Ropa rinoraswa harina utachionahemodialysis catheteruye accessories Disposable sterilehemodialysis catheterChigadzirwa chekuita maitiro uye kuumbwa kwechigadzirwa ichi chinoumbwa netip yakapfava, chigaro chekubatanidza, chubhu yekuwedzera uye soketi yekoni; Iyo catheter inogadzirwa neyekurapa polyurethane uye polycarbonate. Iine mhango imwechete, kaviri mhango uye matatu catheter. Ichi chigadzirwa chinoshandiswa kurapa hemodialysis uye infusion. Zvinotsanangurwa modhi kaviri mhango, matatu mhango
Tunnel duct ine dacron jacket
Nekuchembera kwevanhu, high blood pressure, chirwere cheshuga, coronary heart disease (CHD) nevarwere vane renal kukundikana kwakawedzera, vascular condition yakashata, autogenous arteriovenous internal fistula yakanyanya kuwanda kwematambudziko, zvinokanganisa zvakanyanya dialysis yemurwere kurapa uye hupenyu hwehupenyu. , saka tora polyester bhandi tunnel catheter kana catheter kwenguva yakareba, yakashandiswa zvakanyanya munyika, zvakanakira ndeiyi: Iyo catheter ine zvakanaka. biocompatibility, uye catheter inogona kugadziriswa zvakasimba neganda. Sleeve yayo yepolyester inogona kuumba bhakitiriya yakavharwa muvharo we subcutaneous tunnel, kuderedza kuitika kwehutachiona uye kuwedzera zvakanyanya nguva yekushandisa.
Kushandisa uye kuchengetedza hemodialysis catheters
1. Nursing uye kuongorora catheter
1. Catheter ganda rinobuda
Pamberi uye mushure mekushandiswa kwega kwega, kuonekwa kweganda rekubuda kweganda panzvimbo ye intubation kunofanira kuongororwa nokuda kwekutsvuka, kuvhara, kunyorova, kubuda ropa uye kubuda, nezvimwewo. Kana iri catheter yenguva refu, tarisa kuti CAFF yakadhonzwa here kana kuti yakabuda.
2. Kubatana kwekunze kwe catheter
Kana pane kuputika kana kuputsika, dhigirii ye patency ye lumen, kana ropa risina kukwana rinowanikwa, rinofanira kuudzwa kuna chiremba munguva, uye thrombus uye fibrin sheath formation mu catheter inofanira kugadziriswa ne ultrasound, imaging uye. dzimwe nzira.
3. Zviratidzo zvemurwere
Zvingave zviratidzo uye dhigirii refivha, kutonhora, kurwadziwa uye zvimwe zvichemo zvekusagadzikana.
2. Kubatanidza kushanda maitiro
1. Kugadzirira
(1) Muchina wedialysis wapfuura kuzviongorora, pombi yedialysis yakambogezwa uye iri mumamiriro ekumira.
(2) Kugadzirira: ngoro yekurapa kana tireyi yekurapa, disinfection zvinyorwa (iodophor kana chlorhexidine), zvinyorwa zvisingabatsiri (chirapa tauro, gauze, sirinji, kuchenesa magurovhosi, nezvimwewo).
(3) Murwere anofanirwa kuiswa munzvimbo yakagadzikana yekumusoro, uye murwere ane mutsipa intubation anofanira kupfeka mask kuti abudise nzvimbo ye intubation.
2. Maitiro
(1) Vhura kupfeka kwekunze kwepakati venous catheter.
(2) Pfeka magirovhosi.
(3) Vhura 1/4 yedivi re sterile kurapwa tauro uye riise pasi pekaviri-lumen catheter yepakati tsinga.
(4) Screw disinfection ye catheter yekudzivirira cap, catheter muromo uye catheter clamp ye2 nguva zvichiteerana.
(5) Tarisa kuti catheter clamp yakasungwa here, bvisa nzungu, woirasa. Isa catheter ine sterilized padivi re 1/2 risingabereki rechirapa tauro.
(6) Disinfected the nozzle again before operation.
(7) 2mL intracatheter sealing heparin solution yakapombwa kumashure ne 2-5ml sirinji ndokusaidzirwa pa gauze.
(8) Tarisa uone kana pane magwamba pa gauze. Kana paine magwamba, bvisa 1ml zvakare uye sunda jekiseni. Nharaunda pakati pejekiseni uye gauze yakakura kupfuura 10cm.
9
3. Pedzisa basa rekuvhara chubhu mushure me dialysis
(1) Mushure mekurapwa uye kudzoka kweropa, sungai catheter clamp, disinfectant arteriovenous catheter joint, uye bvisa mubatanidzwa nepombi inotenderera.
(2) Disinfecting the inlet yetsinga netsinga yecatheter zvakateerana, uye sunda 10ml yakajairika saline kugezesa catheter nepulse method. Mushure mekutarisa kwemaziso asina kupfeka, pakanga pasina ropa rakasara munzvimbo yakazaruka ye catheter, kusundira anticoagulant sealing fluid nepellet sezvakarayirwa nachiremba. (3) Shandisa chivharo cheheparin chivhariso chekunamira kuvhura kwearteriovenous chubhu uye maviri akaturikidzana egauze isina mbereko kuiputira. Fixed.
