简易呼吸器的操作流程（Operation procedure of simple respirator）

简易呼吸器的操作流程（Operation procedure of simple respirator） 简易呼吸器的操作流程(Operation procedure of simple respirator) Operating procedure of simple respirator Table top, right to left wrench, kettle, humidifier, flow meter, chest, easy respirator The right drawer connection tube, the left drawer glove, four headband, in the curved plate is filled with gauze piece Treatment vehicles have hand wipe liquid, there is dirt box step 1 check the object, look at the desktop, open the drawer to see 2 wash your hands with a mask The 3 cart assembly will comeback simple respirator RESPIRATOR gas bag folded (at the same time will add to mask) treating plate connecting pipe into the right side of the car to check the drawer treatment wet bottle is valid and has no wet out humidification bottle and the inner core, the inner core of the hand holding the left hand holding the flow meter is connected in the core and the humidification bottle, put in the treatment tray (and the right hand to take the kettle and check water into steam treatment, both hands take out) gloves, four headband (concave upward), in the treatment of the car left the drawer, bending disc and gauze in the treatment of disc, finally put on the kettle under the wrench. The 4 cart to bedside oral blood pressure, pulse oxygen was decreased, shaking the shoulders of the patient (oral you) left hand to nerve compression were confessed, around the turn of one hand see pupils of patients (a total of 10 seconds) in patients with oral complexion, mouth cyanosis, single hand two fingers (index finger) from the throat section left neck artery and head to touch the breath sounds (10 seconds), patients with oral breathing sound weak oral come watch. 5 hands open the quilt, unlock clothes, trousers with the left hand to hold the right hand to the head pillow (pillow Kennedy put in bed) head to one side, the left hand with gloves, gauze wrapped around his left index finger middle finger on the right hand to take the bending plate to the patient, the mouth (curved disc to quarrel, not too close to the left). Two fingers into the patient's mouth from top to bottom around the right hand and fixed with the back of the head, remove gloves and gauze is arranged on the bending disc (with no oral oral denture) hands on patients, two ears, reduction of patients with head bowed pan on the car dirt treatment box 6 to remove the oxygen mask, Die good on the bedside table, with the oxygen environment surrounding oral safety, no fire, oxygen switch (red dust) The flow from the spanner to screw flow meter (wrench back to get back, remove wet bottle), left hand holding the right hand hold water kettle humidification bottle can not be too full to prevent (water washed oxygen oxygen into the connecting pipe, and humidification bottle 1 / 2 or 1 / 3, can thumb as the standard), then humidification bottle, small switch, open the switch, the switch to open a small test of oxygen, off a small switch, remove the connecting pipe, the connecting pipe is connected to the flow meter, small switch, adjust the flow to 10 / L (8-10 / L) Connect the other end of the connecting pipe to the intake valve of the simple respirator (at the same time expand the oxygen storage bag downward to fill oxygen) 7 to the end of the bed after hands (from the wall broaching machine 40-50 cm), left four right hand on the headband, expand patients bed, left hand holding the right hand four patients head down to patients with cerebral headband, (to put in four with the gap at the ears shall prevail), take the mask to the patient nose and mouth (pointed upward), the mask (first on the proximal side of unilateral cross fixation), open airway (right hand on the left mandibular fixed with forehead back down), take the simple respirator, left Ec method fixed (three fingers fixed under the mask, Xi) right hand simple respirator connection, right hand squeeze ball front, with a a cycle of 4 seconds for the quasi (call / absorption ratio of 1:1.5, which is crowded / release for 1.5:2.5 seconds), 1 minutes of 15 cycles (12-16 / min, each squeeze gas is 500-1000ML), and observe the thorax after 15 cycles of ups and downs, not loose, suffering from oral Blood pressure, pulse oxygen normal complexion, lips, rosy, separation of mask and simple respirator, small switch, and the right hand holding his left hand simple respirator, separate connecting pipe connected to the flow meter, winding connecting pipe, the connecting pipe and simple respirator on treatment of disc, reset the head of a patient, unlock four headband, remove the mask put in the car, under the treatment of dirt inside the box, right up, left hand to pull four fold on the treatment of the car head, under the dirt box, reducing pillow (right hand left hand to pull up the pillow), clothes, pants, observation of nail bed (thumb pressing light), the temperature of the hand, Oral patient a bed turn red, limb warm, cover quilt, tidy bed unit, push bed till bed end. 8 turn off switch, open small switch, put off oxygen, remove wet bottle, use wrench to loosen flow meter, take down flow meter, cover oxygen cover, 9 wipe your hands, explain, Hello, XX bed, xxX, do you feel all right? If something happens, please answer the call in time. I'll come to see you anytime. 