一次(ci)(ci)性(xing)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)包的使用(yong)(yong)(yong)方法一次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)用(yong)(yong)(yong)于(yu)临床患(huan)者(zhe)抽取气管(guan)(guan)(guan)内(nei)痰(tan)(tan)(tan)(tan)液(ye)或分泌液(ye)用(yong)(yong)(yong)。一次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)动(dong)作要轻、稳。一次(ci)(ci)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)时(shi)间不(bu)应(ying)(ying)超(chao)(chao)过(guo)15秒,吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)(qi)连续使用(yong)(yong)(yong)时(shi)间不(bu)超(chao)(chao)过(guo)3分钟。1检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)(qi)各(ge)(ge)部(bu)连接是否(fou)完善(shan),有无(wu)漏气。接通电源,打开开关(guan),检查(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)(qi)性(xing)能(neng),调节负压(ya)。一般成人吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)负压(ya)约40-50 kPa,小儿吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)约13-30kPa,将(jiang)一次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)置于(yu)水中(zhong),试(shi)验吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)力,并(bing)(bing)冲洗(xi)皮管(guan)(guan)(guan)。2将(jiang)病人头部(bu)转向护士,铺治疗巾于(yu)颌下(xia)(xia)。插(cha)入一次(ci)(ci)性(xing)使用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan),其(qi)(qi)顺(shun)序是由口腔(qiang)(qiang)前庭→颊(jia)部(bu)→咽(yan)部(bu),将(jiang)各(ge)(ge)部(bu)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)尽。如(ru)口腔(qiang)(qiang)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)有困(kun)难时(shi),可由鼻(bi)腔(qiang)(qiang)插(cha)入(颅底(di)骨折患(huan)者(zhe)禁(jin)用(yong)(yong)(yong)),其(qi)(qi)顺(shun)序由鼻(bi)腔(qiang)(qiang)前庭→下(xia)(xia)鼻(bi)道(dao)→鼻(bi)后(hou)孔→咽(yan)部(bu)→气管(guan)(guan)(guan)(约20-25cm),将(jiang)分泌物逐段(duan)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)尽。3气管(guan)(guan)(guan)内(nei)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan),待病人吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)气时(shi),快(kuai)速将(jiang)导(dao)管(guan)(guan)(guan)插(cha)入,自下(xia)(xia)而上(shang)边退边左右旋转导(dao)管(guan)(guan)(guan),消(xiao)除气道(dao)分泌物,并(bing)(bing)注(zhu)意观(guan)察(cha)病人的呼吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)。在吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)过(guo)程中(zhong),如(ru)病人咳嗽厉害,应(ying)(ying)稍(shao)等片(pian)刻后(hou)再行吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)出。并(bing)(bing)随时(shi)冲洗(xi)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)管(guan)(guan)(guan),以免痰(tan)(tan)(tan)(tan)液(ye)堵塞。4吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)毕,关(guan)闭吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)器(qi)(qi)开关(guan),弃吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)导(dao)管(guan)(guan)(guan)于(yu)小桶内(nei),吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)引(yin)(yin)(yin)(yin)胶管(guan)(guan)(guan)玻(bo)璃(li)接头插(cha)入床栏上(shang)盛有消(xiao)毒液(ye)瓶内(nei)备用(yong)(yong)(yong),将(jiang)病人口腔(qiang)(qiang)周围擦(ca)净(jing)。观(guan)察(cha)吸(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)(xi)出液(ye)的量、颜色及(ji)性(xing)质(zhi),必要时(shi)做(zuo)好记录。
2月5日,药监局接到卫生健康委通报,上海新兴医药股份有限公司(以下简称“上海新兴”)生产的一批次静注人免疫球蛋白(批号:20180610Z)艾滋病病毒抗体检测为阳性。医用一次性使用灌肠包药监局立即要求上海市药监局对上海新兴开展现场检查,组织对同批原料血浆生产的产品和相邻批次产品进行检验,并派出督导检查组抵达上海、江西,督促指导地方药监部门开展调查处置工作。一次性使用灌肠包批发药监局、卫生健康委联合(he)下发通(tong)知,要求立即(ji)暂(zan)停使用该企业生产(chan)的相关(guan)产(chan)品,并(bing)及时采取封存等控(kong)制措施。上海方面(mian)对(dui)涉事批次静注人(ren)免疫(yi)球蛋白进行的艾滋病、乙(yi)肝(gan)、丙肝(gan)三种病毒核酸检测(ce),结果(guo)均为阴(yin)性;江西(xi)方面(mian)对(dui)患者(zhe)的艾滋病病毒核酸检测(ce),结果(guo)为阴(yin)性。对(dui)企业现场核查等有关(guan)工作正在(zai)进一步(bu)进行中。