3. Kupfeka shanduko yepakati venous catheter
1. Tarisa uone kana kupfeka kwaoma, ropa uye mavara.
2. Pfeka magirovhosi.
3. Vhura chipfeko uye tarisa kana pane kubuda ropa, kubuda, kutsvuka uye kuzvimba, kukuvara kweganda uye suture kudurura panzvimbo iyo yepakati venous catheter yakaiswa.
4. Tora iodophor cotton swab woitenderedza newachi kuti isa utachiona panzvimbo pakapinzwa chubhu. Iyo disinfecting range ndeye 8-10cm.
5. Namira ronda rinopfeka paganda panzvimbo iyo chubhu inoiswa, uye ratidza nguva yekupfeka kuchinja. Kushandiswa uye kuchengetedza catheters
1. Nursing uye kuongorora catheter
1. Catheter ganda rinobuda
Pamberi uye mushure mekushandiswa kwega kwega, kuonekwa kweganda rekubuda kweganda panzvimbo ye intubation kunofanira kuongororwa nokuda kwekutsvuka, kuvhara, kunyorova, kubuda ropa uye kubuda, nezvimwewo. Kana iri catheter yenguva refu, tarisa kuti CAFF yakadhonzwa here kana kuti yakabuda.
2. Kubatana kwekunze kwe catheter
Kana pane kuputika kana kuputsika, dhigirii ye patency ye lumen, kana ropa risina kukwana rinowanikwa, rinofanira kuudzwa kuna chiremba munguva, uye thrombus uye fibrin sheath formation mu catheter inofanira kugadziriswa ne ultrasound, imaging uye. dzimwe nzira.
3. Zviratidzo zvemurwere
Zvingave zviratidzo uye dhigirii refivha, kutonhora, kurwadziwa uye zvimwe zvichemo zvekusagadzikana.
2. Kubatanidza kushanda maitiro
1. Kugadzirira
(1) Muchina wedialysis wapfuura kuzviongorora, pombi yedialysis yakambogezwa uye iri mumamiriro ekumira.
(2) Kugadzirira: ngoro yekurapa kana tireyi yekurapa, disinfection zvinyorwa (iodophor kana chlorhexidine), zvinyorwa zvisingabatsiri (chirapa tauro, gauze, sirinji, kuchenesa magurovhosi, nezvimwewo).
(3) Murwere anofanirwa kuiswa munzvimbo yakagadzikana yekumusoro, uye murwere ane mutsipa intubation anofanira kupfeka mask kuti abudise nzvimbo ye intubation.
2. Maitiro
(1) Vhura kupfeka kwekunze kwepakati venous catheter.
(2) Pfeka magirovhosi.
(3) Vhura 1/4 yedivi re sterile kurapwa tauro uye riise pasi pekaviri-lumen catheter yepakati tsinga.
(4) Screw disinfection ye catheter yekudzivirira cap, catheter muromo uye catheter clamp ye2 nguva zvichiteerana.
(5) Tarisa kuti catheter clamp yakasungwa here, bvisa nzungu, woirasa. Isa catheter ine sterilized padivi re 1/2 risingabereki rechirapa tauro.
(6) Disinfected the nozzle again before operation.
(7) 2mL intracatheter sealing heparin solution yakapombwa kumashure ne 2-5ml sirinji ndokusaidzirwa pa gauze.
(8) Tarisa uone kana pane magwamba pa gauze. Kana paine magwamba, bvisa 1ml zvakare uye sunda jekiseni. Nharaunda pakati pejekiseni uye gauze yakakura kupfuura 10cm.
9
3. Pedzisa basa rekuvhara chubhu mushure me dialysis
(1) Mushure mekurapwa uye kudzoka kweropa, sungai catheter clamp, disinfectant arteriovenous catheter joint, uye bvisa mubatanidzwa nepombi inotenderera.
(2) Disinfecting the inlet yetsinga netsinga yecatheter zvakateerana, uye sunda 10ml yakajairika saline kugezesa catheter nepulse method. Mushure mekutarisa kwemaziso asina kupfeka, pakanga pasina ropa rakasara munzvimbo yakazaruka ye catheter, kusundira anticoagulant sealing fluid nepellet sezvakarayirwa nachiremba. (3) Shandisa chivharo cheheparin chivhariso chekunamira kuvhura kwearteriovenous chubhu uye maviri akaturikidzana egauze isina mbereko kuiputira. Fixed.
3. Kupfeka shanduko yepakati venous catheter
1. Tarisa uone kana kupfeka kwaoma, ropa uye mavara.
2. Pfeka magirovhosi.
3. Vhura chipfeko uye tarisa kana pane kubuda ropa, kubuda, kutsvuka uye kuzvimba, kukuvara kweganda uye suture kudurura panzvimbo iyo yepakati venous catheter yakaiswa.
4. Tora iodophor cotton swab woitenderedza newachi kuti isa utachiona panzvimbo pakapinzwa chubhu. Iyo disinfecting range ndeye 8-10cm.
5. Namira ronda rinopfeka paganda panzvimbo iyo chubhu inoiswa, uye ratidza nguva yekupfeka kuchinja.
Nguva yekutumira: Feb-25-2022