采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)包里(li)面有针吗?小编告(gao)诉你一(yi)次(ci)性(xing)(xing)(xing)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)护(hu)理包的常见配置(zhi)。所谓采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue),就是(shi)一(yi)种因为(wei)(wei)检验(yan)或(huo)者(zhe)(zhe)相(xiang)关(guan)(guan)需(xu)(xu)求(qiu),由医务(wu)人员进(jin)行(xing)静脉(mai)或(huo)者(zhe)(zhe)是(shi)动脉(mai)采(cai)(cai)(cai)集血(xue)(xue)(xue)(xue)(xue)液标本的过程,为(wei)(wei)了(le)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)过程的顺畅,所以(yi)在(zai)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)之(zhi)前,都需(xu)(xu)要(yao)(yao)进(jin)行(xing)一(yi)些准(zhun)(zhun)备(bei)(bei)工(gong)作,避免出(chu)现意外。献(xian)血(xue)(xue)(xue)(xue)(xue)者(zhe)(zhe)准(zhun)(zhun)备(bei)(bei):检查(cha)必要(yao)(yao)的项目(mu);采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)前要(yao)(yao)使用低脂肪的清淡(dan)饮食(shi);采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)前将肘部(bu)清洗(xi)干(gan)净;了(le)解(jie)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)尝试,解(jie)除精神紧(jin)张;采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)室(shi)(shi)(shi)准(zhun)(zhun)备(bei)(bei):注意一(yi)些用具的消(xiao)毒(du)(du)工(gong)作,采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)持(chi)续4小时以(yi)上要(yao)(yao)重(zhong)新消(xiao)毒(du)(du);采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)外室(shi)(shi)(shi)准(zhun)(zhun)备(bei)(bei):介绍采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)知(zhi)识(shi);核对采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)人员;督促采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)者(zhe)(zhe)清洗(xi)手(shou)臂;观察献(xian)血(xue)(xue)(xue)(xue)(xue)者(zhe)(zhe)情况;常备(bei)(bei)急(ji)救(jiu)药物和(he)器材(cai),需(xu)(xu)要(yao)(yao)有空气栓塞、晕厥等的急(ji)救(jiu)技术。采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)者(zhe)(zhe)准(zhun)(zhun)备(bei)(bei):准(zhun)(zhun)备(bei)(bei)好采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)器材(cai);按照手(shou)术室(shi)(shi)(shi)常规(gui)(gui)更换鞋子、戴口罩、帽子,穿消(xiao)毒(du)(du)衣(yi)方可进(jin)入采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)室(shi)(shi)(shi)。为(wei)(wei)了(le)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)更加顺利,采(cai)(cai)(cai)供(gong)血(xue)(xue)(xue)(xue)(xue)医疗机(ji)(ji)构(gou)、输液中心、血(xue)(xue)(xue)(xue)(xue)站、采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)室(shi)(shi)(shi)、采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)车等都会常备(bei)(bei)一(yi)次(ci)性(xing)(xing)(xing)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)护(hu)理包(一(yi)次(ci)性(xing)(xing)(xing)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)包),关(guan)(guan)于采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)包里(li)是(shi)否有针的问题,一(yi)般情况下,采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)包里(li)并不含(han)有采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)针,基本上一(yi)次(ci)性(xing)(xing)(xing)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)包主要(yao)(yao)由一(yi)次(ci)性(xing)(xing)(xing)使用垫巾、止(zhi)血(xue)(xue)(xue)(xue)(xue)带、干(gan)棉棒、易折碘伏(fu)棉棒(发明(ming)zhuanli)、创(chuang)可贴(tie)等组成。一(yi)次(ci)性(xing)(xing)(xing)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)包的存在(zai)就是(shi)为(wei)(wei)了(le)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)过程的消(xiao)毒(du)(du)、止(zhi)血(xue)(xue)(xue)(xue)(xue)与保护(hu)、规(gui)(gui)格(ge)采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)过程,防止(zhi)交叉(cha)感染,因此采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)包的配置(zhi)主要(yao)(yao)也是(shi)为(wei)(wei)相(xiang)关(guan)(guan)机(ji)(ji)构(gou)提供(gong)更方便、无(wu)交叉(cha)感染的医疗用品,让被采(cai)(cai)(cai)血(xue)(xue)(xue)(xue)(xue)者(zhe)(zhe)没有后顾(gu)之(zhi)忧。
