指導要點1.告(gao)知(zhi)患(huan)者(zhe)(zhe)胸(xiong)(xiong)(xiong)腔引(yin)(yin)流(liu)(liu)的(de)目(mu)的(de)及配合(he)方法(fa)。2.鼓勵患(huan)者(zhe)(zhe)咳(ke)嗽(sou),深呼吸及變換體(ti)位(wei),并告(gao)知(zhi)正(zheng)確咳(ke)嗽(sou)、深呼吸、變換體(ti)位(wei)的(de)方法(fa)。(四)注(zhu)(zhu)(zhu)意事項。1.出血量多于(yu)100ml/h,呈鮮紅(hong)色,有(you)血凝塊,同時(shi)伴有(you)脈(mo)搏(bo)增快(kuai),提示有(you)活動(dong)性出血的(de)可能,及時(shi)通知(zhi)醫(yi)生。2.水封瓶(ping)打破或(huo)接頭滑脫(tuo)(tuo)時(shi),要立(li)即夾(jia)閉(bi)或(huo)反折(zhe)近胸(xiong)(xiong)(xiong)端胸(xiong)(xiong)(xiong)引(yin)(yin)管。3.引(yin)(yin)流(liu)(liu)管自(zi)胸(xiong)(xiong)(xiong)壁傷口(kou)(kou)脫(tuo)(tuo)出,立(li)即用手順(shun)皮(pi)膚紋理方向捏緊引(yin)(yin)流(liu)(liu)口(kou)(kou)周(zhou)圍皮(pi)膚(注(zhu)(zhu)(zhu)意不(bu)要直接接觸(chu)傷口(kou)(kou)),并立(li)即通知(zhi)醫(yi)生處理。4.患(huan)者(zhe)(zhe)下床活動(dong)時(shi),引(yin)(yin)流(liu)(liu)瓶(ping)的(de)位(wei)置應低于(yu)膝蓋(gai)且保(bao)持(chi)平穩,保(bao)障長管沒(mei)入液(ye)面下;外出檢查前須將(jiang)引(yin)(yin)流(liu)(liu)管夾(jia)閉(bi),漏氣明顯的(de)患(huan)者(zhe)(zhe)不(bu)可夾(jia)閉(bi)胸(xiong)(xiong)(xiong)引(yin)(yin)管。5.拔管后注(zhu)(zhu)(zhu)意觀(guan)察(cha)患(huan)者(zhe)(zhe)有(you)無(wu)胸(xiong)(xiong)(xiong)悶、憋氣,皮(pi)下氣腫,傷口(kou)(kou)滲液(ye)及出血等癥狀,有(you)異常(chang)及時(shi)通知(zhi)醫(yi)生。一次性使用導尿包(bao)(三)指導要點。1.告(gao)知(zhi)患(huan)者(zhe)(zhe)心包(bao)、縱膈引(yin)(yin)流(liu)(liu)的(de)目(mu)的(de)、配合(he)方法(fa)。2.告(gao)知(zhi)患(huan)者(zhe)(zhe)更換體(ti)位(wei)時(shi)防止引(yin)(yin)流(liu)(liu)管意外脫(tuo)(tuo)出或(huo)打折(zhe)、受(shou)壓等措施(shi)。
一(yi)次性(xing)(xing)使用吸(xi)(xi)(xi)痰管操(cao)作方法(1)檢查(cha)吸(xi)(xi)(xi)引(yin)(yin)器(qi)各部連接是否完善,有無漏氣。接通電源,打開開關,檢查(cha)吸(xi)(xi)(xi)引(yin)(yin)器(qi)性(xing)(xing)能,調節負壓(ya)。一(yi)般(ban)成(cheng)人(ren)(ren)吸(xi)(xi)(xi)痰負壓(ya)約(yue)40-50 kPa,小兒(er)吸(xi)(xi)(xi)痰約(yue)13-30kPa,將(jiang)一(yi)次性(xing)(xing)使用吸(xi)(xi)(xi)痰管置于(yu)水中,試驗(yan)吸(xi)(xi)(xi)引(yin)(yin)力,并沖洗皮管。(2)將(jiang)病人(ren)(ren)頭部轉向(xiang)護士,鋪治療(liao)巾于(yu)頜下(xia)。(3)插入(ru)一(yi)次性(xing)(xing)使用吸(xi)(xi)(xi)痰管,其順(shun)序是由(you)口腔(qiang)前(qian)庭→頰部→咽(yan)部,將(jiang)各部吸(xi)(xi)(xi)盡。如(ru)口腔(qiang)吸(xi)(xi)(xi)痰有困難時,可由(you)鼻(bi)(bi)腔(qiang)插入(ru)(顱底骨折患者禁用),其順(shun)序由(you)鼻(bi)(bi)腔(qiang)前(qian)庭→下(xia)鼻(bi)(bi)道(dao)→鼻(bi)(bi)后孔→咽(yan)部→氣管(約(yue)20-25cm),將(jiang)分泌物逐段吸(xi)(xi)(xi)盡。若有氣管插管或(huo)氣管切(qie)開時,可由(you)插管或(huo)套管內(nei)插入(ru),將(jiang)痰液吸(xi)(xi)(xi)出。昏迷病人(ren)(ren)可用壓(ya)舌(she)板(ban)或(huo)開口器(qi)先將(jiang)口啟開,再行吸(xi)(xi)(xi)引(yin)(yin)。
產品優勢:1、zhuanli保護,防倒流設計,可連續吸引,優質一次性使用導尿包不會返流;2、內外雙閥門設計,排氣與吸引進液分開;3、大口徑、低負壓,符合新生兒復蘇指南的要求;4、吸液管頭端吸液口有側孔設計、拒絕堵管;5、吸液管頭端孔徑倒角處理,圓滑,不會劃傷腔內粘膜。6、一次性無菌產品,即拆即用,用后丟棄。一次性使用導尿包批發避免反復消毒給醫護人員帶來(lai)的工作負(fu)擔(dan)。單人單手即可全程(cheng)操作,無需連接其他設備(bei),提高工作效率(lv)。
