一次(ci)性使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)使(shi)(shi)(shi)用(yong)(yong)。导读:如(ru)(ru)何(he)使(shi)(shi)(shi)用(yong)(yong)一次(ci)性吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)?小(xiao)编为大家准(zhun)备(bei)了使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)方(fang)法和(he)使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)需(xu)要注意的(de)三点(dian),这(zhei)可能(neng)对(dui)你有(you)帮助(zhu)。使(shi)(shi)(shi)用(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)方(fang)法:1.检查吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan),检查吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)装置功能(neng),检查吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)导管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)是否通(tong)畅,是否影(ying)响正常(chang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)手术。2.准(zhun)备(bei)所有(you)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)项目(mu),将(jiang)这(zhei)些物品放在(zai)床头(tou)柜上,向(xiang)病人(ren)(ren)(ren)解释下(xia)一次(ci)手术,说明某些项目(mu)的(de)使(shi)(shi)(shi)用(yong)(yong)情况,并为病人(ren)(ren)(ren)做好准(zhun)备(bei)。3.让病人(ren)(ren)(ren)侧(ce)(ce)头(tou),稍(shao)向(xiang)后(hou),如(ru)(ru)果病人(ren)(ren)(ren)本(ben)身处(chu)于(yu)昏迷状态,需(xu)要用(yong)(yong)舌板打(da)开(kai)病人(ren)(ren)(ren)的(de)嘴,然(ran)后(hou)将(jiang)痰(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)侧(ce)(ce)到咽喉(hou)等(deng),当病人(ren)(ren)(ren)吸(xi)(xi)(xi)(xi)(xi)(xi)气(qi)(qi)时,将(jiang)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)插(cha)入(ru)气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。如(ru)(ru)果病人(ren)(ren)(ren)很难(nan)从(cong)嘴里吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan),就可以从(cong)鼻腔插(cha)入(ru)痰(tan)(tan)(tan)。当然(ran),禁止(zhi)使(shi)(shi)(shi)用(yong)(yong)颅底(di)骨(gu)折患者。对(dui)于(yu)气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)内插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)或气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)切(qie)开(kai)术的(de)病人(ren)(ren)(ren),可以从(cong)插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)或插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)中插(cha)入(ru)吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。4.插(cha)入(ru)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)前,打(da)开(kai)吸(xi)(xi)(xi)(xi)(xi)(xi)入(ru)开(kai)关。然(ran)而(er),T管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)侧(ce)(ce)孔(kong)应(ying)该放松,当痰(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)在(zai)一定深度插(cha)入(ru)气(qi)(qi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)时,可根据闭合侧(ce)(ce)孔(kong)立即吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)。吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)时,吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)应(ying)从(cong)底(di)部(bu)慢(man)慢(man)抬(tai)起(qi),左右旋转,以便吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)。防(fang)止(zhi)粘膜(mo)被破坏,通(tong)过固定一个地方(fang),或向(xiang)上和(he)向(xiang)下(xia),以吸(xi)(xi)(xi)(xi)(xi)(xi)引它。吸(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)取出(chu)后(hou),吸(xi)(xi)(xi)(xi)(xi)(xi)收(shou)水分,冲洗(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)内痰(tan)(tan)(tan),以免堵塞痰(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。关掉吸(xi)(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)开(kai)关。
女性(xing)(xing)在(zai)(zai)进行(xing)妇(fu)科检(jian)查时发现一种辅助性(xing)(xing)检(jian)查器(qi)(qi)械(xie),人(ren)们(men)将其称为阴(yin)(yin)(yin)道(dao)(dao)(dao)扩(kuo)(kuo)(kuo)张器(qi)(qi)。很多女性(xing)(xing)对(dui)这个检(jian)查器(qi)(qi)械(xie)不(bu)甚了(le)解,因此在(zai)(zai)检(jian)查时都(dou)存在(zai)(zai)畏惧心理(li)。那么,在(zai)(zai)进行(xing)妇(fu)科检(jian)查时阴(yin)(yin)(yin)道(dao)(dao)(dao)扩(kuo)(kuo)(kuo)张器(qi)(qi)的(de)(de)(de)使(shi)用方(fang)法是(shi)(shi)怎(zen)样的(de)(de)(de)呢(ni)?以(yi)下(xia)就(jiu)相(xiang)关方(fang)面(mian)的(de)(de)(de)知识内容(rong)为您进行(xing)相(xiang)应的(de)(de)(de)介绍。1.术(shu)者(zhe)或者(zhe)检(jian)查者(zhe)带无菌手套(tao),准备好阴(yin)(yin)(yin)道(dao)(dao)(dao)扩(kuo)(kuo)(kuo)张器(qi)(qi)。一手执器(qi)(qi),一手轻轻分(fen)开(kai)两侧小阴(yin)(yin)(yin)唇,暴(bao)(bao)露(lu)阴(yin)(yin)(yin)道(dao)(dao)(dao)。 2.将阴(yin)(yin)(yin)道(dao)(dao)(dao)扩(kuo)(kuo)(kuo)张器(qi)(qi)轻轻顺着阴(yin)(yin)(yin)道(dao)(dao)(dao)走(zou)行(xing)、阴(yin)(yin)(yin)道(dao)(dao)(dao)纵线与(yu)扩(kuo)(kuo)(kuo)张器(qi)(qi)大(da)的(de)(de)(de)横径呈0度(du)角(jiao)度(du)送入。慢慢张开(kai)上下(xia)双叶(ye)。3.暴(bao)(bao)露(lu)宫颈。至此,观察阴(yin)(yin)(yin)道(dao)(dao)(dao)壁(bi)、阴(yin)(yin)(yin)道(dao)(dao)(dao)穹(qiong)窿部情况,是(shi)(shi)否(fou)(fou)有肿瘤、擦伤、红(hong)肿;赘(zhui)生(sheng)物等。继而观察阴(yin)(yin)(yin)道(dao)(dao)(dao)分(fen)泌物的(de)(de)(de)性(xing)(xing)状:味儿、色(se)、粘稠度(du)等,记(ji)录(lu)之(zhi)(zhi)。宫颈情况所见:表(biao)面(mian)是(shi)(shi)否(fou)(fou)光滑(hua)、是(shi)(shi)否(fou)(fou)有赘(zhui)生(sheng)物以(yi)及(ji)肿瘤、息肉;宫颈表(biao)面(mian)是(shi)(shi)否(fou)(fou)有隐藏或暴(bao)(bao)露(lu)的(de)(de)(de)囊(nang)肿等。是(shi)(shi)否(fou)(fou)肥大(da)、出(chu)血、肿胀,记(ji)录(lu)之(zhi)(zhi);是(shi)(shi)否(fou)(fou)红(hong)肿紫,记(ji)录(lu)之(zhi)(zhi)。
