一(yi)次(ci)性(xing)吸(xi)(xi)(xi)痰(tan)(tan)包的使(shi)用(yong)(yong)方法一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)用(yong)(yong)于(yu)(yu)临床(chuang)患(huan)者抽(chou)取气管(guan)(guan)(guan)内痰(tan)(tan)液(ye)或分(fen)(fen)(fen)泌液(ye)用(yong)(yong)。一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)吸(xi)(xi)(xi)痰(tan)(tan)动(dong)作要轻、稳。一(yi)次(ci)吸(xi)(xi)(xi)痰(tan)(tan)时(shi)(shi)(shi)间不(bu)应(ying)超过15秒,吸(xi)(xi)(xi)引器连(lian)续使(shi)用(yong)(yong)时(shi)(shi)(shi)间不(bu)超过3分(fen)(fen)(fen)钟。1检(jian)查(cha)吸(xi)(xi)(xi)引器各部连(lian)接(jie)是否(fou)完善(shan),有(you)无漏气。接(jie)通电(dian)源,打开开关(guan),检(jian)查(cha)吸(xi)(xi)(xi)引器性(xing)能,调节(jie)负压(ya)(ya)。一(yi)般成(cheng)人(ren)(ren)吸(xi)(xi)(xi)痰(tan)(tan)负压(ya)(ya)约(yue)(yue)40-50 kPa,小儿吸(xi)(xi)(xi)痰(tan)(tan)约(yue)(yue)13-30kPa,将(jiang)(jiang)(jiang)一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan)置于(yu)(yu)水中,试验吸(xi)(xi)(xi)引力,并(bing)(bing)冲洗皮管(guan)(guan)(guan)。2将(jiang)(jiang)(jiang)病(bing)(bing)人(ren)(ren)头(tou)部转(zhuan)向护士,铺治(zhi)疗巾于(yu)(yu)颌下(xia)。插入(ru)一(yi)次(ci)性(xing)使(shi)用(yong)(yong)吸(xi)(xi)(xi)痰(tan)(tan)管(guan)(guan)(guan),其(qi)顺(shun)序(xu)是由(you)(you)口腔(qiang)前庭→颊部→咽部,将(jiang)(jiang)(jiang)各部吸(xi)(xi)(xi)尽。如(ru)口腔(qiang)吸(xi)(xi)(xi)痰(tan)(tan)有(you)困难时(shi)(shi)(shi),可由(you)(you)鼻(bi)(bi)腔(qiang)插入(ru)(颅(lu)底骨折患(huan)者禁用(yong)(yong)),其(qi)顺(shun)序(xu)由(you)(you)鼻(bi)(bi)腔(qiang)前庭→下(xia)鼻(bi)(bi)道(dao)→鼻(bi)(bi)后(hou)孔(kong)→咽部→气管(guan)(guan)(guan)(约(yue)(yue)20-25cm),将(jiang)(jiang)(jiang)分(fen)(fen)(fen)泌物逐段吸(xi)(xi)(xi)尽。3气管(guan)(guan)(guan)内吸(xi)(xi)(xi)痰(tan)(tan),待病(bing)(bing)人(ren)(ren)吸(xi)(xi)(xi)气时(shi)(shi)(shi),快速(su)将(jiang)(jiang)(jiang)导(dao)管(guan)(guan)(guan)插入(ru),自下(xia)而上边退(tui)边左(zuo)右旋转(zhuan)导(dao)管(guan)(guan)(guan),消除气道(dao)分(fen)(fen)(fen)泌物,并(bing)(bing)注意观察(cha)病(bing)(bing)人(ren)(ren)的呼(hu)吸(xi)(xi)(xi)。在吸(xi)(xi)(xi)引过程中,如(ru)病(bing)(bing)人(ren)(ren)咳嗽厉(li)害,应(ying)稍(shao)等(deng)片刻后(hou)再(zai)行吸(xi)(xi)(xi)出(chu)。并(bing)(bing)随时(shi)(shi)(shi)冲洗吸(xi)(xi)(xi)引管(guan)(guan)(guan),以(yi)免痰(tan)(tan)液(ye)堵塞。4吸(xi)(xi)(xi)毕,关(guan)闭(bi)吸(xi)(xi)(xi)引器开关(guan),弃(qi)吸(xi)(xi)(xi)痰(tan)(tan)导(dao)管(guan)(guan)(guan)于(yu)(yu)小桶内,吸(xi)(xi)(xi)引胶管(guan)(guan)(guan)玻璃(li)接(jie)头(tou)插入(ru)床(chuang)栏(lan)上盛有(you)消毒(du)液(ye)瓶(ping)内备用(yong)(yong),将(jiang)(jiang)(jiang)病(bing)(bing)人(ren)(ren)口腔(qiang)周围擦净。观察(cha)吸(xi)(xi)(xi)出(chu)液(ye)的量、颜色(se)及性(xing)质(zhi),必要时(shi)(shi)(shi)做好记录(lu)。
