Cov ntshav pov tseg tsis muaj menyuamhemodialysis catheterthiab accessories Disposable sterilehemodialysis catheterCov khoom lag luam kev ua tau zoo thiab muaj pes tsawg leeg cov khoom no yog tsim los ntawm cov lus muag muag, lub rooj sib txuas, lub raj txuas ntxiv thiab lub khob hliav qab; Lub catheter yog ua los ntawm kev kho mob polyurethane thiab polycarbonate. Nws yog ib kab noj hniav, ob kab noj hniav thiab peb kab noj hniav catheter. Cov khoom no yog siv rau kev kho mob hemodialysis thiab infusion. Specifications qauv ob kab noj hniav, peb kab noj hniav
Tunnel duct nrog dacron tsho
Nrog rau kev laus ntawm haiv neeg, ntshav siab, ntshav qab zib, kab mob plawv (CHD) nrog rau cov neeg mob lub raum tsis ua haujlwm nce, vascular mob tsis zoo, autogenous arteriovenous sab hauv fistula ua rau muaj teeb meem loj dua, cuam tshuam rau tus neeg mob txoj kev kho mob ntshav qab zib thiab lub neej zoo. , yog li siv polyester siv tunnel catheter los yog catheter rau lub sij hawm ntev, tau dav siv nyob rau hauv lub ntiaj teb no, nws qhov zoo dua yog: Lub catheter muaj biocompatibility zoo, thiab lub catheter yuav ruaj khov nrog daim tawv nqaij. Nws lub tes tsho polyester tuaj yeem tsim cov kab mob kaw hauv qhov subcutaneous qhov, txo qhov tshwm sim ntawm tus kab mob thiab ua rau lub sijhawm siv ntev heev.
Kev siv thiab kho cov hemodialysis catheters
1. Kev saib xyuas neeg mob thiab kev ntsuam xyuas cov catheters
1. Catheter daim tawv nqaij qhov hluav taws xob
Ua ntej thiab tom qab txhua qhov kev siv, cov tsos ntawm daim tawv nqaij qhov hluav taws xob ntawm qhov chaw intubation yuav tsum raug soj ntsuam rau qhov liab, qhov quav, rhiab, los ntshav thiab exudation, thiab lwm yam. Yog tias nws yog lub catheter ntev, saib seb CAFF puas rub los yog protruded.
2. Kev sib koom ua ke ntawm catheter
Txawm hais tias muaj rupture los yog tawg, qhov degree ntawm patency ntawm lub lumen, yog tias pom cov ntshav tsis txaus, nws yuav tsum tau qhia rau tus kws kho mob raws sij hawm, thiab cov thrombus thiab fibrin sheath tsim nyob rau hauv lub catheter yuav tsum tau txiav txim los ntawm ultrasound, duab thiab. lwm yam txhais tau tias.
3. Cov cim qhia ntawm tus neeg mob
Seb cov tsos mob thiab qib kub taub hau, ua daus no, mob thiab lwm yam kev tsis txaus siab ntawm kev tsis xis nyob.
2. Kev sib txuas ua haujlwm txheej txheem
1. Kev npaj
(1) Lub tshuab lim ntshav tau dhau qhov kev kuaj xyuas tus kheej, lub raj xa dej lim dej tau raug tso tawm ua ntej thiab nyob rau hauv lub xeev standby.
(2) Kev npaj: lub laub kho mob lossis cov tais kho mob, cov khoom siv tshuaj tua kab mob (iodophor lossis chlorhexidine), cov khoom tsis muaj menyuam (cov phuam kho mob, cov ntaub qhwv ntsej, cov koob txhaj tshuaj, cov hnab looj tes tu, thiab lwm yam).
(3) Tus neeg mob yuav tsum tau muab tso rau hauv ib qho yooj yim supine txoj hauj lwm, thiab tus neeg mob lub caj dab intubation yuav tsum hnav lub npog qhov ncauj kom nthuav tawm txoj hauj lwm intubation.
2. Cov txheej txheem
(1) Qhib qhov hnav khaub ncaws sab nraud ntawm lub hauv paus venous catheter.
(2) Hnav hnab looj tes.
(3) Qhib 1/4 sab ntawm cov phuam kho mob tsis muaj menyuam thiab muab tso rau hauv qab ob lub lumen catheter ntawm cov hlab ntsha hauv nruab nrab.
(4) Ntsia hlau tua kab mob ntawm catheter tiv thaiv hau, catheter lub qhov ncauj thiab catheter clamp rau 2 zaug feem.
