meta: A piece of a patient's year.

equipment: Sterile shlunkovy probe, diameter 0.5-0.8 cm, Sterile glucerin, a glass of water 30-50 ml. і a tube for a pitt, a Janet syringe 60 ml, leukoplastir 1 × 10 cm, a paddle, knives, a plug for a probe, a stethoscope, a safety pin, a tray, a towel, servetki, clean gloves.

office # 6

For an hour of sports fighting, for a reception, one of the wrestlers has seen gostry bil in the area of ​​the left shoulder joint and overload, the unhappiness of the ruffs in the upper part.

ob'єactively: I will fix the endurance of the patient with a healthy hand, my head is nailed towards the ailing overplain, visually shoulder joint deformations, the integrity of the shkiri is not damaged, with palpation the head of the shoulder brush appears in the groin. The athlete is in pain.

You will serve as a service provider.

zavdannya

1. Formulate and ground the Moss diagnosis.

2.Store algorithm inconvenient help patient, argue your opinion.

3. Demonstrate the immobilization of the picture according to the given situation (in different ways).

Pristіy, so yes, let us be ill, we can cut off all lively speeches

The nasogastric tube is pristіy, so yes we can get sick, we can get rid of all the lively words that are needed for the body. A nasogastric tube is also used for the administration of drugs.

Nasogastric tube and gastrostomy

The nasogastric tube is inserted for other reasons, most of them are affected by the disease of the slunk-intestinal tract, weakening of the swallowing reflex, in period of operation, In case of important craniocerebral trauma.

In the case of operations on stravohods (cause there may be other problems, from the atrophy of oncological disease), A gastrostomy tube is often used for everything. Gastrostomy - the price of the traces of the unhappiness of the installation of the probe.

to describe

Material, wines of preparation, adaptations to the next operation. Wine is soft and not vola allergic reactions... At the time of contact with the vologo and warm middle, the wine becomes more plastic and slimy, which the robot will lie with. Rounding off the end is not safe for the nasopharynx and stravohode.

To enter the warehouse

• The cork is sealed.
• Tube for radiopaque material.
• Z'єdnuvach.
• Kinets probe equipments "obvazhnennya" for lodging penetration in the middle.

characteristic

• Dovzhin probe - 30-50 cm.
• The internal diameter of the door probe is 1.44 mm.
• The current door diameter is 2.6 mm.
• Placed with mitts - 1 cm.

At the end of the probe there are two inputs, one of which is used for prompting, and for the access of the necessary equipment.

The nasogastric tube is introduced through the nis, which, once introduced through the mouth, will pass along the root of the tongue, and the bluetone reflex will wick.

Nutrient food - a healthy sum has been balanced, in order to avenge all the corny words and amino acids that are necessary for the human body.

Probe placement and method

Required for staging

• Pitna water).
• Tube (cocktail).
• Glycerin (sterile).
• Tray.
• Clean gauze vidrizok (towel).
• Servetki.
• Mittens.
• Vimiti and churn your hands.
• Zatiskach.
• Janet's syringe.
• Plaster.

Before the whole procedure, you must change to the point where the nasal passages are done, the skin is okay.

1. In order for the procedure to be successful, it is recommended to make good contact with the patient.
2. First of all, insert a probe of the need to make a stained glass with glitin for more light penetration.
3. The head of the patient is guilty of being nailed back.
4. Insert the probe 15 cm (size of the nasopharynx) when the patient is guilty of drinking water through a tube (as the tolerance is). Prodovzhuvati is introduced.
5. For the help of a syringe, Janet introduce small number If you turn into a shlunk, with a vocal rus, the probe resembles a shlunk rіdinoy.
6. Revision the standard of the patient's comfort.
7. Cover the end of the probe with plastic.

sposib godvannya

Before dermal baths, reverse the position of the probe.

• Re-establish the quieter.
• Bring Janet's syringe to the probe, having typed in a new zeal in front of the probe.
• Lift the syringe over the patient's head not lower than 40 cm below the patient's head. It is necessary to emboss the syringe only if it does not pass independently.
• Repeat the procedure as many times as needed.

Once the syringe is replaced, the funnel is locked, more easily.

visnovok

Enteral feeding through a nasogastric tube is used to provide additional nutritional support. It is correct to choose the right way for non-neteral feeding - at the same time securing the life of the body and going to the end.

show:

• great traumatic ears and swelling of the tongue, pharynx, larynx and stravohode;
• an inconsiderable stance yak manifestation of important damage to the function of the central nervous system;
• vidmova vid yzhi in case of mental illnesses;
• non-scarring creep of the slunk.

