Application of three-cavity catheter in the observ

yxfbbiedtj · Wysłany: Pią 19:25, 25 Mar 2011

Application of three-cavity catheter in the observation and analysis of Urology

The most common subjects, one of the most important nursing action in recent years, the basic switch cystic catheter in our department. The advantage: easy, irritation, not falling, but not easy to put in position and cystic catheter failure, now Failures analyzed as follows. 1 Division I clinical data since 2000 February 1 February 2002 200 patients with cystic catheter, all male, aged 22-65 years, 2 cases of failure, the occurrence rate of 1%, are urethral pressure. 2 operating catheter inserted into the bladder, and there urine outflow from the catheter lumen, and then into 2cm, with 0.9% saline 20ml 20ml syringe pumping chamber into the balloon, so that filling out light Laniao tube a resistance and a urine in the bladder out of that, then drainage bag. 3 Errors in the analysis of forest medical information) 2004 2l No. 6 ① male patient because of individual differences, the urethra may be long or short, these patients, such as the conventional catheter length (18 ~ 22cm) asked to insert the balloon is not into the bladder. ② prostate hypertrophy, due to the special nature of disease, relative to the urethra can extend from the lumen when the urine outflow, and then insert 2em, this time may not have full access to the bladder balloon, balloon filling oppression after water injection urethra. 4 Prevention is strict aseptic technique, disinfection with l% Bromogeramine urethra, the catheter into the cystic bladder, and there urine outflow from the lumen and continue to slowly and gently inserted to the left end of the catheter is about 4 coffee with 0.9% saline pumping syringe 2orI1l 15 ~ 20rI1l after filling into the balloon so gently pull the catheter, with a sense of resistance, urine flow from the lumen, indicating that in the bladder, then drainage bag. 5 Results of 100 cases of patients with cystic catheter using this method, of which 72 cases of prostate, 28 patients after traumatic brain injury, 1 case of no errors, you receive satisfactory results. [Edit Cui Libo] with Some Experience discectomy Business Chunmei (Dehui City People's Hospital 130300) Commercial Chun Man (TB prevention and control of the Dehui City) orthopedic lumbar disc herniation is a common disease, patients more use of lumbar and leg pain, thorns Ma important symptoms, past the ordinary traction and massage treatments, treatment length, slow effect, and asked by the vertebral disc nucleus lens lesions removed, the patient trauma, operating room nurse with discectomy Surgery should pay attention to the following questions in order to reduce patient discomfort, with the operation smoothly. l Most of endoscopic devices for surgical instruments is not high temperature, high pressure sterilization, often use chemical disinfectants on equipment for fumigation, and therefore should be used strictly in accordance with the principles of the use of chemical agents. All of the devices by fumigation before use to clean with normal saline to reduce the chemical stimulation of the patient groups. 2, with surgery to prevent lens fog effects produced in the observation and operation of surgery, operating room nurses before surgery to prepare a certain amount of heat treatment of salt water into the sterile bowl, mirror is heated to the operating temperature of the abdominal cavity. Once the lens is stained with blood or the occurrence of fog, the need to use alcohol wet gauze wipe the lens, the lens can restore clarity. Surgical instruments nurses after the start of the match by watching the TV screen. Clean bipolar coagulation forceps 2 to prepare for replacement. 3 patients traveling nurses with the prone position,[link widoczny dla zalogowanych], with the prone-position spinal frame hold, cradle wrapped with a soft pillow, to protect the chest, abdomen, head, in order to maintain smooth breathing, protect the back of the knee and foot, to prevent local pressure. [Edit Yan Yong Xia] acute arterial embolism of perioperative nursing care of patients Maying Lan (Yanbian University Hospital 133000) acute arterial embolism in severe heart disease, is derived from cardiac or arterial emboli shedding of blood clots with the patch as Blood flow to the remote, and pause in the appropriate caliber artery, blocking the corresponding diameter of the artery, blood flow interruption, resulting in arterial blood flow disorders, appear limb pain, numbness, paresthesia, skin pale, distal limb pulse disappeared, if untreated, the limb will ischemia, necrosis, loss of function, leading to amputation, the life-long suffering, even life-threatening. Our hospital since January 2003 on 29 patients treated with surgery, the effect is good, now nursing reported as follows. 1 The clinical data of 29 cases, 21 males and 8 females; mean age of 5O years of age, the right popliteal artery embolization angiography in 13 cases, 14 cases of the left popliteal artery embolization, the bifurcation of femoral artery thrombosis, 2 cases have different levels of heart disease, 23 cases of thrombosis embolectomy, femoral artery bypass an above 2 cases, amputation in 4 cases, 70% were cured, 20% of the patients got better, with no deaths. 2 Preoperative psychological preparation for 2.1: arterial embolization of patients due to sudden pain, numbness, movement disorders, no pulse, pale, all the patients suffering these symptoms