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<table border="0" cellpadding="3" cellspacing="1" width="100%" class="forumline"> <tr> <th class="thCornerL" width="22%">Autor</th> <th class="thCornerR">Wiadomość</th> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>52sale5126am</b></span></td> <td class="row1" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://picsrv.fora.pl/Elveron/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Wysłany: Wto 1:39, 22 Mar 2011<span class="gen"> </span> Temat postu: ralph lauren outlet Nursing flow chart in T- tube</span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody">Nursing flow chart in T-tube drainage of <br /> <br /> <br />Situation. To regulate the behavior of T-tube care,<a href="http://www.buyghdhair.org/" target="_blank" class="postlink">buy ghd hair</a>, reduce complications, our department developed a T-tube care flow chart. Process of care and 142 patients here, not 1 case of pipe off, intra-abdominal infection and biliary fistula, and so on. 1T-tube nursing care processes and flow chart shown in Figure 1.1 Note 1. Operator: dress clean, wash hands, wear masks, check, explain this to the patient to obtain cooperation. With the property: one-time dressing packets, drainage bags, cotton balls, Yasuji iodine 0.2%, 75% ethanol. Patients: to help patients gracefully position, exposed T-tube and right abdomen. Note occlusion patients. Bedding towels - ◆ bedding towels at the mouth of the drainage tube for the bottom. Folder to live effective hemostatic clamp proximal drainage, new drainage bag checks at the bedside after the hammer, tighten the outlet. Yasuji cotton ball with 0.2% iodine disinfectant drain connection. Connection - * hand and hold drainage tubes, male hand around the mouth and hold the drainage tube, a new drainage bag securely connected with the drainage tube. Drainage bag should be less than T-drainage tube port plane. Fixed - * drainage tube fixed with tape to the skin in the abdominal wall, not fixed-_ on the bed, to prevent the prolapse due to turn over such traction. To maintain effective drainage - + drainage tube not discount, do not bend, often to Jinie maintain unobstructed drainage. Drainage tube should be lower than when supine axillary line. Not be higher than when standing or activity I flat abdominal drainage tube to prevent the drainage of fluid drainage bag made the position counter is too low, too much bile drainage will affect digestion and absorption of fat. Illness observation - * whether the wound exudate observed. Skin, sclera with or without jaundice, pay attention to vomiting, abdominal pain, bloating and body temperature, fluid drainage were observed and recorded the color, volume and nature. Prevention of infection - • Strict aseptic technique. Long-term T-tube should be washed regularly. Skin around the drainage tube with 75% ethanol daily disinfection. Peritubular sterile dressing pad. Prevent skin irritation caused by inflammation of the bile. Line immediately after T-tube cholangiography drainage tube connected to drainage, to reduce the contrast response and post-secondary infection. Extubation - · T-tube after removal. Vaseline gauze to plug the local wound, 1 ~ 2d itself closed. Required classification of the used materials into the garbage bag. Operator hands. Record the color of drainage fluid, the volume and nature. Figure lT-tube drainage flow 1.2 Notes ① care of patients with specific conditions based on daily or every other pipe in the same nursing Et risk prevention awareness, so that nurses in nursing care and in strict accordance with the process of replacement of drainage bag a moment to ask times; ② the secretion of normal human bile flow chart of operation for the 800-1, and actively carry out nursing observation, to detect the 200ml, yellow or yellow-green, clear no sediment; ③ drainage within 24h after the species abnormalities, so early detection and timely and effective measures taken to reduce the 300-500ml, recovery diet, may be increased to 600-700ml / d, then gradually the risk of complications. Also, because this process highlighted the deepening before T-tube care, clear, yellow, if a sudden decrease or no bile bile flow,<a href="http://www.radiishoessale.net" target="_blank" class="postlink">radii shoes sale</a>, may be in the interpretation and operation of the exchange, so that health education activities throughout the entire process, can increase drainage tube compression, twisting, folding, block, or emerge, should be immediately checked. If the addition of nurse-patient communication and exchange of both patients and their families to actively participate in care and live more than drainage, suggesting the possibility of biliary obstruction lower end; ④ protect the drainage around the mouth move, improved nurse-patient relationship, nurses and patients to effectively avoid disputes,<a href="http://www.maceyeshadowpalettes.org" target="_blank" class="postlink">mac eyeshadow palette</a>, so that the patients have skin, coated zinc oxide ointment locally, to prevent local skin ulceration caused by bile dipping to a more high-quality care. And infection; ⑤ explain to patients the importance of T-tube drainage,<a href="http://www.ralphlaurenoutletonline.net" target="_blank" class="postlink">ralph lauren outlet</a>, and related care to know a word, flow through the T-tube care and the application of standardized care operations, knowledge, try to wear soft, loose clothing, avoid heavy lifting in daily life or over to the care and behavior more rational, safer and more orderly; help nurses more skilled activities, so as not to stretch caused by T-tube prolapse. Master the operation of the nursing program, will help improve the quality of care. 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