Chekutanga, varwere vanorwara zvakanyanya maitiro ekuchengetedza ekutanga
⒈ kugamuchirwa kunodziya kwevarwere, murwere anoiswa mukamuri yekukurumidzira kana mukamuri yekuchengetedza zvakanyanya, Patient Care Equipment kuchengetedza mhepo yemukati mutsva, inodziya uye mwando zvakakodzera;murwere akanaka uye nhengo dzemhuri dzechipatara (Chikamu) mishoni.
⒉ kuongororwa nenguva:
Kusanganisira mamiriro ezvinhu, zviratidzo zvikuru, mamiriro eganda, kuongorora kwakanaka kwekubatsira, zvakasiyana-siyana zvepombi, kurapwa kwezvinodhaka nezvimwe zvakadaro.
⒊ matanho ekukurumidzira ekuchengetedza: kukurumidza kugadzwa kwekuwana venous (zvichienderana nemamiriro uye zvinodhaka zvinodhaka kugadzirisa kudonha), oksijeni (zvichienderana nemamiriro ekugadzirisa kuyerera kweokisijeni), ECG monitoring, indwelling catheterization, inodziya, ita zvakasiyana-siyana. yemuenzaniso muunganidzwa, Murwere Chengetedzo Equipment yekubatsira inoenderana Cheki, kana zvichidikanwa, inoshanda preoperative kugadzirira.
⒋ supine uye yakachengeteka
⑴ maererano nechirwere kutora nzvimbo yakakodzera.
⑵ kuchengetedza airway patency, varwere pakoma vanofanira kuva nenguva yekusveta mhino nemhino uye endotracheal secretions, kusvika kukufema kweokisijeni.
⑶ mazino akavharwa, kugwinha kwemurwere kunogona kushandiswa mazino mapedhi, kuvhurika, kudzivirira kurumwa nerurimi, rurimi runokwana.
⑷ high fever, coma, delirium, kutsamwa, kushaya simba uye vacheche nevana vaduku vanofanira kuwedzerwa fenzi, kana zvichidiwa, kupa bhendi, kudzivirira mubhedha, kuchengetedza murwere.
⑸ gadzirira zvese zvekununura zvekushandisa, zvinodhaka nemidziyo, yemukati yekununura inomisikidza mamiriro ekumira.
⒌ kunyatsocherechedza mamiriro acho ezvinhu: kutarisirwa kwemunhu, Murwere Chekuchengetedza Equipment zviratidzo zvakakosha zvemurwere, kuziva, mudzidzi, kubuda ropa, SpO2, CVP, kutenderera kweparipheral uye weti uye mamwe mamiriro ekutarisa kwakasimba;nachiremba achishingaira kununura, ita zvinyorwa zvehukoti.
⒍ mishonga yakanyorwa, kushandiswa kwezano rachiremba wemuromo, kudzokororwa pasina mvumo yekushandisa.
⒎ chengeta mapaipi akasiyana-siyana akatsetseka, akanyatsogadziriswa, nzvimbo yakachengeteka yekudzivirira kubva, yakamonyoroka, yakavharika;yakasimba sterile tekinoroji kudzivirira retrograde hutachiona.
⒏ kuchengetedza chimbuzi chakatsetseka: weti kuchengeta kutora nzira dzekubatsira kuita weti;kana zvichidiwa catheterization;kuvimbiswa semamiriro ekuita enema.
⒐ zvichienderana nemamiriro ekuve kuchengetedza kwekudya: kuchengetedza mvura, electrolyte kuenzanisa uye kusangana nezvinodiwa zvemuviri zvinovaka muviri;varwere vanotsanya vanogona kunge vari peripheral venous nutrition.
Basic care
9, bvudzi, maziso, muviri, muromo, mhino, ruoko, tsoka, perineum, anus, ganda rakachena;mashanu kumubhedha: yekutanga matatu, Mushonga, mukoti, mupunga, mushonga, mvura kumubhedha wemurwere).
⑵ mangwanani, manheru kutarisira ka2 pazuva;kutarisirwa kwemuromo weurethral kaviri pazuva;tracheotomy kutarisira kaviri pazuva;teerera kudzivirira maziso.
⑶ kuchengetedza kushanda kwemakumbo, kusimbisa zviitwa zvemuviri kana kubatsira mabasa anoshanda.
⑷ yakanaka kufema chikosoro kudzidzisa, yega yega 2h kubatsira varwere kutendeuka, kupfura kumashure, kutungamira kwekufema kwakadzika, kubatsira kuburitsa zvakavanzika.
⑸ kusimbisa kuchengetedza kweganda, kudzivirira maronda ekumanikidza.
⒒ psychological care: patrol nenguva, kutarisira varwere, Patient Care Equipments maererano nemamiriro ezvinhu kuti vataure nemhuri dzavo, kugadzwa kwehukama hwakanaka mukoti-murwere, kuitira kuwana kuvimba kwevarwere, kubatana kwemhuri uye kunzwisisa.
