导尿(niao)(niao)设备在(zai)(zai)医疗(liao)当中(zhong)也是(shi)(shi)经常(chang)(chang)使(shi)(shi)用(yong)(yong)(yong)(yong)的(de)一(yi)(yi)(yi)种(zhong)(zhong)产(chan)(chan)品(pin),在(zai)(zai)泌尿(niao)(niao)肛肠等医疗(liao)科室经常(chang)(chang)用(yong)(yong)(yong)(yong)到导尿(niao)(niao)设备一(yi)(yi)(yi)般(ban)都(dou)是(shi)(shi)一(yi)(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)的(de)。下(xia)面介绍的(de)这(zhei)(zhei)种(zhong)(zhong)-次(ci)(ci)(ci)性(xing)(xing)的(de)无莹(ying)导尿(niao)(niao)产(chan)(chan)品(pin)就是(shi)(shi)同(tong)类(lei)产(chan)(chan)品(pin)中(zhong)性(xing)(xing)能非(fei)常(chang)(chang)优(you)越的(de)一(yi)(yi)(yi)种(zhong)(zhong)。产(chan)(chan)品(pin)的(de)用(yong)(yong)(yong)(yong)途和(he)性(xing)(xing)能,这(zhei)(zhei)种(zhong)(zhong)-次(ci)(ci)(ci)性(xing)(xing)的(de)无菌(jun)导尿(niao)(niao)包(bao)(bao)主要是(shi)(shi)给临床(chuang)上(shang)(shang)的(de)患者(zhe)导尿(niao)(niao)之用(yong)(yong)(yong)(yong),这(zhei)(zhei)种(zhong)(zhong)产(chan)(chan)品(pin)是(shi)(shi)经过了(le)环(huan)氧(yang)乙烷灭莹(ying),非(fei)常(chang)(chang)的(de)卫(wei)生(sheng)和(he)安全(quan),使(shi)(shi)用(yong)(yong)(yong)(yong)起来也非(fei)常(chang)(chang)方(fang)(fang)便(bian)。该产(chan)(chan)品(pin)是(shi)(shi)由(you)洞巾,布和(he)一(yi)(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)使(shi)(shi)用(yong)(yong)(yong)(yong)的(de)导尿(niao)(niao)管、橡胶医用(yong)(yong)(yong)(yong)手套、海绵刷、纱(sha)布块、石蜡棉球(qiu)物品(pin)盒和(he)一(yi)(yi)(yi)次(ci)(ci)(ci)性(xing)(xing)的(de)引流袋等几(ji)部分组(zu)成。这(zhei)(zhei)种(zhong)(zhong)- -次(ci)(ci)(ci)性(xing)(xing)产(chan)(chan)品(pin)使(shi)(shi)用(yong)(yong)(yong)(yong)起来也非(fei)常(chang)(chang)方(fang)(fang)便(bian)。这(zhei)(zhei)种(zhong)(zhong)产(chan)(chan)品(pin)使(shi)(shi)用(yong)(yong)(yong)(yong)起来也比(bi)较简单,首(shou)先,在(zai)(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)前要检查单包(bao)(bao)装是(shi)(shi)不是(shi)(shi)没有(you)(you)损(sun)坏(huai),灭菌(jun)的(de)有(you)(you)效(xiao)期(qi)(qi)是(shi)(shi)不是(shi)(shi)正(zheng)常(chang)(chang);其次(ci)(ci)(ci),在(zai)(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)的(de)时候,先打开包(bao)(bao)装,在(zai)(zai)将包(bao)(bao)布打开,再戴上(shang)(shang)手套,然后(hou);按(an)照常(chang)(chang)规(gui)的(de)方(fang)(fang)法(fa)来使(shi)(shi)用(yong)(yong)(yong)(yong)导尿(niao)(niao)包(bao)(bao)里(li)的(de)组(zu)件(jian);其三,-般(ban)的(de)产(chan)(chan)品(pin)的(de)有(you)(you