一次性(xing)使(shi)用吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)的(de)(de)使(shi)用。导读:如(ru)何(he)使(shi)用一次性(xing)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)?小(xiao)编(bian)为(wei)大家准(zhun)备(bei)了使(shi)用吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)的(de)(de)方法和(he)使(shi)用吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)需要注意的(de)(de)三点,这(zhei)可能(neng)对(dui)(dui)你有帮(bang)助。使(shi)用吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)的(de)(de)方法:1.检查(cha)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan),检查(cha)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)装(zhuang)置功能(neng),检查(cha)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)导管(guan)是否通畅,是否影响正常吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)手术。2.准(zhun)备(bei)所(suo)有吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)项目,将(jiang)(jiang)这(zhei)些(xie)物品放(fang)在床头(tou)柜(ju)上,向(xiang)(xiang)(xiang)病(bing)(bing)人(ren)(ren)(ren)解释下一次手术,说明(ming)某些(xie)项目的(de)(de)使(shi)用情况,并为(wei)病(bing)(bing)人(ren)(ren)(ren)做好准(zhun)备(bei)。3.让(rang)病(bing)(bing)人(ren)(ren)(ren)侧(ce)头(tou),稍向(xiang)(xiang)(xiang)后(hou),如(ru)果(guo)病(bing)(bing)人(ren)(ren)(ren)本身处于昏(hun)迷状态,需要用舌板打开(kai)病(bing)(bing)人(ren)(ren)(ren)的(de)(de)嘴,然(ran)后(hou)将(jiang)(jiang)痰(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)管(guan)侧(ce)到(dao)咽喉等,当(dang)(dang)病(bing)(bing)人(ren)(ren)(ren)吸(xi)(xi)(xi)(xi)(xi)气时(shi),将(jiang)(jiang)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)插(cha)(cha)(cha)(cha)(cha)入(ru)气管(guan)。如(ru)果(guo)病(bing)(bing)人(ren)(ren)(ren)很难(nan)从(cong)(cong)嘴里吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan),就(jiu)可以(yi)(yi)从(cong)(cong)鼻腔(qiang)插(cha)(cha)(cha)(cha)(cha)入(ru)痰(tan)(tan)(tan)(tan)(tan)(tan)。当(dang)(dang)然(ran),禁止使(shi)用颅底骨折患者。对(dui)(dui)于气管(guan)内(nei)插(cha)(cha)(cha)(cha)(cha)管(guan)或气管(guan)切开(kai)术的(de)(de)病(bing)(bing)人(ren)(ren)(ren),可以(yi)(yi)从(cong)(cong)插(cha)(cha)(cha)(cha)(cha)管(guan)或插(cha)(cha)(cha)(cha)(cha)管(guan)中(zhong)插(cha)(cha)(cha)(cha)(cha)入(ru)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)。4.插(cha)(cha)(cha)(cha)(cha)入(ru)吸(xi)(xi)(xi)(xi)(xi)入(ru)管(guan)前,打开(kai)吸(xi)(xi)(xi)(xi)(xi)入(ru)开(kai)关。然(ran)而(er),T管(guan)的(de)(de)侧(ce)孔(kong)(kong)应该放(fang)松(song),当(dang)(dang)痰(tan)(tan)(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)管(guan)在一定深度插(cha)(cha)(cha)(cha)(cha)入(ru)气管(guan)时(shi),可根据闭合侧(ce)孔(kong)(kong)立(li)即吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)。吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)时(shi),吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)应从(cong)(cong)底部慢慢抬(tai)起,左(zuo)右旋转,以(yi)(yi)便(bian)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)。防止粘膜(mo)被破(po)坏,通过固定一个地(di)方,或向(xiang)(xiang)(xiang)上和(he)向(xiang)(xiang)(xiang)下,以(yi)(yi)吸(xi)(xi)(xi)(xi)(xi)引(yin)它。吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)取(qu)出(chu)后(hou),吸(xi)(xi)(xi)(xi)(xi)收水分,冲洗管(guan)内(nei)痰(tan)(tan)(tan)(tan)(tan)(tan),以(yi)(yi)免堵(du)塞痰(tan)(tan)(tan)(tan)(tan)(tan)管(guan)。关掉吸(xi)(xi)(xi)(xi)(xi)管(guan)开(kai)关。
