一、目的
1.維持呼吸道之通暢,以避免合併症的發生
2.即將出院患者之前一週,由護理人員指導病患的主要照顧者,並記錄於護理記錄之出院衛教欄
3.病患照顧者須接受兩次以上之技術指導及回示教方能執行
二、適用狀況
需長期接受氣切造廔口居家照顧之病患
三、步驟
1.設備
◆無菌抽痰管
◆清水
◆無菌手套
◆抽痰機
2.洗手
3.準備病患
◆先予翻身,拍背,叩擊.
◆先給予100%氧氣使用.
◆必要時給予蒸氣使用.
4.打開抽痰機電源,調整壓力在150-200mmHg之間
5.將無菌抽痰管封套及無菌水之蓋子打開
6.單手戴無菌手套.
7.以無菌技術取出抽痰管,並與抽痰機之管子連接
8.抽痰管在無菌水中預測吸力並溼潤管壁
9.以輕柔動作插入適當深度(約相當於氣切套管的長度)
10.以旋轉方式抽吸痰液,使各個方向的痰均能抽到
11.取出抽痰管後,抽取少量清水清潔抽痰管之口徑
12.清潔病患面部,必要時可用此管抽吸口中分泌物
13.抽完痰後再囑病人深呼吸或給予100%氧氣
五、注意事項:
1.抽吸時間每次不得超過15秒以上,兩次抽吸時間最好間隔2-3分鐘
2.灌食後30分鐘內請勿抽痰,以免造成嘔吐
3.收集瓶液面超過1/2以上時,得予更換或清洗重覆使用之
4.抽痰管之選擇,成人在14-16Fr之間;若由鼻抽吸可用10Fr抽吸管
5.抽痰管插入時,勿蓋住控制口
6.抽痰期間若有異常情形,應立即停止並給予氧氣,通知醫師
六、抽痰管之消毒:
1.用清水洗淨抽痰管之內外
2.甩乾水份泡沙威隆1:20約30分鐘
3.戴上消毒手套取出抽痰管
4.用生理食鹽水或冷開水沖淨沙威隆並甩乾置於有蓋之容器內
5.或以煮沸法煮5分鐘即可
6.抽痰管若太硬或太軟則應予汰舊換新how to get viagra in philippines
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