一(yi)次(ci)(ci)性换药(yao)(yao)(yao)包如何使用(yong)一(yi)次(ci)(ci)性换药(yao)(yao)(yao)包经常(chang)用(yong)在外科的(de)护理上面(mian),一(yi)次(ci)(ci)性换药(yao)(yao)(yao)包一(yi)般内(nei)装(zhuang)一(yi)次(ci)(ci)性镊子、沙布(bu)(bu)、棉(mian)球(qiu)、乳(ru)胶手套(tao)或PE手套(tao),居家常(chang)备实用(yong)小药(yao)(yao)(yao)包,有(you)擦伤(shang)(shang),磕(ke)碰,十分的(de)方便1一(yi)次(ci)(ci)性换药(yao)(yao)(yao)包是一(yi)个(ge)很(hen)实用(yong)的(de)物(wu)件,居家旅行(xing),家中常(chang)备,当出(chu)现擦伤(shang)(shang)碰伤(shang)(shang)时使用(yong)非常(chang)方便。2打开药(yao)(yao)(yao)包,里面(mian)得(de)物(wu)品时非常(chang)齐全的(de),一(yi)点不足(zu)的(de)是没有(you)消(xiao)毒酒精。3取出(chu)镊子,棉(mian)球(qiu),沾酒精对(dui)擦伤(shang)(shang)伤(shang)(shang)口(kou)进行(xing)消(xiao)毒处理,如过(guo)需要纱布(bu)(bu)包的(de)话可(ke)以包一(yi)下(xia)。
女(nv)(nv)性(xing)在(zai)(zai)进(jin)行妇科(ke)检(jian)(jian)(jian)查(cha)时发现一种辅助性(xing)检(jian)(jian)(jian)查(cha)器械,人们(men)将(jiang)其称为(wei)阴(yin)(yin)道(dao)扩(kuo)张(zhang)器。很多女(nv)(nv)性(xing)对这(zhei)个(ge)检(jian)(jian)(jian)查(cha)器械不(bu)甚(shen)了解,因此在(zai)(zai)检(jian)(jian)(jian)查(cha)时都存在(zai)(zai)畏惧心理(li)。那么(me),在(zai)(zai)进(jin)行妇科(ke)检(jian)(jian)(jian)查(cha)时阴(yin)(yin)道(dao)扩(kuo)张(zhang)器的(de)(de)使用方法是(shi)(shi)怎样的(de)(de)呢?以(yi)下就(jiu)相(xiang)关方面的(de)(de)知(zhi)识(shi)内容为(wei)您进(jin)行相(xiang)应的(de)(de)介绍。1.术者或者检(jian)(jian)(jian)查(cha)者带无菌手套,准备好(hao)阴(yin)(yin)道(dao)扩(kuo)张(zhang)器。一手执器,一手轻(qing)轻(qing)分开两侧(ce)小(xiao)阴(yin)(yin)唇,暴露阴(yin)(yin)道(dao)。 2.将(jiang)阴(yin)(yin)道(dao)扩(kuo)张(zhang)器轻(qing)轻(qing)顺着阴(yin)(yin)道(dao)走行、阴(yin)(yin)道(dao)纵(zong)线与扩(kuo)张(zhang)器大的(de)(de)横径呈0度角度送入。慢慢张(zhang)开上下双叶。3.暴露宫颈(jing)。至此,观(guan)察(cha)阴(yin)(yin)道(dao)壁(bi)、阴(yin)(yin)道(dao)穹窿(long)部情况(kuang),是(shi)(shi)否(fou)有肿(zhong)(zhong)瘤、擦伤(shang)、红(hong)肿(zhong)(zhong);赘生物(wu)等(deng)。继而观(guan)察(cha)阴(yin)(yin)道(dao)分泌物(wu)的(de)(de)性(xing)状:味儿、色、粘稠度等(deng),记录(lu)(lu)之。宫颈(jing)情况(kuang)所见(jian):表面是(shi)(shi)否(fou)光滑、是(shi)(shi)否(fou)有赘生物(wu)以(yi)及肿(zhong)(zhong)瘤、息肉;宫颈(jing)表面是(shi)(shi)否(fou)有隐藏或暴露的(de)(de)囊肿(zhong)(zhong)等(deng)。是(shi)(shi)否(fou)肥大、出(chu)血、肿(zhong)(zhong)胀,记录(lu)(lu)之;是(shi)(shi)否(fou)红(hong)肿(zhong)(zhong)紫,记录(lu)(lu)之。