Chechipiri, varwere vane coma vane hanya
(I) Cherekedza pfungwa
⒈ kunyatsocherechedza zviratidzo zvinokosha (T, P, R, BP), saizi yemwana, mhinduro yechiedza.
⒉ ongorora GLS kukanganisa kwekuziva indekisi uye chiyero chekupindura kuti unzwisise dhigirii rekoma, yakawana shanduko pakarepo yakashumwa kuna chiremba.
⒊ kucherechedzwa kwevarwere vane mvura, electrolyte chiyero, kurekodha huwandu hwemaawa makumi maviri nemana, kupa kutungamira kwehwaro hwekudzoreredza mvura.
⒋ teerera kutarisa chigaro chemurwere, tarisa kana mhinduro inogona kuitika.
(2) nzvimbo dzeukoti
⒈ fonera murwere: oparesheni, wekutanga kudana zita rayo, tsanangura chinangwa chekuvhiya uye kudzivirira.
⒉ kumisikidza uye kuchengetedza mhepo yakatsetseka: tora rutivi rwemusoro wedivi kune rumwe rutivi, chero nguva yekubvisa tracheal secretions, yakagadzirira kuyamwa zvinhu, chero nguva yekuyamwa.
⒊ kuchengetedza intravenous infusion: rekodhi yakasimba yehuwandu hwemishonga inoshandiswa.
⒋ kuchengetedza nhengo ichishanda zvishoma, kurovedza muviri nguva dzose uye masaja kupa muviri, kudzivirira ruoko, tsoka uye chibvumirano, deformation uye nerve palsy.
⒌ kukurudzira kushanda kwehuropi kupora: kusimudza mubhedha 30 kusvika 45 madhigirii kana kupa semi-recumbent posture, yakatemerwa kurapwa uye kufema kweokisijeni.
⒍ kuchengetedza yakajairika excretion basa: nguva dzose kuongorora varwere vane dundira weti retention, nenguva yekupa chimbuzi chemubhedha, kubatsira kukwiza pazasi peguvhu kukurudzira weti, catheterization kana kutsiva weti mabhegi kunofanirwa kutarisisa kuseptic tekinoroji.
⒎ kuchengetedza yakachena uye yakagadzikana: bvisa mazino, hairpin, kuchekerera munwe (chigunwe) A;zuva nezuva kuchengetwa kwemuromo kaviri, chengetedza muromo wakachena uye wakanyorova, unogona kupendwa mafuta eparafini (lipstick) kudzivirira kutsemuka kwemuromo;kugeza jecha nguva dzose uye perineal washing, Tsiva dzakachena hembe.
⒏ chenjerera kuchengetedzeka: kubvongodzwa kunofanira kuva mubhedha wekuwedzera, kana ukanyanya kushata, wakakodzera kupa zvisungo;kuziva nefivha yakanyanya kugwinha, kushatirwa kwemeningeal,Murwere Wekuchengeta Equipment anofanira kupihwa kutonhora kunoshanda uye kuisa pedhi zino, kudzivirira kuruma dama;Ese marudzi epombi, kudzivirira kutsvedza.
⒐ kudzivirira hutachiona hwemapapu: nguva dzose dzokera shure kupfura, kukurudzira murwere kukosora, kuyamwa panguva;ramba uchidziya, kudzivisa kutonhora, kushandiswa kwemvura inopisa apo kutonhora kwemvura hakusi nyore kusvika kune madhigirii anopfuura 50, haigoni kubata zvakananga ganda kudzivirira kupisa.
⒑ kudzivirira maronda ekumanikidzika: kushandiswa kwemubhedha wemhepo, pfupa rinobuda chikamu cheponji pad, chengetedza mubhedha wakachena uye wakatsetseka.Yese 1 ~ 2h simuka kamwe chete.
⒒ kuchengetwa kwemaziso: bvisa macontact lens kubhadhara kuchengetedzwa.Varwere havagone kuvhara eyelid, kushandiswa nguva dzose kwesaline bristles kugeza ziso, nemafuta eziso kana Vaseline shinda yemafuta kudzivirira cornea,Murwere Kuchengeta Equipment kudzivirira kuoma kwecorneal uye kuzvimba.
(Iii) Dzidzo yehutano
⒈ ita mhuri nehutungamiriri hwenhengo dzemhuri kuti dziite ziviso inoenderana yevarwere kuti vatangezve kudzidziswa kubatsira varwere vane kurovedza muviri nekukwiza.
⒉ kuchengetwa kwepfungwa: kuchengetedza kukurudzira varwere, Murwere Kuchengeta Equipment kuitira kuti varwere vaone hunhu hwavo mumhuri uye munharaunda kuti vawedzere kusatya kukunda chirwere.