10 cart to therapeutic room, restore gloves, return to the left drawer, and then restore the wrench and kettle to the desktop, 11 disposal room, pour the living garbage, flow meter (75% alcohol wipe), humidification bottle and connecting pipe to send disinfection supply room. The separation of simple respirator box (in addition to the oxygen storage bag with 75% alcohol wipe, all with 2% glutaraldehyde for 4-8 hours after distilled water rinse, dry, spare) car dirt box four headband (2% glutaraldehyde for 4-8 hours after distilled water rinse, dry standby), mask (75% alcohol cleaning, wipe). 12 wash hands with flowing water, record the rescue time and process, and finish the operation Simple respirator disassembly and assembly pretend 1 installation of the intake valve gasket, intake valve gasket components installed, the right hand holding the ball, the left hand three fingers (thumb, index and middle fingers) fixed into the lower end of the sphere, pull it out, with another part of the intake valve in the outer screw, check ball, gently squeeze the ball, ball end good oral examination, the intake valve, the upper right hand left hand over the ball, squeeze the ball without leakage, oral intake valve. 2 one-way valve installed to install the safety valve installed duckbill valve, connected to the ball front, check to see whether the extrusion ball duckbill valve open, open the table that is in good condition, oral duckbill valve intact; the right hand squeeze ball to discourage sound, normal oral safety valve Turn off the safety valve, the left hand covers the front of the ball, the right hand squeeze the ball without leakage, and the oral safety valve is in good condition. Finally release the relief valve 3 install the oxygen storage valve, first install the safety film, the tip is downward, another safety film is equipped with the oxygen storage bag, and the interface tip is downward, The oxygen storage bag installed connected to the one-way valve outlet, squeeze three times sphere (to the oxygen storage bag filled with oxygen), check the oxygen storage bag, reflexed in front of the oxygen storage bag, hand gently squeeze the oxygen storage bag, no leakage, oral oxygen storage bag intact; check the safety film, a hand covered oxygen storage valve the front end, the other hand from the bottom upward extrusion oxygen storage bag, and observe the safety film without flap (flap in safety film well) oral oxygen oxygen storage safety valve membrane intact 4 oxygen gas valve again connected to the valve outlet, squeeze three times sphere (to the oxygen storage bag filled with oxygen), filled the oxygen storage bag folded to the intake valve outlet, squeeze three times ball, observation of oxygen in the oxygen storage bag is reduced, said air intake valve intact, oral intake valve the inlet condition, 5 install the simple breathing apparatus, one-way valve, air outlet, face mask, left hand palm cover mask, squeeze simple respirator, oral mask intact. 6 separating mask and respirator to the therapeutic tray Remove 1 first oxygen storage valve and simple respirator separation, folding oxygen storage, first break the lid, and then extended out of the index finger in the oxygen storage valve or middle finger in the interface, pull out the safety film, separation 2 one-way valve first one-way valve and simple respirator separation, separation of the above safety valve, and then take out the duckbill valve 3, the intake valve first air intake valve and simple respirator separation, extend three points in the sphere, pull it out, separation gasket All the broken parts are put in the box Install and inspect simple respirator airbag I. intake valve section Install intake valve gasket, valve, ball into extrusion (oral: ball left intact) block above the ball outlet again squeeze sphere, to have no leakage (oral intake of intact) Two: check valve part Safety valve and upper duckbill valve, one-way valve connected to a sphere above, extrusion sphere, observation of the duckbill valve is open (oral: duckbill valve to block the left intact) one-way valve outlet, to the safety valve if there are gas outflow (oral: safety valve, safety valve normally discouraged) will be closed again with the left block through the one-way valve outlet, feel resistance, No gas flow (oral: safety valves are closed) - open safety valves Three: oxygen storage valve The safety valve, gas valve membrane will place a one-way valve outlet, the ball 3 times, stuck to the extrusion outlet gas valve gently squeeze the oxygen storage bag, leak check (oral: oxygen storage bag, intact) hand over the gas storage valve port, a hand from the bottom of the extrusion oxygen storage bag, observe the reservoir oxygen valve safety film activity (oral: oxygen reservoir safety film, gas valve intact) once again placed a one-way valve outlet, squeeze ball 3 times, the gas outlet valve stuck immediately connected to the air inlet after extrusion ball 3 times, observe the gas oxygen storage bag is reduced with the extrusion ball (intake valve: oral intake intact) Four: Mask The EC technique takes the mask to the left end of the one-way valve, then puts the left hand in the air and presses the palm gently. (orally: the mask is in good condition) take the lower cover and put it on the treatment tray