With all the times, it’s hard to eat, either it’s unwise, or it’s not good, it’s possible to bring up the information about the wounds, or before drinking it in dickheads with the subsequent incidents incinerated or suppuration in the legends. In case of non-scarring viraztsi of the slunk trivial (18 days) feeding through a probe, injections into two to twenty guts It is recommended to use the same method of conservative treatment.

Through the probe, it is possible to inject the be-yak (і lіki) into the іvrіdky viglyadі, rubbing it through a sieve in front of it. Until їzhі obov'yazkovo additional delivery of vitamins. Introduce milk, tops, eggs, broth, slushy or rubbed sheep soup, sour, fruit juices, butter, kava, tea.

For God Vanny Gotuyut:

• a thin shlunkovy probe without olivia or a chlorinated tube with a diameter of 8 - 10 mm;
• funnel of 200 ml with the diameter of the tube, similar to the diameter of the probe, or Janet's syringe;
• 3 - 4 flasks of їzhі.

On the probes, the next step is to create a mite, before you try to enter: in the stravohid - 30 - 35 cm, in the slunker - 40 - 45 cm, in the twelve-fingered intestine - 50 - 55 cm. Probe to start introducing the drug. If there is no contraindication, then the ailment is sitting.

For a frontal glance at the nasal passages of the curvature of the tip of the probe, covering with glycerin, inject into the most wide lower nasal path, reaching straight, perpendicular to the surface of the specimen. If 15 - 17 cm of the probe clutches in the nasopharynx, the patient's head is slightly nailed forward, the thumb of one hand is inserted into the mouth, the tip of the probe is rolled, the tip of the probe is gently pressed down to the back of the throat, and is drained with the hand.

Without finger control, the probe can be drawn into the trachea. If ailments are not possible without svidomosty and it is impossible to plant, the probe should be inserted into the position of the bed, which can be controlled by a finger inserted into the mouth. After the introduction, it is recommended to reconsider without having to drain the probe into the trachea. For the whole end of the probe end, give a fluff of cotton wool or a piece of cigar paper and wonder if there is no wine in the wild.

Having passed over in that, where the probe is in the stravohode, I will lose it here, or put it into the drainer, or twelve-fingered intestine and fix the year of bathing. Until the last end of the probe, attach a drip, pour it into it in small portions, no more leather, do not rush, inject the cooked cheese, and then drink it.

When you see the funnel, you see the probe, and the probe lasts for the entire period of the piece harvesting. The famous tip of the probe is stored and changed on the head of a sick person, so that it doesn’t matter to him. Goduvannya a sick person through an operative fistula. If there is a lack of penetration through the stravohid, when it is struck with an operative way, the shlunkovy fistula can be controlled, through which it is possible to insert the probe and pour it into the shlunkov.

When there is a lot of need for quilting, the edge of the fistulous opening was not bothered with a rye, for which injections, the probe should be covered with sticky plaster, and for the skin year, the toilet was rubbed around the fistula, covered with Lassar’s dry paste and applied sterile. With this method, the grubbing of a sick person has a reflexive stimulation of the shlunk secretion from the side mouthwash... The price can be memorized by proponuvav the sick person rozzhovuvat the little things їzhі and splyovuvati її into the funnel. Goduvannya of the ailing through zhivilny clizmi.

In the rectum through the clink, you can enter 0.85% of the range of kitchen salt, 5% of the range of glucose, 4 - 5 ° / 3 of the range of purified alcohol, an aminopeptide (a drug that can take away all non-essential amino acids). Most often, in case of feverish organisms, it is necessary to inject by the dotted method pershі two razchina in a quantity of up to 2 liters. It is possible to inject at once 100 - 150 ml 2 - 3 times a day. Schob will help the sick person to eliminate the injections of the razchin; With both methods of introducing for polishing into the rectum, it is necessary to change the distance from the front to the front, and the range to go up to 37 - 40 °.

"Looking out for ailments", E.Ya. Gagunova

The shlunkovy probe is used for diagnostics, as well as for medical purposes. Tse attachment gives the ability to slug in the place of the shlunkovo-intestinal tract and, if necessary, two-digestive tract. The name of the slurry probe is the gum tube. Falsely, it can be of a different diameter: good and thin.

In which vypadzayut signify a probe

Probing the slunk is an informative and non-baking procedure. Vona may be indicated for cases of malnutrition, such as vyrazka shlunk, gastritis, reflux ailments, atony of shlunka, intestinal imperfections and іnshі. In addition, it is necessary to stop for a piece of food for the operative ailments.

For the aid of the probe, carry out the washing of the shlunk when it is detached with the help of the snaps. It is also possible to flush the probe in case of stenosis of the inlet opening of the slurry and in the case of the appearance of the slurry slime of toxic fluids, for example, in the case of different deficiencies.

