導(dao)(dao)尿(niao)(niao)(niao)(niao)包使(shi)(shi)用(yong)(yong)(yong)過程中(zhong)的(de)禁忌癥及注意事項1 本(ben)(ben)品(pin)請(qing)(qing)在醫(yi)生處方(fang)后使(shi)(shi)用(yong)(yong)(yong),使(shi)(shi)用(yong)(yong)(yong)前請(qing)(qing)閱讀說明書。2本(ben)(ben)產(chan)品(pin)在操(cao)作過程中(zhong)應(ying)按無(wu)菌操(cao)作技術規(gui)范(fan)進行(xing)。3 導(dao)(dao)尿(niao)(niao)(niao)(niao)包的(de)使(shi)(shi)用(yong)(yong)(yong)和導(dao)(dao)尿(niao)(niao)(niao)(niao)的(de)操(cao)作應(ying)由受(shou)過專業(ye)培訓的(de)醫(yi)護人員(yuan)進行(xing)。4、插入(ru)導(dao)(dao)尿(niao)(niao)(niao)(niao)管時應(ying)讓患(huan)者(zhe)保(bao)持(chi)正確(que)體位(wei),插管動作輕(qing)柔,避免損傷(shang)尿(niao)(niao)(niao)(niao)道粘膜。女性(xing)患(huan)者(zhe)如(ru)導(dao)(dao)尿(niao)(niao)(niao)(niao)管誤入(ru)陰(yin)(yin)道應(ying)換(huan)管重(zhong)新插入(ru)。男性(xing)患(huan)者(zhe)插入(ru)導(dao)(dao)尿(niao)(niao)(niao)(niao)管時應(ying)保(bao)障陰(yin)(yin)莖(jing)與(yu)腹壁(bi)成60度角。5、患(huan)有(you)(you)尿(niao)(niao)(niao)(niao)道疾病及橡(xiang)膠過敏(min)者(zhe)請(qing)(qing)慎重(zhong)使(shi)(shi)用(yong)(yong)(yong)!6 使(shi)(shi)用(yong)(yong)(yong)本(ben)(ben)產(chan)品(pin)的(de)過程中(zhong),如(ru)發現瘙癢、皮膚發紅、蕁(qian)麻(ma)疹、水腫等過敏(min)癥狀(zhuang)應(ying)立即(ji)停止(zhi)使(shi)(shi)用(yong)(yong)(yong),并請(qing)(qing)醫(yi)生進行(xing)處置(zhi)。7、本(ben)(ben)產(chan)品(pin)為環氧乙烷(wan)滅菌產(chan)品(pin)。產(chan)品(pin)有(you)(you)效期兩年。8、生產(chan)日期見產(chan)品(pin)封口(kou)、消毒日期見外包裝箱。9本(ben)(ben)產(chan)品(pin)僅限(xian)于(yu)一次性(xing)使(shi)(shi)用(yong)(yong)(yong),失(shi)效日期見產(chan)品(pin)外包裝。
導(dao)(dao)尿設備在(zai)醫療(liao)當中也是(shi)(shi)經常(chang)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)一(yi)種(zhong)產(chan)(chan)品(pin)(pin)(pin),在(zai)泌尿肛腸等(deng)醫療(liao)科室經常(chang)用(yong)(yong)(yong)(yong)(yong)(yong)到導(dao)(dao)尿設備一(yi)般(ban)(ban)都是(shi)(shi)一(yi)次(ci)(ci)(ci)(ci)性使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)。下面(mian)介紹的(de)這種(zhong)-次(ci)(ci)(ci)(ci)性的(de)無(wu)瑩(ying)導(dao)(dao)尿產(chan)(chan)品(pin)(pin)(pin)就是(shi)(shi)同(tong)類產(chan)(chan)品(pin)(pin)(pin)中性能非(fei)常(chang)優越的(de)一(yi)種(zhong)。產(chan)(chan)品(pin)(pin)(pin)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)途和性能,這種(zhong)-次(ci)(ci)(ci)(ci)性的(de)無(wu)菌導(dao)(dao)尿包(bao)主要是(shi)(shi)給臨床上的(de)患者(zhe)導(dao)(dao)尿之(zhi)用(yong)(yong)(yong)(yong)(yong)(yong),這種(zhong)產(chan)(chan)品(pin)(pin)(pin)是(shi)(shi)經過(guo)了(le)環氧(yang)乙(yi)烷滅瑩(ying),非(fei)常(chang)的(de)衛生和安全,使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)起來也非(fei)常(chang)方便。該產(chan)(chan)品(pin)(pin)(pin)是(shi)(shi)由洞巾,布和一(yi)次(ci)(ci)(ci)(ci)性使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)導(dao)(dao)尿管、橡膠(jiao)醫用(yong)(yong)(yong)(yong)(yong)(yong)手(shou)套、海綿刷、紗布塊、石蠟棉球物品(pin)(pin)(pin)盒和一(yi)次(ci)(ci)(ci)(ci)性的(de)引流(liu)袋等(deng)幾部分組成。