)效(xiao)期(qi)(qi)是(shi)(shi)两年(nian) ,如果产(chan)(chan)品(pin)已经过了(le)有(you)(you)效(xiao)期(qi)(qi),绝(jue)对不能使(shi)(shi)用(yong)(yong)(yong)(yong);四(si),如果包(bao)(bao)装破损(sun)了(le)也不能使(shi)(shi)用(yong)(yong)(yong)(yong);五,这(zhei)(zhei)是(shi)(shi)-次(ci)(ci)(ci)性(xing)(xing)的(de)使(shi)(shi)用(yong)(yong)(yong)(yong)产(chan)(chan)品(pin),禁止重复(fu)使(shi)(shi)用(yong)(yong)(yong)(yong),在(zai)(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)完(wan)后(hou)要销毁,生(sheng)产(chan)(chan)日期(qi)(qi)般(ban)在(zai)(zai)包(bao)(bao)装封口处(chu)。
如何(he)预防插(cha)导(dao)尿(niao)(niao)(niao)包(bao)(bao)时出现感(gan)(gan)染(ran)(ran)(ran)现象?全(quan)(quan)(quan)科(ke)医(yi)生是经过(guo)(guo)(guo)全(quan)(quan)(quan)科(ke)医(yi)学专业培训,临床技能(neng)(neng)全(quan)(quan)(quan)面、医(yi)德高尚的(de)(de)(de)高素质基(ji)层(ceng)医(yi)疗保健(jian)人才,富(fu)有(you)独立工作(zuo)能(neng)(neng)力,对个(ge)人家庭及社(she)区提供(gong)便捷、廉价(jia)的(de)(de)(de)防、 治保康全(quan)(quan)(quan)方位的(de)(de)(de)优质服务(wu)。开展全(quan)(quan)(quan)科(ke)医(yi)疗服务(wu), 如果没(mei)有(you)具有(you)活力的(de)(de)(de)全(quan)(quan)(quan)科(ke)医(yi)生做坚实的(de)(de)(de)基(ji)础,工作(zuo)将(jiang)缺乏生气和动力,那种以单纯的(de)(de)(de)专科(ke)医(yi)疗的(de)(de)(de)服务(wu)体系,势必(bi)造成医(yi)疗秩序(xu)的(de)(de)(de)混乱,也没(mei)有(you)任(ren)何(he)国(guo)家的(de)(de)(de)经济能(neng)(neng)够(gou)负担(dan)得起。那么,插(cha)导(dao)尿(niao)(niao)(niao)管如何(he)预防感(gan)(gan)染(ran)(ran)(ran)呢?导(dao)尿(niao)(niao)(niao)包(bao)(bao)相关(guan)尿(niao)(niao)(niao)路(lu)(lu)感(gan)(gan)染(ran)(ran)(ran)预防SOP尿(niao)(niao)(niao)路(lu)(lu)感(gan)(gan)染(ran)(ran)(ran)(UTI)是二位常(chang)见医(yi)院感(gan)(gan)染(ran)(ran)(ran)类型, 75% ~ 80%与(yu)留(liu)置(zhi)导(dao)尿(niao)(niao)(niao)管相关(guan)。为有(you)效(xiao)预防导(dao)尿(niao)(niao)(niao)管相关(guan)尿(niao)(niao)(niao)路(lu)(lu)感(gan)(gan)染(ran)(ran)(ran),特制定以下控制措施:插(cha)管前准备(bei)与(yu)插(cha)管时的(de)(de)(de)措施1.尽量避(bi)免(mian)不必(bi)要(yao)的(de)(de)(de)留(liu)置(zhi)导(dao)尿(niao)(niao)(niao);2.仔细检(jian)查(cha)无菌导(dao)尿(niao)(niao)(niao)包(bao)(bao),如过(guo)(guo)(guo)期、外(wai)包(bao)(bao)装破损潮湿,不得使用;3.根据年龄、性别(bie)、尿(niao)(niao)(niao)道情(qing)况选择合适(shi)的(de)(de)(de)导(dao)尿(niao)(niao)(niao)管口(kou)径、类型。通(tong)常(chang)成年男性选16F ,女性选14F ;4.规范(fan)手卫(wei)生和载手套的(de)(de)(de)程序(xu);5.