See the probes. tovsty probe

Described by the report of the shlunkovy probe. Growth of the yogo gum tube:

• dovzhina from 70 to 80 cm;
• up to 12 mm in diameter;
• internal clearance 0.8 mm.

The distant end of the tube, which will be injected into the slunk, rounding. Yogo is called sl_pim. The other end of the probe is called Vidkrytim. Trochi vische rounded roztashovany two forms. Through them in the probe you eat instead of the slunk. Through 40, 45 and 55 cm from the rounded end of the application of the mint. The stench is displayed in the bore, so that it is seen from the dentition to the corkscrew entrance.

Basically, such a probe is shlunkovy zasosovovyt for washing or simultaneous removal of the shlunks in place.

thin probe

The chain is attached to a thin gum tube, up to 1.5 m. The diameter of the tube is not 3 mm. Kinets, which is introduced into the slunker, of equipments with a special olive oil from the bonnet or the middle. In the olive є, open the slurry for the place. There are three marks on the tube: 45, 70, 90. Behind it, the bore hole is marked. With a total of 45 cm - go from the dentition to the entrance to the sucker, 70 cm - go from the dentition to the collar of the shank, 90 cm - the probe is located at the vater pump.

Close the thin nagato probe lighter. In case of not waking up to the blues reflex, it can be used for a trivial hour. Tse allow vikoristovuvati thin probes for caution for updates shlunk juiceі conduct a fractional test together, about how to get empty.

For the nasal introduction of a thin probe, vikoristovuyut the tube without olivia. It is easier to insert such a probe on the way, and it can be much better. Most often, nasal probes are installed for folding operations, if

duodenal probe

Such a probe is a shlunkovy function for introduction into the intestine. I mean, I mean, a probing in the fall of the stove, or zhovchividnyh shlakhiv. The probe allows you to aspirate for the last time you see it. The probe is placed near the vigilant gum tube, the diameter of which does not exceed 5 mm. Dovzhin probe 1.5 m The size of the potting is 2 by 0.5 cm. Mitts are applied to the tube to control the bore. Їх roztashuvannya - 40 (45), 70 and 80 cm from Olivia. Found a mint approximately showing the distance from the front teeth to the papilla (the intestine was twelve).

The need for enteral (tube) feeding

When you get sick with ailments, otrimuyut Tse means that lively words are introduced into the body internally, minayuchi shlunkovo-intestinal tract. Ale take harchuvannya is not always correct, there are some remnants of the process of wetting lively words from the intestinal tract of a number of perevag. The process of introducing long-term connections into the slunker abo small intestine I call it enteral food. For tsyo vikoristovuyut a thin probe with a shlunkovy with a guide. Enteral permission to eliminate degenerative snakes intestinal stinka... For a fake one, the price is very important.

positioning the probe

Install the slurry probe correctly, the patient is ready to manipulate. Yaksho win at the testimony, explain the nuances of the procedure. Obviously, we must change the grip, the pulse and the reversal of the passages of the wicked nobles.

Placement of the shlunk probe through the mouth of the vimag to the vimir with a thread extending from the teeth to the navel (plus the width of the hollow). The sign is placed on the handset from a slate end. The health care provider starts from the side of the patient and the way of rounding off the root of the language. The patient was sent to the doctor's office, and the medical practitioner blew the tube of the probe to the shaped mite.

When the probe is placed through the nis, in front of the front, go from the protruding part of the nose to the lobe of the vuha, and go from the lobe to the sword-like protuberance of the sternum. 2 mitts are applied to the tube.

The nasogastric tube is attached, as they could bachiti on the heroes, as they were in the com. Filmmakers, bazhayuchi convey all the epicness of the moment, "cram" the actor-patient with funny medical stuff. The first probe, which can be seen looking like a pair of thin tubes, which can be blown into nis, at least one for the beloved ones. If you want, for the sake of truth, you should not be expected to get up, but for the sake of this you will need serious information.

In some cases, a shutter probe will be inserted

It is not necessary to be a physician, but close to the nobility, for whom a nasogastric tube serves. To that, this is the meaning of the sound of the name itself. At the crossbar from Latin nasus - price n_s, and gastritis from walnuts - slunk. In order to pass the probe through the nasal passages, go into the drainage pipe, and in the place where it is located, it can be fed through the new food and medication.

Basically, it is shown before the probe is zasosuvannya - the unhappiness of hacking spontaneously. And you can get stuck in different vipads.