一(yi)(yi)次(ci)性(xing)使用(yong)(yong)(yong)导尿包(bao)是(shi)临床(chuang)护理(li)(li)、抢救和治(zhi)疗中必(bi)须(xu)使用(yong)(yong)(yong)的(de)(de)(de)(de)(de)医(yi)(yi)疗器械。它主要由以下几个(ge)部(bu)(bu)分组(zu)成(cheng):导尿管(guan)、橡胶外壳手(shou)套(tao)、洞巾(jin)、敷(fu)料(liao)(liao)镊、包(bao)布、引流袋(dai)、大(da)托盘(pan)、腰盘(pan)、脱脂纱布方(fang)、吊带绳、别针(zhen)、试管(guan)、碘伏棉(mian)球(qiu)、滑润纱布方(fang)、塑料(liao)(liao)夹、注射(she)器等(deng)主要部(bu)(bu)件(jian)。不(bu)是(shi)所(suo)有(you)的(de)(de)(de)(de)(de)一(yi)(yi)次(ci)性(xing)使用(yong)(yong)(yong)导尿包(bao)都(dou)是(shi)一(yi)(yi)模一(yi)(yi)样的(de)(de)(de)(de)(de),也会出(chu)现个(ge)别的(de)(de)(de)(de)(de)部(bu)(bu)件(jian)的(de)(de)(de)(de)(de)不(bu)同,大(da)同小(xiao)异。那一(yi)(yi)次(ci)性(xing)使用(yong)(yong)(yong)导尿包(bao)的(de)(de)(de)(de)(de)主要原(yuan)理(li)(li)是(shi)什么呢?它有(you)怎(zen)样的(de)(de)(de)(de)(de)制(zhi)作(zuo)标(biao)准呢?一(yi)(yi)次(ci)性(xing)使用(yong)(yong)(yong)导尿包(bao)的(de)(de)(de)(de)(de)所(suo)有(you)的(de)(de)(de)(de)(de)部(bu)(bu)件(jian)不(bu)是(shi)随意的(de)(de)(de)(de)(de),而(er)是(shi)按(an)照一(yi)(yi)定合理(li)(li)的(de)(de)(de)(de)(de)顺序包(bao)装在一(yi)(yi)起,不(bu)是(shi)大(da)家想象(xiang)的(de)(de)(de)(de)(de)一(yi)(yi)大(da)堆的(de)(de)(de)(de)(de)部(bu)(bu)件(jian)随意放到一(yi)(yi)个(ge)袋(dai)子中,而(er)是(shi)已经组(zu)合好了(le)。并且所(suo)有(you)的(de)(de)(de)(de)(de)部(bu)(bu)件(jian)包(bao)装都(dou)是(shi)无菌的(de)(de)(de)(de)(de)。这样的(de)(de)(de)(de)(de)处理(li)(li)就(jiu)大(da)大(da)降低了(le)在使用(yong)(yong)(yong)过程中出(chu)现的(de)(de)(de)(de)(de)交叉感染(ran)的(de)(de)(de)(de)(de)几率(lv)(lv),也降低了(le)医(yi)(yi)护人员的(de)(de)(de)(de)(de)工作(zuo)负担,提升了(le)工作(zuo)效(xiao)率(lv)(lv),从(cong)而(er)提升了(le)手(shou)术的(de)(de)(de)(de)(de)安(an)全性(xing)和可靠性(xing),从(cong)源头杜绝(jue)了(le)疾病的(de)(de)(de)(de)(de)传染(ran)和一(yi)(yi)些(xie)常(chang)见(jian)的(de)(de)(de)(de)(de)感染(ran)
局(ju)机关各(ge)司(si)局(ju)、各(ge)直(zhi)(zhi)属单(dan)位(wei):为加强(qiang)对药品(pin)监(jian)管(guan)政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)工(gong)(gong)作(zuo)(zuo)(zuo)的领导(dao)(dao),局(ju)党组(zu)会(hui)议研(yan)究决定成(cheng)立药品(pin)监(jian)督(du)管(guan)理局(ju)政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)领导(dao)(dao)小(xiao)组(zu),下(xia)(xia)(xia)设(she)办(ban)公(gong)(gong)(gong)(gong)室(以下(xia)(xia)(xia)简(jian)称(cheng)政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)办(ban))。现将有关事项通知如下(xia)(xia)(xia):一、政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)领导(dao)(dao)小(xiao)组(zu)组(zu)成(cheng)及职(zhi)责(一)组(zu)成(cheng)组(zu)长(zhang):李利焦(jiao)红副组(zu)长(zhang):徐(xu)景和陈时飞颜江瑛成(cheng)员:各(ge)司(si)局(ju)、各(ge)直(zhi)(zhi)属单(dan)位(wei)主要负(fu)(fu)责同志(zhi)颜江瑛同志(zhi)负(fu)(fu)责领导(dao)(dao)小(xiao)组(zu)日常(chang)工(gong)(gong)作(zuo)(zuo)(zuo)。(二)主要职(zhi)责。