常(chang)规的(de)(de)(de)消(xiao)(xiao)毒(du)方法:用0.1%的(de)(de)(de)新(xin)洁尔灭(mie)消(xiao)(xiao)毒(du)尿(niao)(niao)(niao)道口(kou)及其(qi)周围皮肤粘膜,程序(xu)如下:男性:自(zi)尿(niao)(niao)(niao)道口(kou)、龟头(tou)向外(wai)旋转擦拭消(xiao)(xiao)毒(du),注意洗(xi)净包(bao)(bao)皮及冠状沟。女性:先清洗(xi)外(wai)阴,其(qi)原则由上至下,由内向外(wai),然后清洗(xi)尿(niao)(niao)(niao)道口(kou)、前庭、两侧(ce)大(da)小(xiao)阴唇,后会(hui)阴、肛门,每(mei)一个(ge)棉球不能(neng)(neng)重(zhong)复使用;6.插(cha)管过(guo)(guo)(guo)程严(yan)格执行无菌操作(zuo),动作(zuo)要(yao)轻柔,避(bi)免(mian)尿(niao)(niao)(niao)道粘膜损伤;7.对留(liu)置(zhi)导(dao)尿(niao)(niao)(niao)患者,应采用密闭式引流系统(tong)。
一(yi)次(ci)性(xing)吸(xi)(xi)(xi)(xi)痰(tan)包的使用(yong)(yong)方(fang)法一(yi)次(ci)性(xing)使用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)用(yong)(yong)于(yu)(yu)临床(chuang)患者(zhe)抽(chou)取(qu)气(qi)管(guan)(guan)(guan)(guan)内痰(tan)液(ye)或分泌液(ye)用(yong)(yong)。一(yi)次(ci)性(xing)使用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)吸(xi)(xi)(xi)(xi)痰(tan)动作要轻(qing)、稳(wen)。一(yi)次(ci)吸(xi)(xi)(xi)(xi)痰(tan)时间(jian)(jian)不应(ying)超过(guo)15秒,吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)器(qi)连续使用(yong)(yong)时间(jian)(jian)不超过(guo)3分钟。1检查吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)器(qi)各部连接是否完善(shan),有(you)无漏(lou)气(qi)。接通(tong)电源,打开开关(guan),检查吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)器(qi)性(xing)能,调节(jie)负压(ya)。一(yi)般(ban)成(cheng)人(ren)(ren)吸(xi)(xi)(xi)(xi)痰(tan)负压(ya)约40-50 kPa,小儿吸(xi)(xi)(xi)(xi)痰(tan)约13-30kPa,将(jiang)(jiang)一(yi)次(ci)性(xing)使用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)置于(yu)(yu)水中,试验吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)力,并(bing)冲洗皮管(guan)(guan)(guan)(guan)。2将(jiang)(jiang)病人(ren)(ren)头部转向护士,铺治疗巾于(yu)(yu)颌(he)下。插(cha)入(ru)(ru)一(yi)次(ci)性(xing)使用(yong)(yong)吸(xi)(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan),其顺序是由口(kou)腔(qiang)前庭(ting)→颊(jia)部→咽(yan)部,将(jiang)(jiang)各部吸(xi)(xi)(xi)(xi)尽(jin)。如口(kou)腔(qiang)吸(xi)(xi)(xi)(xi)痰(tan)有(you)困(kun)难时,可由鼻(bi)腔(qiang)插(cha)入(ru)(ru)(颅底骨折患者(zhe)禁用(yong)(yong)),其顺序由鼻(bi)腔(qiang)前庭(ting)→下鼻(bi)道→鼻(bi)后孔→咽(yan)部→气(qi)管(guan)(guan)(guan)(guan)(约20-25cm),将(jiang)(jiang)分泌物(wu)逐段吸(xi)(xi)(xi)(xi)尽(jin)。