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Wysłany: Śro 13:55, 16 Mar 2011 Temat postu: UGG stivali Health education in neurology applicat |
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Health Education Department of Neurology of the
General information: male 39, female 1i cases. Age of 28 years - 72 years,[link widoczny dla zalogowanych], mean age 54 years. Catheter retention time of up to 6 months, the shortest retention time of 3 days, the average retention of 32.6 days. 1.2: (1) Select appropriate units suitable for the length of the catheter insertion, we made use of special catheters, tissue Integration of the strong recoil force of good, inner diameter i. 2mm. 25cm length of silicone catheter. Successful puncture blood back open. Purchase one catheter length l3 ~ 15cm. Hepatic cord cap sealed tube can be retained longer period of time; (2) Select the correct fixation. Two outer silicone skin works about 2cm. 02cm wide plastic wear eight points away from the city are fixed at 02cm, then 10t ~ rrt × 10crlt Ba wear disposable applicator and catheter fully covered, sealed fixed on the skin. 2 Postoperative Care 2.1 to keep the channel clear pipe. Catheter to prevent catheter obstruction attention not to distort the delay; observe whether the smooth return of blood, transfusion of blood before the shuttle back to check whether the 1% as useless little injection of hepatic cord suction catheter and then 2 to 3 homes; for hypertonic, stimulant medication as far as possible middle infusion completed; lost complete use of slag i% 1 ~ 2ml Building hepatic cord when the sealed tube. 2.2 Note that pipe connections are secure, the availability of loose, slippage, exudate, traction and so on. When dressing the two plastic sheets fixed by silicone tube for tablets, to prevent shedding. 2.3 to prevent infection, gas Gui, thrombosis complications. Strictly aseptic technique, to enhance skin care to prevent infection. Local daily or every other day dressing dressing should i times, the skin puncture site disinfection with 2% iodine tincture 2, 75% alcohol iodothyronine, if wet should be replaced, strict disinfection; fluid drained before the air as far as possible, check all pipe connections is solid,[link widoczny dla zalogowanych], with or without orange move, slip and so on, step up inspections and timely completion of a sealed tube infusion, anti into the air embolism; whether the return of blood drawn before infusion, if not back to the pumping of blood clots should not use a little blind heparin bolus of liquid. Infusion of high concentrations of thorn Che drugs and strong flush with saline. Infusion interval is longer, should be every 8 hours with 1% heparin solution 1 red tube to prevent thrombosis. 3 Based on the experience of 50 cases of subclavian vein catheterization patients on how to effectively extend the catheter indwelling time, to avoid repeated painful for patients to wear Quine clinical care and observation. That the effective extension of time catheters addition to selecting the appropriate catheter, inserting the appropriate length, choose the correct fixing method,[link widoczny dla zalogowanych], the tight pipe care can not be ignored. To strengthen the skin puncture site disinfection and strict aseptic technique is effective when asked to extend the key catheter. We use iodine disinfection is the use of its high bactericidal and astringent, so that local skin remain sterile dry, apply a one-time performance of skin protective membrane permeability constant sound, and can be split to reduce shock on the skin, avoiding catheter slippage, the effective extension time to head home the catheter, the technologies, to alleviate the suffering of patients. Reduce the burden of nurses, increase education rate is of great significance. Particularly frail longer duration, hyperviscosity, blood vessel elasticity patients with poor preoperative, intraoperative and postoperative overall care,[link widoczny dla zalogowanych], not 1 case of infection, embolism, pneumothorax and so on. Effective care to avoid complications. On the reasons for the formation of artificial airway bloody sputum and nursing Xinyi City, Jiangsu Province People's Hospital (221400) Sun Mei tracheotomy, airway bleeding, bloody sputum, or cemented in blood, carbuncle, will add to airway obstruction, prone to respiratory infections, and even life-threatening,[link widoczny dla zalogowanych], the need to strengthen nursing care in our department since March 1998 meters. A total of 40 patients with tracheotomy. 20 patients had airway bloody sputum, bloody sputum is formed on the causes and nursing measures reported as follows: l clinical information 1.1 General information: Vehicle group were 13 males and 7 females, aged 4 to 15 years old 5 sides, 18 - -72 years in 15 cases, the primary cause of disease caused by a coma for a variety of side 8, 9 sad severe traumatic brain injury, chest trauma 3 sides, the amount of bloody sputum suction 75ml / Dan, a diagnosis of airway bleeding. Ratio of 1.2 causes and bloody sputum occur: poor suction skills Fu, 30% 6. 2 cases of inappropriate choice of suction tube 10%, long sleeves, and balloon compression Fu, 30% 6. Patients with restless movement friction casing 4 cases, 20% body disease accounted for lO% 2 2 fell 2.1 nursing nurse suction ventilator master the basic techniques: the analysis shows that suction caused by improper operation of 30% of malaria blood . Therefore, the responsibility to strengthen the work f. - To strengthen the base Feng Gong training. Suction technique is correct: in the absence of negative pressure suction tube tunnel when the patient inspiratory airway extension movements, a length of about 30crll, rotate side to attract the well, no more than l5 seconds, when the negative pressure suction is not too too, not more than 07KPa, moving action
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