(5) Txheeb xyuas tias lub catheter clamp yog clamped, tshem cov txiv ntoo, thiab muab pov tseg. Muab cov catheter sterilized rau ntawm 1/2 sterile sab ntawm txoj phuam kho mob.
(6) Disinfect lub nozzle dua ua ntej ua haujlwm.
(7) 2mL intracatheter sealing heparin tov tau muab rov qab nrog 2-5ml syringe thiab thawb mus rau hauv lub gauze.
(8) Tshawb xyuas seb puas muaj cov txhaws ntawm cov ntaub qhwv. Yog tias muaj cov ntshav txhaws, tshem tawm 1ml dua thiab thawb cov tshuaj. Qhov kev ncua deb ntawm kev txhaj tshuaj thiab gauze yog ntau dua 10cm.
(9) Tom qab txiav txim siab tias lub catheter tsis muaj kev cuam tshuam, txuas cov hlab ntsha thiab cov hlab ntsha ntawm cov hlab ntsha ntawm cov hlab ntsha ntxiv los tsim kom muaj cov kab mob extracorporeal.
3. Xaus lub raj sealing ua haujlwm tom qab kev lim ntshav
(1) Tom qab kev kho mob thiab ntshav rov qab los, clamp lub catheter clamp, tshuaj tua kab mob arteriovenous catheter sib koom ua ke, thiab tshem tawm cov kev sib koom tes nrog cov raj xa dej.
(2) Disinfect lub inlet ntawm cov hlab ntsha thiab cov hlab ntsha ntawm lub catheter feem, thiab thawb 10ml ib txwm saline los yaug lub catheter los ntawm txoj kev mem tes. Tom qab kev soj ntsuam qhov muag liab qab, tsis muaj cov ntshav seem nyob rau hauv qhov nthuav tawm ntawm lub catheter, thawb cov tshuaj tiv thaiv coagulant sealing kua los ntawm pellet raws li kws kho mob qhia. (3) Siv lub hau sterile heparin los kaw qhov qhib ntawm lub raj arteriovenous thiab ob txheej ntawm cov ntaub qhwv tsis muaj menyuam los qhwv nws. Tsau.
3. Kev hnav khaub ncaws hloov ntawm lub hauv paus venous catheter
1. Xyuas seb cov hnav khaub ncaws puas qhuav, muaj ntshav thiab stains.
2. Hnav hnab looj tes.
3. Qhib lub hnav khaub ncaws thiab xyuas seb puas muaj ntshav, exudation, liab thiab o, tawv nqaij puas thiab suture los ntawm qhov chaw uas lub hauv paus catheter muab tso rau.
4. Siv iodophor paj rwb swab thiab tig nws clockwise kom tua kab mob rau qhov chaw uas lub raj tau muab tso rau. Qhov kev tua kab mob yog 8-10 cm.
5. Muab cov ntaub qhwv lub qhov txhab rau ntawm daim tawv nqaij ntawm qhov chaw uas lub raj tso, thiab qhia lub sijhawm hloov khaub ncaws. Kev siv thiab tu cov catheters
1. Kev saib xyuas neeg mob thiab kev ntsuam xyuas cov catheters
1. Catheter daim tawv nqaij qhov hluav taws xob
Ua ntej thiab tom qab txhua qhov kev siv, cov tsos ntawm daim tawv nqaij qhov hluav taws xob ntawm qhov chaw intubation yuav tsum raug soj ntsuam rau qhov liab, qhov quav, rhiab, los ntshav thiab exudation, thiab lwm yam. Yog tias nws yog lub catheter ntev, saib seb CAFF puas rub los yog protruded.
2. Kev sib koom ua ke ntawm catheter
Txawm hais tias muaj rupture los yog tawg, qhov degree ntawm patency ntawm lub lumen, yog tias pom cov ntshav tsis txaus, nws yuav tsum tau qhia rau tus kws kho mob raws sij hawm, thiab cov thrombus thiab fibrin sheath tsim nyob rau hauv lub catheter yuav tsum tau txiav txim los ntawm ultrasound, duab thiab. lwm yam txhais tau tias.
3. Cov cim qhia ntawm tus neeg mob
Seb cov tsos mob thiab qib kub taub hau, ua daus no, mob thiab lwm yam kev tsis txaus siab ntawm kev tsis xis nyob.
