1. Properly fixed, stop discount, keep away from to emerge. A. fixed stomach tube application white rubber tape stuck on the tip of nose division, tape really should get replaced every single day.
B. stomach tube insertion length should be suitable, adult general about 45-55 cm. In the event you doubt stomach tube emerge, it shall promptly notify the medical professional. At this moment BiSi individual really should suspend to make sure the stomach tube inside the stomach can be BiSi. [note] selection stomach tube inside the intragastric approaches:? Utilizing syringe to smoke belonging to the stomach tube extraction gastric contents. Utilizing syringe to gastric tube bulging, using the stethoscope in stomach hear gurgling. Will the stomach tube in to the water without bubble overflow.
C. Keep stomach tube of smooth, stop the discount. Move or flipping the sufferer ought to prevent stomach tube emerge or discount.
two. Ensure gastric tube unobstructed, timing flushing, suction gastric juice.
A. timing flushing, every single four hours and hours. When cleaning really should be depending on stomach tube variety, operation portion, operation mode selection five or 10 ml syringe use 3-5 ml physiological saline flushing tube. When cleaning focus not difficult, fast-drawing. If there's resistance usually do not difficult effect, so as to avoid damage or stomach anastomosis, cause bleeding or anastomotic fistula. Flush when there exists resistance really should return to their office to the suction gastric juice, if gastric juice extraction mentioned stomach tube patency, can rinse once more. Should you cannot spend the money for gastric juice, flushing resistance is massive, really should inform the physician, timely treatment.
B. in accordance with gastric secretion of gastric juice timing suction, general every four hours and hours. Suction when gastric juice suction not as well large, to avoid the damage on the hole within the stomach wall, result in mucosa bleeding.
three. Closely observe the shade of gastric juice, the character, quantity, and then make records.
A. observation gastric juice color, nature: gastric juice color is normally green (mixed with bile). If color is bright red, indicating how the stomach had been bleeding. If color is brown, indicating that the stomach has chronic blood. Gastric coloring or property changes, it shall promptly notify the doctor, give to the corresponding treatment.
B. accurately record the amount of gastric juice: when the amount of gastric juice overmuch, shall timely notify the doctor, timely therapy. Avoid causing water electrolyte disorder.
4. Stomach tube nursing
A. day-to-day cotton bar touch water to clean out the nasal cavity.
B. replace tape, need to will face skin wiping clean once more stick, and pay focus to do not stick in the very same skin parts.
Cristiano nasogastric tube exposed parts shall beroperly placement, lest in slip.
D. daily interest nasogastric tube scale, if there is a hernia, shall notify the medical staff processing.
E. Every day clean mouth to cotton ball clean mouth; Consciousness clear cooperation can toothbrush clean. Encourage the patient brushing mouthwash, to create the great hygienic habit. The can not provide for oneself of sufferers or coma sufferers give oral nursing.
F. unconsciousness or restless uncooperative, have to stop nasogastric tube had been served and, when essential, patients will probably be hands do suitable constraints protection.
5. Nasogastric care:
A. before BiSi should make sure the stomach tube inside, with out belly up, gastric retention of symptoms, then BiSi line.
B. BiSi quantity each and every time not more than 200 ml, based on full amount however day lengthy and patient for digestion, absorption, distribution circumstance, formulate interval time. BiSi with tepid to warm water immediately after rinse BiSi tube, and also for good. Continuous BiSi must be uniform penetration.
C. BiSi temperature to suitable, to 35 ?? or so advisable. Steady penetration BiSi when liquid temperature and room temperature should be exactly the same. Overheating simple to burn the lining from the stomach mucosa, cool straightforward cause indigestion, diarrhea. Clear on time the mouth, nasal secretions.
D. BiSi commence quantity straightforward less, for patients right after to progressively add quantity and accurately record BiSi quantity.
[note] : 1) the esophagus postoperative washing stomach tube: use ten ml syringe smoke 3-5 ml physiological saline slow slow flushing. If encounter a resistance, 1st back extraction, extraction gastric mentioned stomach tube patency. If flushing resistance big or stomach tube emersion shall timely notify the medical doctor.
2) stomach most or all immediately after gastrectomy washing stomach tube: with 5 ml syringe smoke 1-2 ml physiological saline, finding comfort smoke if there is certainly gastric juice out, and after that slow force washing stomach tube. After washing really should be drawn into the physiological saline. If flushing resistance large or stomach tube emersion shall timely notify the medical professional.
3) the colon, rectum postoperative washing
stomach tubes stomach tube:
With 5-10 ml syringe smoke five ml roughly physiological saline slow force flushing. If flushing not totally free, can be appropriately adjusted stomach tube position.
4) pyloric obstruction patient stomach tube flush:
Must wash the stomach trouble folks really should follow the physician's suggestions timing give 3% brine every time 200 ml into the stomach tube, GaBi stomach tube after a couple of hours with negative pressure attract will gastric content suck out. When cleaning if encounter resistance, but slightly with robust point effect, don't forget not violence flushing. When the stomach tube plugging shall timely notify the physician adjust gastric tube.
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