一(yi)(yi)次(ci)(ci)性(xing)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)包的(de)(de)使(shi)(shi)(shi)用(yong)(yong)方法一(yi)(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)用(yong)(yong)于(yu)临床(chuang)患者抽(chou)取气(qi)管(guan)(guan)内(nei)痰(tan)(tan)(tan)(tan)液(ye)(ye)(ye)或分(fen)泌(mi)液(ye)(ye)(ye)用(yong)(yong)。一(yi)(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)动作要(yao)轻、稳。一(yi)(yi)次(ci)(ci)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)时(shi)间(jian)不应超过15秒(miao),吸(xi)(xi)(xi)(xi)引(yin)器(qi)连续使(shi)(shi)(shi)用(yong)(yong)时(shi)间(jian)不超过3分(fen)钟(zhong)。1检查(cha)吸(xi)(xi)(xi)(xi)引(yin)器(qi)各部(bu)连接是否完善,有(you)无漏(lou)气(qi)。接通电源,打开开关(guan)(guan),检查(cha)吸(xi)(xi)(xi)(xi)引(yin)器(qi)性(xing)能,调(diao)节(jie)负压。一(yi)(yi)般成人(ren)(ren)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)负压约40-50 kPa,小儿吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)约13-30kPa,将(jiang)(jiang)一(yi)(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)置于(yu)水中(zhong),试验(yan)吸(xi)(xi)(xi)(xi)引(yin)力,并(bing)冲洗皮管(guan)(guan)。2将(jiang)(jiang)病(bing)(bing)(bing)人(ren)(ren)头(tou)部(bu)转向护士,铺治疗(liao)巾于(yu)颌下(xia)(xia)。插入一(yi)(yi)次(ci)(ci)性(xing)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan),其顺序是由口腔(qiang)(qiang)前庭(ting)→颊部(bu)→咽(yan)部(bu),将(jiang)(jiang)各部(bu)吸(xi)(xi)(xi)(xi)尽。如(ru)口腔(qiang)(qiang)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)有(you)困(kun)难时(shi),可由鼻腔(qiang)(qiang)插入(颅底(di)骨折患者禁用(yong)(yong)),其顺序由鼻腔(qiang)(qiang)前庭(ting)→下(xia)(xia)鼻道→鼻后孔(kong)→咽(yan)部(bu)→气(qi)管(guan)(guan)(约20-25cm),将(jiang)(jiang)分(fen)泌(mi)物(wu)逐段吸(xi)(xi)(xi)(xi)尽。3气(qi)管(guan)(guan)内(nei)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan),待病(bing)(bing)(bing)人(ren)(ren)吸(xi)(xi)(xi)(xi)气(qi)时(shi),快速将(jiang)(jiang)导管(guan)(guan)插入,自下(xia)(xia)而上(shang)边退边左(zuo)右(you)旋转导管(guan)(guan),消除气(qi)道分(fen)泌(mi)物(wu),并(bing)注意观(guan)察病(bing)(bing)(bing)人(ren)(ren)的(de)(de)呼吸(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)引(yin)过程(cheng)中(zhong),如(ru)病(bing)(bing)(bing)人(ren)(ren)咳嗽厉(li)害,应稍等(deng)片刻(ke)后再行吸(xi)(xi)(xi)(xi)出(chu)。并(bing)随时(shi)冲洗吸(xi)(xi)(xi)(xi)引(yin)管(guan)(guan),以免(mian)痰(tan)(tan)(tan)(tan)液(ye)(ye)(ye)堵塞。4吸(xi)(xi)(xi)(xi)毕,关(guan)(guan)闭吸(xi)(xi)(xi)(xi)引(yin)器(qi)开关(guan)(guan),弃(qi)吸(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)导管(guan)(guan)于(yu)小桶(tong)内(nei),吸(xi)(xi)(xi)(xi)引(yin)胶(jiao)管(guan)(guan)玻璃接头(tou)插入床(chuang)栏上(shang)盛有(you)消毒液(ye)(ye)(ye)瓶(ping)内(nei)备用(yong)(yong),将(jiang)(jiang)病(bing)(bing)(bing)人(ren)(ren)口腔(qiang)(qiang)周围擦净。观(guan)察吸(xi)(xi)(xi)(xi)出(chu)液(ye)(ye)(ye)的(de)(de)量、颜(yan)色及性(xing)质,必(bi)要(yao)时(shi)做好记录。
一次性使用导尿包常用指南操作要点1.定时挤压引流管,引流液多或有血块则按需正确挤压,捏紧引流管的远端,向胸腔的方向挤压,再缓慢松开捏紧的引流管,防止引流瓶中液体倒吸。推荐一次性使用换药包如接有负压装置,吸引压力适宜,一次性使用换药包价格过(guo)大的(de)负(fu)压(ya)引(yin)(yin)起胸腔(qiang)内出(chu)血及患者疼痛。一次(ci)性(xing)使用(yong)导尿包2.根(gen)据(ju)病情尽可能采(cai)取半卧(wo)位。3.引(yin)(yin)流装置应保持(chi)密(mi)闭和无菌,保持(chi)胸壁引(yin)(yin)流口(kou)处的(de)敷(fu)料清(qing)洁干燥,敷(fu)料渗出(chu)液较多应及时通知医生更(geng)换(huan)。4.根(gen)据(ju)病情需要定时准确(que)记录引(yin)(yin)流量。5引(yin)(yin)流瓶(ping)(ping)内无菌生理(li)盐水(shui)每天更(geng)换(huan),引(yin)(yin)流瓶(ping)(ping)每周更(geng)换(huan),床旁备(bei)血管钳,更(geng)换(huan)时必须夹(jia)闭引(yin)(yin)流管,防止空气进入胸膜腔(qiang)引(yin)(yin)起气qi胸。