這種(zhong)- -次(ci)(ci)(ci)(ci)性產(chan)(chan)品(pin)(pin)(pin)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)起來也非(fei)常(chang)方便。這種(zhong)產(chan)(chan)品(pin)(pin)(pin)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)起來也比(bi)較簡單(dan),首先(xian),在(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)前要檢查單(dan)包(bao)裝(zhuang)是(shi)(shi)不是(shi)(shi)沒有損壞(huai),滅菌的(de)有效期(qi)是(shi)(shi)不是(shi)(shi)正常(chang);其次(ci)(ci)(ci)(ci),在(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)時候,先(xian)打(da)開包(bao)裝(zhuang),在(zai)將包(bao)布打(da)開,再戴(dai)上手(shou)套,然后;按照常(chang)規的(de)方法來使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)導(dao)(dao)尿包(bao)里的(de)組件(jian);其三(san),-般(ban)(ban)的(de)產(chan)(chan)品(pin)(pin)(pin)的(de)有效期(qi)是(shi)(shi)兩年 ,如果產(chan)(chan)品(pin)(pin)(pin)已經過(guo)了(le)有效期(qi),絕對不能使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong);四,如果包(bao)裝(zhuang)破損了(le)也不能使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong);五(wu),這是(shi)(shi)-次(ci)(ci)(ci)(ci)性的(de)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)產(chan)(chan)品(pin)(pin)(pin),禁(jin)止重復使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong),在(zai)使(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)完后要銷毀,生產(chan)(chan)日期(qi)般(ban)(ban)在(zai)包(bao)裝(zhuang)封口(kou)處(chu)。
指導(dao)要點(dian)1.告(gao)(gao)知(zhi)患(huan)(huan)(huan)者(zhe)(zhe)胸(xiong)腔引(yin)(yin)流(liu)的目(mu)的及配合方(fang)法(fa)。2.鼓勵(li)患(huan)(huan)(huan)者(zhe)(zhe)咳嗽,深呼吸(xi)及變換(huan)體(ti)位,并(bing)告(gao)(gao)知(zhi)正確咳嗽、深呼吸(xi)、變換(huan)體(ti)位的方(fang)法(fa)。(四)注(zhu)意(yi)事(shi)項。1.出(chu)(chu)血(xue)量多于100ml/h,呈鮮紅色,有(you)血(xue)凝塊,同時伴有(you)脈(mo)搏增(zeng)快,提示有(you)活動性(xing)出(chu)(chu)血(xue)的可(ke)能,及時通(tong)知(zhi)醫(yi)生。2.水封(feng)瓶(ping)打(da)破(po)或(huo)接(jie)頭滑脫(tuo)時,要立即(ji)夾閉或(huo)反折(zhe)近胸(xiong)端胸(xiong)引(yin)(yin)管(guan)(guan)。3.引(yin)(yin)流(liu)管(guan)(guan)自胸(xiong)壁傷(shang)(shang)口(kou)脫(tuo)出(chu)(chu),立即(ji)用手順皮(pi)膚(fu)紋(wen)理方(fang)向捏緊(jin)引(yin)(yin)流(liu)口(kou)周圍皮(pi)膚(fu)(注(zhu)意(yi)不要直(zhi)接(jie)接(jie)觸傷(shang)(shang)口(kou)),并(bing)立即(ji)通(tong)知(zhi)醫(yi)生處(chu)理。4.患(huan)(huan)(huan)者(zhe)(zhe)下(xia)(xia)床活動時,引(yin)(yin)流(liu)瓶(ping)的位置應低于膝蓋且保(bao)持平穩(wen),保(bao)障長管(guan)(guan)沒(mei)入(ru)液(ye)面(mian)下(xia)(xia);外(wai)出(chu)(chu)檢查(cha)前須(xu)將引(yin)(yin)流(liu)管(guan)(guan)夾閉,漏(lou)氣明顯的患(huan)(huan)(huan)者(zhe)(zhe)不可(ke)夾閉胸(xiong)引(yin)(yin)管(guan)(guan)。5.拔管(guan)(guan)后(hou)注(zhu)意(yi)觀察(cha)患(huan)(huan)(huan)者(zhe)(zhe)有(you)無胸(xiong)悶(men)、憋氣,皮(pi)下(xia)(xia)氣腫,傷(shang)(shang)口(kou)滲液(ye)及出(chu)(chu)血(xue)等(deng)癥狀,有(you)異常及時通(tong)知(zhi)醫(yi)生。一(yi)次性(xing)使用導(dao)尿包(bao)(三)指導(dao)要點(dian)。1.告(gao)(gao)知(zhi)患(huan)(huan)(huan)者(zhe)(zhe)心(xin)包(bao)、縱(zong)膈(ge)引(yin)(yin)流(liu)的目(mu)的、配合方(fang)法(fa)。2.告(gao)(gao)知(zhi)患(huan)(huan)(huan)者(zhe)(zhe)更換(huan)體(ti)位時防止(zhi)引(yin)(yin)流(liu)管(guan)(guan)意(yi)外(wai)脫(tuo)出(chu)(chu)或(huo)打(da)折(zhe)、受壓等(deng)措施。