• Gostry pancreatitis.
• Fistulas in stravohods.
• Zvuzhennya stravohodu, enough for installation with podovzhuvach.
• Injuries to the abdomen, pharynx, abo move.
• Perebuvannya patient in the com.
• Vidmova from the life and life of the necessary medications in case of mental breakdowns.
• Destruction of kovtal ї funktsії through urazhennya nerve endings (also buvaє, for example, sending an insult).
• Postoperative period of time surgical engagement on the slunker, intestines, slurry.

Until the speech! The supply of medications and medications to the slunker is not the only function of the probe. Win can be done in a zorotny bik. The first one is installed for draining the empty slurry, so that for the removal of the third side, for example, for an hour or even for empty operations on the slurry-intestinal tract.

Robotic probe principle

Slurry probe photo

The nasogastric tube is prepared from non-toxic PVC or silikon, which is resistant to infusion of shlunk juice.

The tube is empty and thin, and the tube passes through the natural channels of the human body. Ale, at the same hour, it was impossible to miss the birth of the day and the likarski roschini.

The probe is placed in the shlunnaya, stand on lines from 2 to 3 types, in the fallowness according to the material of the preparation. Let's get a glimpse of something new and a new one.

Probe positioning, algorithm

The procedure for installing a loan is 5-10 quilins in total. It won't be painful for the patient, if you respectfully listen to the doctor and destroy everything, like that. Discomfort, zychayno, not unique, altogether tolerable.

Before that, like the installation of a nasogastric tube, the patient will be given a discussion, in the course of which one should be given the need for a system of manipulation and the possibility of inheritance at the time of the introduction of the tube. Having got rid of the year, it is necessary to carry out a small instruction with the patient, explaining how you need to conduct yourself in the course of the procedure. Let's fix the manipulation.

1. Ask the patient to hang up, clean the noses and go.
2. Then the wine is curled up by the skin nizdryu, sob to change, through which they will pass more and more.
3. Dovzhina tubes are developed individually for skin people.
4. The tip of the probe is covered with glucerin for greater movement and reduction of the patient's discomfort.
5. The tube should be inserted approximately 15 cm. Then the patient should ask him to come to the house, so that he will be taken away for a while. For the sake of vitality, people give water to drink through a straw.
6. For the installation, reconsider the patient's state of affairs in a dichotomy, to find out about his stance and vision. Everything is fine, you can start before the first year.

Until the speech! The introduction of the probe is carried out in the position of the sitting-on-bed. The most anatomical position was given, in the first step of the tube it was not crooked.

For the children, who are in a very important or unrecognizable camp, all the trials are in the same way. The stench can’t help the likar to learn about his ideas, and so the likar is brought up to the day in an intuitive way. In extreme cases, if in humans there is a serious nasal movement, stravohid or shlunks, the installation of the probe is carried out under ultrasound control.

Blowing through a nasogastric tube

Harchuvannya zdіysnyuya from tієyu periodically, as I will install a lіkuyuyu lіkar. Patients in the comi will be happy to grow up. Also, hto be in svidomosty, you can regularly see hunger, that year, the patient's bath through the probe is healthy, minimum, 3 times a day. Yak old-fashioned summies vikoristovuyut zvychaynuyu, only rubbed or diluted with water to the camp of ridini. You can buy milk, or tops, bouillon, vegetable soups, jelly, fruit juices, tea.

Until the speech! Oskilki zhivilny probe zanadto thin and you can not miss deyakі vidіzhі, to the summit it is necessary to add vitamins, as the patient can not be removed through the grub.

Living sums are served for an additional syringe. Vin is inserted into the tip of the probe. During the year when and after the introduction of the tube, the tube must be rinsed with warm boiled water. One hour tse pitvo for a patient. For all manipulations, the tip of the probe should be closed with a plug, so that the saws and third-party objects are not drilled at the shutters.

Can be accelerated for installation

Be-yak medical manipulation is tied with the riziks. If the technique of insertion of a nasogastric tube is repeatedly applied, it should not be accelerated. Most often bleeding occurs when the mucous membranes are tied for an hour after the tube is passed along the paths, or as a result of nasal decubitus ulcers. The unserious quickeners also see the throat (pharyngitis, tracheitis), which is why the patient of the throat sounds. And it is still not easy to develop reflux-esophagitis - the consumption of shlunkovy instead of a stravohid.

More serious acceleration of the installation of the probe є piercing (cutting of the stinks) to the stravocut, pneumothorax i Infectious diseases in viglyadi abscesses of the larynx or the pharyngeal dilyanka. Such inheritance is a trivial love affair, right up to the need for an operation.

To make it possible to minimize the possibility of increasing the patient's comfort and comfort before the hour of the installation of the probe, in addition to the professionalism of the medical staff, and in addition to observing all the rules of the procedure. The patient himself can accept all the medical recommendations without any changes.