一次性使用(yong)(yong)(yong)吸(xi)(xi)痰(tan)(tan)管(guan)(guan)怎么(me)用(yong)(yong)(yong)?吸(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)(de)使用(yong)(yong)(yong)方法與3個注意事項(xiang)首先是(shi)(shi)(shi)吸(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)(de)使用(yong)(yong)(yong)方法:1、檢查吸(xi)(xi)痰(tan)(tan)管(guan)(guan)的(de)(de)情(qing)況,檢查吸(xi)(xi)引(yin)器(qi)作用(yong)(yong)(yong),檢查吸(xi)(xi)引(yin)導管(guan)(guan)是(shi)(shi)(shi)否通暢,是(shi)(shi)(shi)否會影響正常吸(xi)(xi)痰(tan)(tan)操作。2、準備好吸(xi)(xi)痰(tan)(tan)用(yong)(yong)(yong)的(de)(de)所有(you)物(wu)品,將(jiang)這些物(wu)品都(dou)放在床(chuang)頭柜上,向患(huan)(huan)(huan)者(zhe)(zhe)(zhe)說明接下來的(de)(de)操作,解釋部(bu)分(fen)物(wu)品的(de)(de)用(yong)(yong)(yong)途,讓(rang)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)做好準備。3、讓(rang)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)側頭,并(bing)微微后(hou)(hou)仰,如果(guo)(guo)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)本身昏(hun)迷了,需(xu)要用(yong)(yong)(yong)壓舌板將(jiang)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)的(de)(de)嘴巴張(zhang)開,然后(hou)(hou)將(jiang)吸(xi)(xi)痰(tan)(tan)管(guan)(guan)側插到咽喉部(bu)位,等患(huan)(huan)(huan)者(zhe)(zhe)(zhe)吸(xi)(xi)氣(qi)(qi)的(de)(de)時候,將(jiang)吸(xi)(xi)痰(tan)(tan)管(guan)(guan)插入氣(qi)(qi)管(guan)(guan)。如果(guo)(guo)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)本身口腔吸(xi)(xi)痰(tan)(tan)比較困難,可(ke)以(yi)從(cong)鼻(bi)腔插入,當然,顱底骨折的(de)(de)患(huan)(huan)(huan)者(zhe)(zhe)(zhe)禁止使用(yong)(yong)(yong)。如果(guo)(guo)是(shi)(shi)(shi)氣(qi)(qi)管(guan)(guan)插管(guan)(guan)或(huo)者(zhe)(zhe)(zhe)氣(qi)(qi)管(guan)(guan)切開的(de)(de)患(huan)(huan)(huan)者(zhe)(zhe)(zhe),可(ke)以(yi)從(cong)插管(guan)(guan)或(huo)者(zhe)(zhe)(zhe)是(shi)(shi)(shi)套管(guan)(guan)內插入吸(xi)(xi)痰(tan)(tan)管(guan)(guan)。
一(yi)(yi)次性使(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)使(shi)用(yong)(yong)(yong)。導讀:如何使(shi)用(yong)(yong)(yong)一(yi)(yi)次性吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)?小編為(wei)大家準(zhun)備(bei)(bei)了使(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)方(fang)法和使(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)需要(yao)注意的(de)三點,這可(ke)能對(dui)你有幫助(zhu)。使(shi)用(yong)(yong)(yong)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)方(fang)法:1.檢(jian)查(cha)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan),檢(jian)查(cha)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)裝置功(gong)能,檢(jian)查(cha)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)導管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)是否通暢,是否影響(xiang)正常吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)手術(shu)(shu)。2.