一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)包(bao)的使(shi)(shi)(shi)(shi)用(yong)方法一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)用(yong)于临床患者抽取气管(guan)内痰(tan)(tan)(tan)液(ye)或分(fen)泌液(ye)用(yong)。一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)动作要轻、稳。一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)时(shi)间(jian)不应超过15秒，吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)(qi)连续使(shi)(shi)(shi)(shi)用(yong)时(shi)间(jian)不超过3分(fen)钟。1检(jian)(jian)查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)(qi)各部(bu)连接(jie)是否完善(shan)，有(you)无(wu)漏气。接(jie)通电(dian)源，打开(kai)(kai)开(kai)(kai)关(guan)，检(jian)(jian)查吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)(qi)性能，调节负(fu)压(ya)。一(yi)(yi)般成人吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)负(fu)压(ya)约40-50 kPa，小儿吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)约13-30kPa，将(jiang)一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)置于水中，试验吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)力(li)，并冲洗皮管(guan)。2将(jiang)病人头部(bu)转向(xiang)护士(shi)，铺治疗巾(jin)于颌下(xia)。插入(ru)一(yi)(yi)次(ci)(ci)(ci)(ci)(ci)性使(shi)(shi)(shi)(shi)用(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)，其(qi)顺(shun)序是由口(kou)腔(qiang)前(qian)庭→颊部(bu)→咽(yan)部(bu)，将(jiang)各部(bu)吸(xi)(xi)(xi)(xi)(xi)(xi)尽。如口(kou)腔(qiang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)有(you)困难时(shi)，可由鼻(bi)(bi)(bi)腔(qiang)插入(ru)(颅底骨(gu)折患者禁用(yong))，其(qi)顺(shun)序由鼻(bi)(bi)(bi)腔(qiang)前(qian)庭→下(xia)鼻(bi)(bi)(bi)道→鼻(bi)(bi)(bi)后(hou)孔→咽(yan)部(bu)→气管(guan)(约20-25cm)，将(jiang)分(fen)泌物(wu)逐段吸(xi)(xi)(xi)(xi)(xi)(xi)尽。3气管(guan)内吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)，待病人吸(xi)(xi)(xi)(xi)(xi)(xi)气时(shi)，快(kuai)速将(jiang)导管(guan)插入(ru)，自下(xia)而上(shang)边退边左右旋转导管(guan)，消除气道分(fen)泌物(wu)，并注意(yi)观察病人的呼吸(xi)(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)过程中，如病人咳嗽厉(li)害(hai)，应稍等片刻后(hou)再行吸(xi)(xi)(xi)(xi)(xi)(xi)出。并随(sui)时(shi)冲洗吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)管(guan)，以免(mian)痰(tan)(tan)(tan)液(ye)堵塞。4吸(xi)(xi)(xi)(xi)(xi)(xi)毕(bi)，关(guan)闭吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)器(qi)(qi)开(kai)(kai)关(guan)，弃吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)导管(guan)于小桶内，吸(xi)(xi)(xi)(xi)(xi)(xi)引(yin)胶管(guan)玻璃(li)接(jie)头插入(ru)床栏上(shang)盛(sheng)有(you)消毒液(ye)瓶内备用(yong)，将(jiang)病人口(kou)腔(qiang)周(zhou)围擦净(jing)。观察吸(xi)(xi)(xi)(xi)(xi)(xi)出液(ye)的量、颜色(se)及性质，必要时(shi)做好记录。

如何预防插导尿包时出现感染现象?全科医生是经过全科医学专业培训，临床技能全面、医德高尚的高素质基层医疗保健人才,富有独立工作能力,对个人家庭及社区提供便捷、廉价的防、 治保康全方位的优质服务。优质一次性使用医用无菌阴道扩张器开展全科医疗服务, 如果没有具有活力的全科医生做坚实的基础,工作将缺乏生气和动力,那种以单纯的专科医疗的服务体系,势必造成医疗秩序的混乱,也没有任何国家的经济能够负担得起。那么,插导尿管如何预防感染呢?导尿包相关尿路感染预防SOP尿路感染(UTI)是二位常见医院感染类型, 75% ~ 80%与留置导尿管相关。为有效预防导尿管相关尿路感染,特制定以下控制措施:插管前准备与插管时的措施1.尽量避免不必要的留置导尿;2.仔细检查无菌导尿包，如过期、外包装破损潮湿,不得使用;3.根据年龄、性别、尿道情况选择合适的导尿管口径、类型。通常成年男性选16F ,女性选14F ;4.规范手卫生和载手套的程序;5.常规的消毒方法:用0.1%的新洁尔灭消毒尿道口及其周围皮肤粘膜,程序如下:男性:自尿道口、龟头向外旋转擦拭消毒,注意洗净包皮及冠状沟。一次性使用医用无菌阴道扩张器批发女(nv)性:先(xian)清洗(xi)外阴(yin),其原则由上(shang)至(zhi)下,由内向外,然后(hou)清洗(xi)尿(niao)道(dao)(dao)口、前庭、两侧大小阴(yin)唇(chun),后(hou)会阴(yin)、肛门,每一个棉球不能重(zhong)复(fu)使用(yong);6.插管过程严格执行无(wu)菌操作(zuo),动(dong)作(zuo)要轻柔,避免尿(niao)道(dao)(dao)粘膜(mo)损伤;7.对留置导尿(niao)患者(zhe),应采(cai)用(yong)密闭式引流系(xi)统。

