang)病(bing)(bing)(bing)人(ren)头部(bu)(bu)转向护(hu)士，铺治疗巾(jin)于(yu)颌下(xia)。插(cha)入一(yi)(yi)(yi)次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)，其(qi)顺(shun)序是由口腔(qiang)(qiang)前(qian)庭→颊部(bu)(bu)→咽部(bu)(bu)，将(jiang)(jiang)(jiang)各部(bu)(bu)吸(xi)(xi)(xi)(xi)尽。如口腔(qiang)(qiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)有(you)困难时(shi)(shi)，可由鼻腔(qiang)(qiang)插(cha)入(颅(lu)底(di)骨折患(huan)者禁(jin)用(yong)(yong)(yong))，其(qi)顺(shun)序由鼻腔(qiang)(qiang)前(qian)庭→下(xia)鼻道→鼻后孔→咽部(bu)(bu)→气(qi)管(guan)(guan)(guan)(guan)(guan)(约20-25cm)，将(jiang)(jiang)(jiang)分(fen)(fen)泌(mi)(mi)物(wu)逐段吸(xi)(xi)(xi)(xi)尽。3气(qi)管(guan)(guan)(guan)(guan)(guan)内(nei)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)，待病(bing)(bing)(bing)人(ren)吸(xi)(xi)(xi)(xi)气(qi)时(shi)(shi)，快速将(jiang)(jiang)(jiang)导管(guan)(guan)(guan)(guan)(guan)插(cha)入，自下(xia)而(er)上边退边左右(you)旋转导管(guan)(guan)(guan)(guan)(guan)，消除气(qi)道分(fen)(fen)泌(mi)(mi)物(wu)，并(bing)注意观察病(bing)(bing)(bing)人(ren)的(de)呼吸(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)引(yin)(yin)过(guo)程中(zhong)，如病(bing)(bing)(bing)人(ren)咳嗽厉害(hai)，应(ying)稍(shao)等片刻(ke)后再(zai)行吸(xi)(xi)(xi)(xi)出(chu)。并(bing)随时(shi)(shi)冲(chong)洗(xi)吸(xi)(xi)(xi)(xi)引(yin)(yin)管(guan)(guan)(guan)(guan)(guan)，以(yi)免痰(tan)(tan)(tan)液堵塞。4吸(xi)(xi)(xi)(xi)毕，关闭吸(xi)(xi)(xi)(xi)引(yin)(yin)器(qi)开关，弃吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)导管(guan)(guan)(guan)(guan)(guan)于(yu)小桶(tong)内(nei)，吸(xi)(xi)(xi)(xi)引(yin)(yin)胶(jiao)管(guan)(guan)(guan)(guan)(guan)玻璃接(jie)头插(cha)入床栏上盛有(you)消毒液瓶(ping)内(nei)备用(yong)(yong)(yong)，将(jiang)(jiang)(jiang)病(bing)(bing)(bing)人(ren)口腔(qiang)(qiang)周围擦净。观察吸(xi)(xi)(xi)(xi)出(chu)液的(de)量、颜色及(ji)性(xing)质，必要(yao)时(shi)(shi)做好记录。

一次性(xing)换(huan)药(yao)包(bao)如何使(shi)用(yong)(yong)一次性(xing)换(huan)药(yao)包(bao)经(jing)常用(yong)(yong)在外科(ke)的(de)护理上面，一次性(xing)换(huan)药(yao)包(bao)一般内装一次性(xing)镊子、沙布、棉球、乳(ru)胶手套(tao)(tao)或(huo)PE手套(tao)(tao)，居家常备实用(yong)(yong)小(xiao)药(yao)包(bao)，有(you)擦伤(shang)，磕碰，十分的(de)方便(bian)1一次性(xing)换(huan)药(yao)包(bao)是一个很实用(yong)(yong)的(de)物件，居家旅行，家中常备，当出现擦伤(shang)碰伤(shang)时使(shi)用(yong)(yong)非常方便(bian)。2打开药(yao)包(bao)，里(li)面得物品时非常齐全的(de)，一点不足的(de)是没有(you)消(xiao)毒酒(jiu)精。3取出镊子，棉球，沾(zhan)酒(jiu)精对擦伤(shang)伤(shang)口(kou)进行消(xiao)毒处(chu)理，如过需要纱布包(bao)的(de)话(hua)可以(yi)包(bao)一下。

一次性使用(yong)(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)怎么用(yong)(yong)(yong)？吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)使用(yong)(yong)(yong)方(fang)法与(yu)3个注意事项首(shou)先是吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)使用(yong)(yong)(yong)方(fang)法：1、检查吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)的(de)情(qing)况，检查吸(xi)(xi)(xi)引器(qi)作用(yong)(yong)(yong)，检查吸(xi)(xi)(xi)引导管(guan)(guan)(guan)(guan)(guan)是否通畅，是否会影响正常(chang)吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)操(cao)作。2、准(zhun)备好吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)用(yong)(yong)(yong)的(de)所有物(wu)品，将(jiang)这些物(wu)品都放在床头柜上，向患(huan)(huan)(huan)者(zhe)(zhe)说(shuo)明接下来的(de)操(cao)作，解释部分(fen)物(wu)品的(de)用(yong)(yong)(yong)途(tu)，让患(huan)(huan)(huan)者(zhe)(zhe)做好准(zhun)备。3、让患(huan)(huan)(huan)者(zhe)(zhe)侧(ce)头，并微微后(hou)仰，如果患(huan)(huan)(huan)者(zhe)(zhe)本身(shen)昏迷了，需(xu)要用(yong)(yong)(yong)压舌板将(jiang)患(huan)(huan)(huan)者(zhe)(zhe)的(de)嘴巴张开，然(ran)后(hou)将(jiang)吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)侧(ce)插(cha)(cha)到咽喉部位，等患(huan)(huan)(huan)者(zhe)(zhe)吸(xi)(xi)(xi)气(qi)的(de)时(shi)候，将(jiang)吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)插(cha)(cha)入(ru)气(qi)管(guan)(guan)(guan)(guan)(guan)。如果患(huan)(huan)(huan)者(zhe)(zhe)本身(shen)口腔(qiang)吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)比较困难(nan)，可(ke)以从鼻腔(qiang)插(cha)(cha)入(ru)，当然(ran)，颅底骨(gu)折的(de)患(huan)(huan)(huan)者(zhe)(zhe)禁止使用(yong)(yong)(yong)。如果是气(qi)管(guan)(guan)(guan)(guan)(guan)插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)或者(zhe)(zhe)气(qi)管(guan)(guan)(guan)(guan)(guan)切(qie)开的(de)患(huan)(huan)(huan)者(zhe)(zhe)，可(ke)以从插(cha)(cha)管(guan)(guan)(guan)(guan)(guan)或者(zhe)(zhe)是套管(guan)(guan)(guan)(guan)(guan)内插(cha)(cha)入(ru)吸(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)。