一次性(xing)使(shi)用(yong)(yong)无菌(jun)导(dao)尿(niao)(niao)包(bao)是一款(kuan)身体行(xing)动不(bu)方便或者(zhe)手(shou)术后(hou)(hou)没有(you)办(ban)法自(zi) 由行(xing)动患者(zhe)设计(ji)而(er)成的(de)(de)一次性(xing)使(shi)用(yong)(yong)产(chan)品(pin)。本(ben)(ben)(ben)产(chan)品(pin)是由注(zhu)(zhu)射器、导(dao)尿(niao)(niao)管(guan)、 导(dao)管(guan)夹、塑料(liao)镊.塑料(liao)试管(guan)、孔巾、展巾、纱布块、止水(shui)器、润(run)滑(hua)剂、引流袋(dai)托盘、消毒棉球手(shou)套(tao)组成的(de)(de)-套(tao)产(chan)品(pin)。那么,本(ben)(ben)(ben)产(chan)品(pin)如(ru)何使(shi)用(yong)(yong)?有(you)哪些注(zhu)(zhu)意事项?在使(shi)用(yong)(yong)本(ben)(ben)(ben)产(chan)品(pin)的(de)(de)时候首先要(yao)(yao)润(run)滑(hua),就是胶(jiao)乳导(dao)尿(niao)(niao)管(guan)插入(ru)前,需用(yong)(yong)医用(yong)(yong)润(run)滑(hua)剂润(run)滑(hua)。超滑(hua)胶(jiao)乳导(dao)尿(niao)(niao)管(guan)插入(ru)前先用(yong)(yong)无菌(jun)水(shui)充分湿润(run),即达到超滑(hua)效果,无需使(shi)用(yong)(yong)润(run)滑(hua)剂。然(ran)后(hou)(hou)就是插入(ru)和注(zhu)(zhu)水(shui)等的(de)(de)步(bu)骤(zhou)了。就是将润(run)滑(hua)后(hou)(hou)的(de)(de)导(dao)管(guan)小心插入(ru)膀胱,用(yong)(yong)不(bu)带针的(de)(de)注(zhu)(zhu)射器注(zhu)(zhu)入(ru)定量无菌(jun)水(shui),使(shi)膨胀(zhang)了的(de)(de)水(shui)妻卡信膀胱即可。后(hou)(hou)取出排水(shui)管(guan)。还需要(yao)(yao)医护人(ren)员留(liu)置观察以及护理。在使(shi)用(yong)(yong)时也(ye)要(yao)(yao)注(zhu)(zhu)意,不(bu)要(yao)(yao)使(shi)用(yong)(yong)含(han)石(shi)油基(ji)质的(de)(de)润(run)滑(hua)剂;而(er)且,本(ben)(ben)(ben)产(chan)品(pin)经(jing)环氧乙(yi)烷灭莹,供一次性(xing)使(shi)用(yong)(yong),如(ru)包(bao)装破损,不(bu)能(neng)使(shi)用(yong)(yong);本(ben)(ben)(ben)产(chan)品(pin)仅供医护人(ren)员操(cao)作使(shi)用(yong)(yong),储(chu)藏要(yao)(yao)避光防热(re)。
导尿(niao)(niao)包(bao)(bao)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)过(guo)程中的(de)禁忌症及注意事项(xiang)1 本(ben)(ben)品(pin)请(qing)在医(yi)生(sheng)处方后使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong),使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)前请(qing)阅读(du)说明书(shu)。2本(ben)(ben)产(chan)(chan)(chan)(chan)(chan)品(pin)在操(cao)作(zuo)过(guo)程中应(ying)按无(wu)菌操(cao)作(zuo)技术规(gui)范进行。3 导尿(niao)(niao)包(bao)(bao)的(de)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)和导尿(niao)(niao)的(de)操(cao)作(zuo)应(ying)由(you)受(shou)过(guo)专业培(pei)训的(de)医(yi)护(hu)人(ren)员进行。4、插入导尿(niao)(niao)管(guan)时(shi)应(ying)让患者(zhe)保持(chi)正确(que)体位(wei),插管(guan)动作(zuo)轻柔,避免(mian)损伤尿(niao)(niao)道(dao)(dao)粘(zhan)膜。女(nv)性(xing)(xing)患者(zhe)如导尿(niao)(niao)管(guan)误(wu)入阴道(dao)(dao)应(ying)换管(guan)重新(xin)插入。男(nan)性(xing)(xing)患者(zhe)插入导尿(niao)(niao)管(guan)时(shi)应(ying)保障阴茎与腹(fu)壁(bi)成(cheng)60度角(jiao)。5、患有(you)尿(niao)(niao)道(dao)(dao)疾病及橡胶(jiao)过(guo)敏者(zhe)请(qing)慎重使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)!6 使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong)本(ben)(ben)产(chan)(chan)(chan)(chan)(chan)品(pin)的(de)过(guo)程中,如发(fa)现瘙痒、皮(pi)肤发(fa)红(hong)、荨麻疹、水(shui)肿等过(guo)敏症状应(ying)立即(ji)停止使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong),并(bing)请(qing)医(yi)生(sheng)进行处置。7、本(ben)(ben)产(chan)(chan)(chan)(chan)(chan)品(pin)为环氧乙(yi)烷灭(mie)菌产(chan)(chan)(chan)(chan)(chan)品(pin)。产(chan)(chan)(chan)(chan)(chan)品(pin)有(you)效期两年(nian)。8、生(sheng)产(chan)(chan)(chan)(chan)(chan)日期见产(chan)(chan)(chan)(chan)(chan)品(pin)封(feng)口、消毒日期见外(wai)包(bao)(bao)装(zhuang)箱(xiang)。9本(ben)(ben)产(chan)(chan)(chan)(chan)(chan)品(pin)仅限于一次性(xing)(xing)使(shi)(shi)(shi)(shi)用(yong)(yong)(yong)(yong),失(shi)效日期见产(chan)(chan)(chan)(chan)(chan)品(pin)外(wai)包(bao)(bao)装(zhuang)。