2. Kev sib txuas ua haujlwm txheej txheem
1. Kev npaj
(1) Lub tshuab lim ntshav tau dhau qhov kev kuaj xyuas tus kheej, lub raj xa dej lim dej tau raug tso tawm ua ntej thiab nyob rau hauv lub xeev standby.
(2) Kev npaj: lub laub kho mob lossis cov tais kho mob, cov khoom siv tshuaj tua kab mob (iodophor lossis chlorhexidine), cov khoom tsis muaj menyuam (cov phuam kho mob, cov ntaub qhwv ntsej, cov koob txhaj tshuaj, cov hnab looj tes tu, thiab lwm yam).
(3) Tus neeg mob yuav tsum tau muab tso rau hauv ib qho yooj yim supine txoj hauj lwm, thiab tus neeg mob lub caj dab intubation yuav tsum hnav lub npog qhov ncauj kom nthuav tawm txoj hauj lwm intubation.
2. Cov txheej txheem
(1) Qhib qhov hnav khaub ncaws sab nraud ntawm lub hauv paus venous catheter.
(2) Hnav hnab looj tes.
(3) Qhib 1/4 sab ntawm cov phuam kho mob tsis muaj menyuam thiab muab tso rau hauv qab ob lub lumen catheter ntawm cov hlab ntsha hauv nruab nrab.
(4) Ntsia hlau tua kab mob ntawm catheter tiv thaiv hau, catheter lub qhov ncauj thiab catheter clamp rau 2 zaug feem.
(5) Txheeb xyuas tias lub catheter clamp yog clamped, tshem cov txiv ntoo, thiab muab pov tseg. Muab cov catheter sterilized rau ntawm 1/2 sterile sab ntawm txoj phuam kho mob.
(6) Disinfect lub nozzle dua ua ntej ua haujlwm.
(7) 2mL intracatheter sealing heparin tov tau muab rov qab nrog 2-5ml syringe thiab thawb mus rau hauv lub gauze.
(8) Tshawb xyuas seb puas muaj cov txhaws ntawm cov ntaub qhwv. Yog tias muaj cov ntshav txhaws, tshem tawm 1ml dua thiab thawb cov tshuaj. Qhov kev ncua deb ntawm kev txhaj tshuaj thiab gauze yog ntau dua 10cm.
(9) Tom qab txiav txim siab tias lub catheter tsis muaj kev cuam tshuam, txuas cov hlab ntsha thiab cov hlab ntsha ntawm cov hlab ntsha ntawm cov hlab ntsha ntxiv los tsim kom muaj cov kab mob extracorporeal.
3. Xaus lub raj sealing ua haujlwm tom qab kev lim ntshav
(1) Tom qab kev kho mob thiab ntshav rov qab los, clamp lub catheter clamp, tshuaj tua kab mob arteriovenous catheter sib koom ua ke, thiab tshem tawm cov kev sib koom tes nrog cov raj xa dej.
(2) Disinfect lub inlet ntawm cov hlab ntsha thiab cov hlab ntsha ntawm lub catheter feem, thiab thawb 10ml ib txwm saline los yaug lub catheter los ntawm txoj kev mem tes. Tom qab kev soj ntsuam qhov muag liab qab, tsis muaj cov ntshav seem nyob rau hauv qhov nthuav tawm ntawm lub catheter, thawb cov tshuaj tiv thaiv coagulant sealing kua los ntawm pellet raws li kws kho mob qhia. (3) Siv lub hau sterile heparin los kaw qhov qhib ntawm lub raj arteriovenous thiab ob txheej ntawm cov ntaub qhwv tsis muaj menyuam los qhwv nws. Tsau.
3. Kev hnav khaub ncaws hloov ntawm lub hauv paus venous catheter
1. Xyuas seb cov hnav khaub ncaws puas qhuav, muaj ntshav thiab stains.
2. Hnav hnab looj tes.
3. Qhib lub hnav khaub ncaws thiab xyuas seb puas muaj ntshav, exudation, liab thiab o, tawv nqaij puas thiab suture los ntawm qhov chaw uas lub hauv paus catheter muab tso rau.
4. Siv iodophor paj rwb swab thiab tig nws clockwise kom tua kab mob rau qhov chaw uas lub raj tau muab tso rau. Qhov kev tua kab mob yog 8-10 cm.
5. Muab cov ntaub qhwv lub qhov txhab rau ntawm daim tawv nqaij ntawm qhov chaw uas lub raj tso, thiab qhia lub sijhawm hloov khaub ncaws.
Post lub sij hawm: Feb-25-2022