3气(qi)管(guan)(guan)(guan)(guan)内吸(xi)(xi)(xi)(xi)痰(tan),待病人(ren)(ren)吸(xi)(xi)(xi)(xi)气(qi)时,快速将(jiang)(jiang)导(dao)管(guan)(guan)(guan)(guan)插(cha)入(ru)(ru),自下而上边(bian)退边(bian)左(zuo)右旋转导(dao)管(guan)(guan)(guan)(guan),消除(chu)气(qi)道分泌物(wu),并(bing)注意观(guan)(guan)察(cha)病人(ren)(ren)的呼吸(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)过(guo)程中,如病人(ren)(ren)咳嗽厉害(hai),应(ying)稍等片刻(ke)后再行吸(xi)(xi)(xi)(xi)出。并(bing)随时冲洗吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)管(guan)(guan)(guan)(guan),以免痰(tan)液(ye)堵塞。4吸(xi)(xi)(xi)(xi)毕,关(guan)闭(bi)吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)器(qi)开关(guan),弃吸(xi)(xi)(xi)(xi)痰(tan)导(dao)管(guan)(guan)(guan)(guan)于(yu)(yu)小桶内,吸(xi)(xi)(xi)(xi)引(yin)(yin)(yin)胶管(guan)(guan)(guan)(guan)玻璃接头插(cha)入(ru)(ru)床(chuang)栏上盛有(you)消毒液(ye)瓶内备用(yong)(yong),将(jiang)(jiang)病人(ren)(ren)口(kou)腔(qiang)周围擦净。观(guan)(guan)察(cha)吸(xi)(xi)(xi)(xi)出液(ye)的量、颜色及(ji)性(xing)质,必(bi)要时做好记录。
一(yi)次性使用导尿包常用指南操作要点1.定(ding)时(shi)挤(ji)(ji)压引(yin)(yin)(yin)流(liu)(liu)管,引(yin)(yin)(yin)流(liu)(liu)液(ye)多(duo)或有血块则(ze)按(an)需正(zheng)确挤(ji)(ji)压,捏紧引(yin)(yin)(yin)流(liu)(liu)管的远端,向(xiang)胸(xiong)腔的方向(xiang)挤(ji)(ji)压,再(zai)缓慢(man)松开(kai)捏紧的引(yin)(yin)(yin)流(liu)(liu)管,防止引(yin)(yin)(yin)流(liu)(liu)瓶中液(ye)体倒吸(xi)(xi)。如接有负压装置,吸(xi)(xi)引(yin)(yin)(yin)压力适宜(yi),过大的负压引(yin)(yin)(yin)起胸(xiong)腔内出血及(ji)患(huan)者疼痛。一(yi)次性使用导尿包2.根(gen)据病情尽可能采取半卧位。3.引(yin)(yin)(yin)流(liu)(liu)装置应保持密闭(bi)(bi)和无菌(jun),保持胸(xiong)壁引(yin)(yin)(yin)流(liu)(liu)口(kou)处的敷料(liao)清洁干燥,敷料(liao)渗出液(ye)较(jiao)多(duo)应及(ji)时(shi)通知医生更(geng)换。4.根(gen)据病情需要定(ding)时(shi)准确记录引(yin)(yin)(yin)流(liu)(liu)量(liang)。5引(yin)(yin)(yin)流(liu)(liu)瓶内无菌(jun)生理盐水每天更(geng)换,引(yin)(yin)(yin)流(liu)(liu)瓶每周更(geng)换,床旁备(bei)血管钳(qian),更(geng)换时(shi)必须(xu)夹闭(bi)(bi)引(yin)(yin)(yin)流(liu)(liu)管,防止空气进入胸(xiong)膜腔引(yin)(yin)(yin)起气qi胸(xiong)。
一次(ci)性婴儿(er)(er)(er)(er)(er)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)的(de)使(shi)(shi)用(yong)方(fang)法(fa)1、一次(ci)性婴儿(er)(er)(er)(er)(er)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)的(de)使(shi)(shi)用(yong)方(fang)法(fa)。胎儿(er)(er)(er)(er)(er)头部(bu)(bu)娩出(chu)后,迅速用(yong)左手(shou)从鼻根(gen)向下挤压(ya)口(kou)(kou)鼻,清除口(kou)(kou)鼻内的(de)粘液及(ji)羊水(shui)。