局機關各司局、各直屬單位:為加強對藥品監管政務公開工作的領導,局黨組會議研究決定成立藥品監督管理局政務公開領導小組,下設辦公室(以下簡稱政務公開辦)。推薦無菌塑柄手術刀現將有關事項通知如下:一、政務公開領導小組組成及職責(一)組成組長:李利焦紅副組長:徐景和陳時飛顏江瑛成員:各司局、各直屬單位主要負責同志顏江瑛同志負責領導小組日常工作。(二)主要職責。在局黨組領導下,負責貫徹落實黨中央、無菌塑柄手術刀批發國務(wu)院關于政(zheng)(zheng)(zheng)務(wu)公(gong)開(kai)工(gong)(gong)作的(de)(de)方針政(zheng)(zheng)(zheng)策,研究制定落實(shi)(shi)措施;研究制定藥品監(jian)管(guan)政(zheng)(zheng)(zheng)務(wu)公(gong)開(kai)工(gong)(gong)作的(de)(de)發展規劃和政(zheng)(zheng)(zheng)策措施;審(shen)定局(ju)政(zheng)(zheng)(zheng)務(wu)公(gong)開(kai)工(gong)(gong)作制度,研究局(ju)政(zheng)(zheng)(zheng)務(wu)公(gong)開(kai)工(gong)(gong)作和實(shi)(shi)施方案(an),研究解決政(zheng)(zheng)(zheng)務(wu)公(gong)開(kai)工(gong)(gong)作中遇(yu)到的(de)(de)重大問題(ti);協調各(ge)司(si)局(ju)、各(ge)單位抓好政(zheng)(zheng)(zheng)務(wu)公(gong)開(kai)工(gong)(gong)作任務(wu)落實(shi)(shi),并(bing)加強督促檢查。
一次性使用(yong)(yong)(yong)吸(xi)(xi)(xi)痰管(guan)(guan)怎(zen)么用(yong)(yong)(yong)?吸(xi)(xi)(xi)痰管(guan)(guan)的(de)(de)使用(yong)(yong)(yong)方法(fa)與3個(ge)注意事項(xiang)首(shou)先(xian)是(shi)吸(xi)(xi)(xi)痰管(guan)(guan)的(de)(de)使用(yong)(yong)(yong)方法(fa):1、檢(jian)查吸(xi)(xi)(xi)痰管(guan)(guan)的(de)(de)情(qing)況,檢(jian)查吸(xi)(xi)(xi)引器作用(yong)(yong)(yong),檢(jian)查吸(xi)(xi)(xi)引導管(guan)(guan)是(shi)否通暢,是(shi)否會影響正常吸(xi)(xi)(xi)痰操作。2、準(zhun)備好(hao)吸(xi)(xi)(xi)痰用(yong)(yong)(yong)的(de)(de)所有物品(pin)(pin)(pin),將這些物品(pin)(pin)(pin)都放(fang)在床頭柜上,向患(huan)(huan)(huan)者(zhe)(zhe)(zhe)說明接下來(lai)的(de)(de)操作,解釋部分物品(pin)(pin)(pin)的(de)(de)用(yong)(yong)(yong)途(tu),讓患(huan)(huan)(huan)者(zhe)(zhe)(zhe)做好(hao)準(zhun)備。3、讓患(huan)(huan)(huan)者(zhe)(zhe)(zhe)側(ce)頭,并微微后(hou)仰,如果(guo)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)本身(shen)(shen)昏(hun)迷了,需要(yao)用(yong)(yong)(yong)壓舌板(ban)將患(huan)(huan)(huan)者(zhe)(zhe)(zhe)的(de)(de)嘴巴張開(kai),然(ran)后(hou)將吸(xi)(xi)(xi)痰管(guan)(guan)側(ce)插(cha)到咽喉部位,等患(huan)(huan)(huan)者(zhe)(zhe)(zhe)吸(xi)(xi)(xi)氣(qi)的(de)(de)時候,將吸(xi)(xi)(xi)痰管(guan)(guan)插(cha)入氣(qi)管(guan)(guan)。如果(guo)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)本身(shen)(shen)口腔吸(xi)(xi)(xi)痰比較困難,可(ke)(ke)以(yi)從鼻腔插(cha)入,當(dang)然(ran),顱底骨(gu)折的(de)(de)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)禁止使用(yong)(yong)(yong)。如果(guo)是(shi)氣(qi)管(guan)(guan)插(cha)管(guan)(guan)或者(zhe)(zhe)(zhe)氣(qi)管(guan)(guan)切開(kai)的(de)(de)患(huan)(huan)(huan)者(zhe)(zhe)(zhe),可(ke)(ke)以(yi)從插(cha)管(guan)(guan)或者(zhe)(zhe)(zhe)是(shi)套管(guan)(guan)內插(cha)入吸(xi)(xi)(xi)痰管(guan)(guan)。