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。优质一次性使用会阴护理包开展全科医疗服务, 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。一次性使用会阴护理包批发女性:先清洗(xi)外阴(yin),其原则(ze)由上至(zhi)下,由内向外,然后清洗(xi)尿道口(kou)、前(qian)庭、两侧大小阴(yin)唇(chun),后会阴(yin)、肛门,每一个棉球不能(neng)重(zhong)复(fu)使用(yong);6.插(cha)管过程(cheng)严格执(zhi)行无菌操作,动作要轻柔,避免尿道粘膜损(sun)伤;7.对留置导尿患者,应采用(yong)密(mi)闭式引流系统(tong)。
一(yi)(yi)次(ci)性(xing)(xing)使用(yong)(yong)(yong)换(huan)药(yao)包(bao)(bao)(bao)(bao)(bao)用(yong)(yong)(yong)于创(chuang)面(mian)的(de)(de)(de)(de)护理(li)。现在(zai)(zai)对(dui)我们来(lai)(lai)说(shuo)医(yi)院是(shi)不(bu)陌生(sheng)的(de)(de)(de)(de),光顾医(yi)院是(shi)在(zai)(zai)所(suo)难(nan)(nan)免的(de)(de)(de)(de),虽说(shuo)人的(de)(de)(de)(de)一(yi)(yi)生(sheng)无(wu)大灾大难(nan)(nan),但(dan)是(shi)小(xiao)(xiao)病(bing)小(xiao)(xiao)灾在(zai)(zai)所(suo)难(nan)(nan)免。有时候,稍(shao)微(wei)严重(zhong)的(de)(de)(de)(de)一(yi)(yi)点的(de)(de)(de)(de)病(bing)情,医(yi)生(sheng)则(ze)会建议(yi)患(huan)者动手(shou)术。而(er)术后伤口(kou)和创(chuang)面(mian)的(de)(de)(de)(de)护理(li)则(ze)是(shi)非(fei)常(chang)(chang)重(zhong)要的(de)(de)(de)(de)一(yi)(yi)步,常(chang)(chang)常(chang)(chang)需要通过(guo)换(huan)药(yao)包(bao)(bao)(bao)(bao)(bao)来(lai)(lai)清洗、包(bao)(bao)(bao)(bao)(bao)扎伤口(kou)。一(yi)(yi)次(ci)性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao)(bao)(bao)经(jing)常(chang)(chang)用(yong)(yong)(yong)在(zai)(zai)外科(ke)的(de)(de)(de)(de)护理(li)上面(mian),一(yi)(yi)次(ci)性(xing)(xing)换(huan)药(yao)包(bao)(bao)(bao)(bao)(bao)一(yi)(yi)般(ban)内装(zhuang)一(yi)(yi)次(ci)性(xing)(xing)镊子(zi)、沙布、棉(mian)(mian)球(qiu)、乳胶(jiao)手(shou)套(tao)或PE手(shou)套(tao),居家常(chang)(chang)备(bei)实用(yong)(yong)(yong)小(xiao)(xiao)药(yao)包(bao)(bao)(bao)(bao)(bao),有擦伤,磕碰,十分的(de)(de)(de)(de)方便(bian)。一(yi)(yi)次(ci)性(xing)(xing)使用(yong)(yong)(yong)换(huan)药(yao)包(bao)(bao)(bao)(bao)(bao)一(yi)(yi)次(ci)性(xing)(xing)无(wu)菌换(huan)药(yao)包(bao)(bao)(bao)(bao)(bao)由弯(wan)盘、垫单、镊子(zi)、纱布、棉(mian)(mian)球(qiu)等组成(cheng)。经(jing)密封包(bao)(bao)(bao)(bao)(bao)装(zhuang)及环氧(yang)乙烷(wan)灭(mie)菌仅供(gong)一(yi)(yi)次(ci)性(xing)(xing)使用(yong)(yong)(yong)。主要用(yong)(yong)(yong)于临床伤口(kou)、创(chuang)面(mian)或手(shou)术切口(kou)换(huan)药(yao)用(yong)(yong)(yong)。克(ke)服(fu)了(le)(le)普(pu)通医(yi)疗器重(zhong)复使用(yong)(yong)(yong)灭(mie)菌不(bu)严造成(cheng)的(de)(de)(de)(de)传染(ran)(ran)疾病(bing)的(de)(de)(de)(de)交叉感(gan)染(ran)(ran),又可减少(shao)医(yi)院用(yong)(yong)(yong)灭(mie)菌清毒的(de)(de)(de)(de)大量人力(li)和物力(li),有效的(de)(de)(de)(de)提高了(le)(le)医(yi)院的(de)(de)(de)(de)工作效率(lv),为医(yi)生(sheng)和疾病(bing)患(huan)者提供(gong)了(le)(le)健康保障。那么,换(huan)药(yao)包(bao)(bao)(bao)(bao)(bao)究竟(jing)如何使用(yong)(yong)(yong)?一(yi)(yi)起来(lai)(lai)看看!