在局(ju)党组(zu)领导(dao)(dao)下(xia)(xia)(xia),负(fu)(fu)责贯彻落(luo)实(shi)党中央、国务(wu)院(yuan)关于政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)工(gong)(gong)作(zuo)(zuo)(zuo)的方(fang)(fang)针(zhen)政策,研(yan)究制定落(luo)实(shi)措施;研(yan)究制定药品(pin)监(jian)管(guan)政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)工(gong)(gong)作(zuo)(zuo)(zuo)的发展规划和政策措施;审(shen)定局(ju)政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)工(gong)(gong)作(zuo)(zuo)(zuo)制度,研(yan)究局(ju)政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)工(gong)(gong)作(zuo)(zuo)(zuo)和实(shi)施方(fang)(fang)案,研(yan)究解(jie)决政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)工(gong)(gong)作(zuo)(zuo)(zuo)中遇到(dao)的重大问题;协调各(ge)司(si)局(ju)、各(ge)单(dan)位(wei)抓好政务(wu)公(gong)(gong)(gong)(gong)开(kai)(kai)工(gong)(gong)作(zuo)(zuo)(zuo)任务(wu)落(luo)实(shi),并加强(qiang)督(du)促检查(cha)。
对业内企业来说,焦点核心的还有:几十种医疗器械的管理类别降了,有从三类降为二类的,也有从二类降为一类的。推荐一次性使用吸痰管也有部分产品是升类了的。一次性使用吸痰管价格还(hai)有的(de)产(chan)(chan)(chan)(chan)品(pin)将不(bu)再(zai)作(zuo)为(wei)(wei)(wei)医疗器械管(guan)理(li)。产(chan)(chan)(chan)(chan)品(pin)类(lei)(lei)(lei)别(bie)上的(de)变化是(shi)要直接影响医疗器械生(sheng)产(chan)(chan)(chan)(chan)经营企业(ye)的(de),比如生(sheng)产(chan)(chan)(chan)(chan)企业(ye),原本自家产(chan)(chan)(chan)(chan)品(pin)是(shi)三(san)类(lei)(lei)(lei),降(jiang)为(wei)(wei)(wei)二类(lei)(lei)(lei)管(guan)理(li)之(zhi)后,企业(ye)将无需再(zai)跑(pao)到北(bei)京、到药监(jian)总局来(lai)进行产(chan)(chan)(chan)(chan)品(pin)注(zhu)(zhu)(zhu)(zhu)册,只需在(zai)本省(sheng)(sheng)药监(jian)局注(zhu)(zhu)(zhu)(zhu)册即(ji)(ji)可。从二类(lei)(lei)(lei)降(jiang)为(wei)(wei)(wei)一类(lei)(lei)(lei)管(guan)理(li)的(de),生(sheng)产(chan)(chan)(chan)(chan)企业(ye)则更(geng)省(sheng)(sheng)事(shi),产(chan)(chan)(chan)(chan)品(pin)无需注(zhu)(zhu)(zhu)(zhu)册,只需备案即(ji)(ji)可。降(jiang)类(lei)(lei)(lei)之(zhi)后,在(zai)注(zhu)(zhu)(zhu)(zhu)册更(geng)省(sheng)(sheng)事(shi)之(zhi)外,节(jie)省(sheng)(sheng)的(de)还(hai)有注(zhu)(zhu)(zhu)(zhu)册费(fei)(fei)用。以三(san)类(lei)(lei)(lei)降(jiang)为(wei)(wei)(wei)二类(lei)(lei)(lei)为(wei)(wei)(wei)例,原有境内三(san)类(lei)(lei)(lei)产(chan)(chan)(chan)(chan)品(pin)首次注(zhu)(zhu)(zhu)(zhu)册要收费(fei)(fei)15.36万元,而转到地(di)方注(zhu)(zhu)(zhu)(zhu)册后,目前收费(fei)(fei)最便宜的(de)宁夏仅有3.13万元,还(hai)有十多(duo)个省(sheng)(sheng)份则还(hai)没开始收费(fei)(fei)呢。当然,反(fan)过来(lai),对升(sheng)类(lei)(lei)(lei)产(chan)(chan)(chan)(chan)品(pin)而言,注(zhu)(zhu)(zhu)(zhu)册要比现(xian)在(zai)麻(ma)烦(fan)一些了(le),由二类(lei)(lei)(lei)升(sheng)为(wei)(wei)(wei)三(san)类(lei)(lei)(lei)的(de),风(feng)险(xian)级别(bie)大增(zeng),也(ye)将面临药监(jian)更(geng)为(wei)(wei)(wei)严格(ge)和密(mi)集的(de)监(jian)管(guan)举(ju)措。