準(zhun)備(bei)(bei)所有吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)項(xiang)目,將這些物(wu)品放(fang)在床頭(tou)柜上(shang),向(xiang)病人(ren)(ren)(ren)解釋下一(yi)(yi)次手術(shu)(shu),說明某些項(xiang)目的(de)使(shi)用(yong)(yong)(yong)情況,并為(wei)病人(ren)(ren)(ren)做好準(zhun)備(bei)(bei)。3.讓(rang)病人(ren)(ren)(ren)側頭(tou),稍向(xiang)后,如果病人(ren)(ren)(ren)本身(shen)處于(yu)昏(hun)迷狀態,需要(yao)用(yong)(yong)(yong)舌板打(da)開(kai)(kai)病人(ren)(ren)(ren)的(de)嘴(zui),然后將痰(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)側到咽(yan)喉(hou)等,當(dang)病人(ren)(ren)(ren)吸(xi)(xi)(xi)(xi)(xi)氣時,將吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)插(cha)入(ru)(ru)氣管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。如果病人(ren)(ren)(ren)很難從(cong)嘴(zui)里(li)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan),就可(ke)以(yi)(yi)從(cong)鼻(bi)腔插(cha)入(ru)(ru)痰(tan)(tan)(tan)(tan)。當(dang)然,禁止(zhi)使(shi)用(yong)(yong)(yong)顱底(di)(di)骨折(zhe)患者。對(dui)于(yu)氣管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)內插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)或氣管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)切開(kai)(kai)術(shu)(shu)的(de)病人(ren)(ren)(ren),可(ke)以(yi)(yi)從(cong)插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)或插(cha)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)中(zhong)插(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。4.插(cha)入(ru)(ru)吸(xi)(xi)(xi)(xi)(xi)入(ru)(ru)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)前,打(da)開(kai)(kai)吸(xi)(xi)(xi)(xi)(xi)入(ru)(ru)開(kai)(kai)關(guan)。然而,T管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)的(de)側孔應(ying)該(gai)放(fang)松,當(dang)痰(tan)(tan)(tan)(tan)吸(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)在一(yi)(yi)定深度插(cha)入(ru)(ru)氣管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)時,可(ke)根(gen)據閉合側孔立(li)即吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)。吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)時,吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)應(ying)從(cong)底(di)(di)部慢慢抬起,左右旋轉,以(yi)(yi)便吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)。防(fang)止(zhi)粘膜被破(po)壞(huai),通過固定一(yi)(yi)個(ge)地方(fang),或向(xiang)上(shang)和向(xiang)下,以(yi)(yi)吸(xi)(xi)(xi)(xi)(xi)引它。吸(xi)(xi)(xi)(xi)(xi)痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)取出后,吸(xi)(xi)(xi)(xi)(xi)收水(shui)分,沖(chong)洗管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)內痰(tan)(tan)(tan)(tan),以(yi)(yi)免(mian)堵塞痰(tan)(tan)(tan)(tan)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)。關(guan)掉(diao)吸(xi)(xi)(xi)(xi)(xi)管(guan)(guan)(guan)(guan)(guan)(guan)(guan)(guan)開(kai)(kai)關(guan)。