婴儿(er)(er)(er)(er)(er)娩出(chu)后,立(li)即将婴儿(er)(er)(er)(er)(er)仰头平卧,将吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)轻轻插(cha)入(ru)(ru)婴儿(er)(er)(er)(er)(er)气管(guan)(guan)(guan)(guan)内、食(shi)管(guan)(guan)(guan)(guan)内、胃内,一边吸(xi)(xi)(xi)引(yin)(yin)一边将吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)慢(man)慢(man)往上(shang)拉(la),由下至上(shang),将气管(guan)(guan)(guan)(guan)、食(shi)管(guan)(guan)(guan)(guan)、胃、咽(yan)腔(qiang)、口(kou)(kou)腔(qiang)的(de)羊水(shui)及(ji)分泌物(wu)吸(xi)(xi)(xi)干净(jing)。可(ke)(ke)如此(ci)反复吸(xi)(xi)(xi)引(yin)(yin)2~3次(ci),直到婴儿(er)(er)(er)(er)(er)哭声响亮(liang),无痰(tan)鸣音为止。2、吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)的(de)使(shi)(shi)用(yong)操作步骤。接(jie)通电(dian)源(yuan),检查吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)性能是否(fou)良好,吸(xi)(xi)(xi)引(yin)(yin)管(guan)(guan)(guan)(guan)是否(fou)通畅(chang)。使(shi)(shi)病人面(mian)向操作者(zhe),头略后仰,昏迷病人可(ke)(ke)用(yong)开口(kou)(kou)器(qi)帮(bang)助张口(kou)(kou),再(zai)将吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)插(cha)入(ru)(ru)口(kou)(kou)腔(qiang)颊部(bu)(bu)、咽(yan)部(bu)(bu)。若(ruo)口(kou)(kou)腔(qiang)吸(xi)(xi)(xi)痰(tan)有困难,可(ke)(ke)由鼻腔(qiang)插(cha)管(guan)(guan)(guan)(guan)至咽(yan)部(bu)(bu),当插(cha)入(ru)(ru)到适(shi)当位置后再(zai)接(jie)通电(dian)源(yuan),并(bing)使(shi)(shi)吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)左右旋转,缓慢(man)上(shang)移,向上(shang)提出(chu),将咽(yan)部(bu)(bu)及(ji)口(kou)(kou)、鼻分泌物(wu)逐(zhu)段吸(xi)(xi)(xi)尽。吸(xi)(xi)(xi)引(yin)(yin)过程中,应随时(shi)吸(xi)(xi)(xi)水(shui)冲洗汲痰(tan)管(guan)(guan)(guan)(guan),以免痰(tan)液堵塞。如痰(tan)液过深不易汲出(chu),可(ke)(ke)借助吸(xi)(xi)(xi)痰(tan)管(guan)(guan)(guan)(guan)插(cha)入(ru)(ru)的(de)机(ji)械(xie)刺(ci)激,使(shi)(shi)病人作有效咳嗽动作,待(dai)咳嗽停(ting)止后再(zai)吸(xi)(xi)(xi)。
一次性使用导尿包相关问答问:有什么区别次性使用导尿包+18?答:导尿包咨询热线 :0512-66615979答:导尿管的外直径,一般男性临床用12~16比较多见,问: 一次性使用引尿包的注意事项有哪些?答:1、本品经环氧乙环灭菌,使用前请注意内袋包装上灭菌指示标志。2、本品灭菌后,在包装完好时,医用一次性使用医用换药包包内所有器件均为无毒、无菌。3、包装破损,禁止使用。4、本产品灭菌有效期两年,生产日期见封口处。5、本产品仅限于一次性使用,一次性使用医用换药包价格用(yong)(yong)(yong)(yong)后销(xiao)毁。问(wen): 一次性使(shi)(shi)用(yong)(yong)(yong)(yong)引尿(niao)包的(de)使(shi)(shi)用(yong)(yong)(yong)(yong)方(fang)法是(shi)怎样的(de)?答:1、取出(chu)本(ben)品(pin),从启口处撕开,取出(chu)无菌内包,放置工作台中(zhong)央。2、打开内包,戴上无菌医用(yong)(yong)(yong)(yong)手套,按操(cao)作规程进(jin)行操(cao)作。3、使(shi)(shi)用(yong)(yong)(yong)(yong)时注(zhu)意正确使(shi)(shi)用(yong)(yong)(yong)(yong)引流(liu)袋等各种配件。4、本(ben)产品(pin)使(shi)(shi)用(yong)(yong)(yong)(yong)结束后,丢(diu)弃(qi)所(suo)有组件,不可重复使(shi)(shi)用(yong)(yong)(yong)(yong)。