一(yi)次性使(shi)用(yong)导(dao)尿(niao)包常(chang)用(yong)指(zhi)南操作要点1.定(ding)时挤压(ya)引(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)(guan)，引(yin)(yin)(yin)(yin)流(liu)(liu)液多或有血块则按需正(zheng)确挤压(ya)，捏紧引(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)(guan)的(de)远端，向胸腔(qiang)的(de)方(fang)向挤压(ya)，再缓慢松开捏紧的(de)引(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)(guan)，防止(zhi)引(yin)(yin)(yin)(yin)流(liu)(liu)瓶中液体倒(dao)吸。如接有负压(ya)装置，吸引(yin)(yin)(yin)(yin)压(ya)力适宜，过大的(de)负压(ya)引(yin)(yin)(yin)(yin)起胸腔(qiang)内出(chu)血及患(huan)者疼痛(tong)。一(yi)次性使(shi)用(yong)导(dao)尿(niao)包2.根(gen)据病情(qing)尽可能(neng)采(cai)取半卧(wo)位。3.引(yin)(yin)(yin)(yin)流(liu)(liu)装置应保持(chi)密(mi)闭(bi)和无(wu)菌，保持(chi)胸壁引(yin)(yin)(yin)(yin)流(liu)(liu)口处的(de)敷料清洁干燥，敷料渗出(chu)液较多应及时通知医生(sheng)更(geng)换(huan)(huan)。4.根(gen)据病情(qing)需要定(ding)时准确记录(lu)引(yin)(yin)(yin)(yin)流(liu)(liu)量。5引(yin)(yin)(yin)(yin)流(liu)(liu)瓶内无(wu)菌生(sheng)理(li)盐水(shui)每天更(geng)换(huan)(huan)，引(yin)(yin)(yin)(yin)流(liu)(liu)瓶每周(zhou)更(geng)换(huan)(huan)，床旁备血管(guan)(guan)钳，更(geng)换(huan)(huan)时必须夹(jia)闭(bi)引(yin)(yin)(yin)(yin)流(liu)(liu)管(guan)(guan)，防止(zhi)空气进入胸膜腔(qiang)引(yin)(yin)(yin)(yin)起气qi胸。

一次性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)导(dao)(dao)尿包(bao)(bao)(bao)相(xiang)关问答问：有什么(me)区别次性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)导(dao)(dao)尿包(bao)(bao)(bao)+18？答：导(dao)(dao)尿包(bao)(bao)(bao)咨询热线 :0512-66615979答：导(dao)(dao)尿管的(de)外直径,一般男性(xing)(xing)临床用(yong)(yong)(yong)(yong)(yong)12~16比较(jiao)多见,问： 一次性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)引(yin)尿包(bao)(bao)(bao)的(de)注(zhu)(zhu)意(yi)事项有哪些？答：1、本(ben)品(pin)(pin)经环氧乙环灭(mie)(mie)菌(jun)(jun)，使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)前请(qing)注(zhu)(zhu)意(yi)内(nei)袋包(bao)(bao)(bao)装上灭(mie)(mie)菌(jun)(jun)指(zhi)示标志。2、本(ben)品(pin)(pin)灭(mie)(mie)菌(jun)(jun)后，在包(bao)(bao)(bao)装完好时，包(bao)(bao)(bao)内(nei)所有器件(jian)均为无(wu)毒、无(wu)菌(jun)(jun)。3、包(bao)(bao)(bao)装破损，禁(jin)止使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)。4、本(ben)产(chan)品(pin)(pin)灭(mie)(mie)菌(jun)(jun)有效期两年(nian)，生产(chan)日期见封口处。5、本(ben)产(chan)品(pin)(pin)仅限于(yu)一次性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)，用(yong)(yong)(yong)(yong)(yong)后销(xiao)毁(hui)。问： 一次性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)引(yin)尿包(bao)(bao)(bao)的(de)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)方法是怎样的(de)？答：1、取(qu)出(chu)本(ben)品(pin)(pin)，从启口处撕开，取(qu)出(chu)无(wu)菌(jun)(jun)内(nei)包(bao)(bao)(bao)，放置工作(zuo)台中央。2、打开内(nei)包(bao)(bao)(bao)，戴上无(wu)菌(jun)(jun)医用(yong)(yong)(yong)(yong)(yong)手套，按操(cao)作(zuo)规程进行操(cao)作(zuo)。3、使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)时注(zhu)(zhu)意(yi)正(zheng)确使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)引(yin)流袋等各种配(pei)件(jian)。4、本(ben)产(chan)品(pin)(pin)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)结束后，丢弃所有组件(jian)，不可重复使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)。