각종 카테터 간호관리

문서 내 토픽

1. L-TUBE

L-TUBE는 경장영양 공급, 위 내의 내용물과 가스 및 수술 후 분비물 제거, 오심과 구토 경감을 위해 사용됩니다. 삽입 시 주의사항으로는 대상자의 자세 유지, 삽입 길이 측정, 비강 선택, 윤활제 사용, 삽입 과정 및 위치 확인 등이 있습니다. 삽입 금기증으로는 안면외상, 기저 두개골 골절, 부식성 물질 섭취 후 식도 손상 등이 있습니다. 간호관리로는 불편감 호소 시 가글 제공, 정기적 튜브 교환, 개방성 및 위치 확인, 피부 손상 예방 등이 필요합니다.
2. L-TUBE FEEDING

L-TUBE 급식 시 주의사항으로는 대상자를 30-45도 각도로 head up 자세 유지, 위관의 위치 확인, 실온 정도의 온도로 음식물 주입, 잔유량 확인, 주입 전후 및 약물 투여 전후 물 주입, 관 폐색 및 세균성장 예방, 간헐적 점적식 방법 사용, 경장영양 후 반자위 자세 유지 등이 있습니다.
3. L-TUBE IRRIGATION

L-TUBE 세척의 적용 목적은 지속적인 구토, 위 내용물 제거, 위상부 출혈 확인, 약물 중독 시 활성탄 투여 등입니다. 준비물로는 크린조, 관장용 주사기, 글러브 등이 필요하며, 처치 방법으로는 좌측 횡와위 자세, 크린조 주입 및 배출, 주입량과 배출량 관찰 등이 포함됩니다.
4. L-TUBE DRAINAGE

L-TUBE 배액의 적용 목적은 수분 및 가스 배출을 통한 구토 방지, 폐쇄를 야기하는 부종 감소, 장 폐색 예방 등입니다. 주의사항으로는 환자 이동 시 잠그기, 약물 투여 후 배액 중단, 활동 제한 없도록 고정, 배액관 위치 확인 등이 있습니다.
5. DRAINAGE SYSTEM

배액 시스템에는 JP-BAG, HEMO-VAC, PENROSE, PCD 등 다양한 종류가 있으며, 배액량, 배액물의 성상(장액성, 혈액성, 화농성 등), 압력(양압, 음압, 자연압) 등을 고려하여 선택합니다. 배액관 관리 시 흡인기와 튜브 연결부 확인, 배액량 및 양상 기록, 배액관 삽입부위 사정, 고정 등이 필요합니다.
6. FOLEY CATHETERIZATION

도뇨관 삽입의 적용 목적은 시간당 소변량 측정, 의식 없는 대상자의 정확한 배설량 측정, 장시간 전신마취 시 오염 방지, 실금 대상자의 피부 손상 예방, 방광 세척 등입니다. 삽입 시 성별에 따른 도뇨관 크기와 삽입 길이, 소독 방법, 삽입 순서 등을 고려해야 합니다. 간호관리로는 소변백 위치, 소변량 및 양상 관찰, 감염 예방, 정기적 교환 등이 필요합니다.
7. FOLEY CATHETERIZATION IRRIGATION

도뇨관 세척의 준비물로는 드레싱 세트, 생리식염수, 멸균장갑 등이 필요하며, 처치 방법으로는 도뇨관 클램프, 생리식염수 주입 및 배출, 용액이 깨끗해질 때까지 반복 등이 포함됩니다. 지속적 방광 세척 시에는 3way 도뇨관을 사용하여 처방에 따른 주입 속도로 세척을 시행합니다.

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1. L-TUBE

L-tube is a type of feeding tube that is inserted through the nose or mouth and passed down into the stomach or small intestine. It is commonly used for patients who are unable to eat or drink normally, such as those with swallowing difficulties, severe malnutrition, or certain medical conditions. The L-tube allows for the delivery of liquid nutrition, medications, and fluids directly into the digestive system, bypassing the mouth and throat. Proper placement and maintenance of the L-tube are crucial to ensure safe and effective feeding, as improper use can lead to complications such as aspiration, infection, or tube displacement. Healthcare professionals must be trained in the proper techniques for inserting, securing, and caring for L-tubes to minimize risks and optimize patient outcomes.
2. L-TUBE FEEDING

L-tube feeding, also known as enteral feeding, is a method of providing nutrition directly into the gastrointestinal tract when a patient is unable to eat or drink normally. This type of feeding can be beneficial for patients with various medical conditions, such as stroke, cancer, or neurological disorders, who have difficulty swallowing or have increased nutritional needs. L-tube feeding can help maintain or improve a patient's nutritional status, prevent weight loss, and support overall health and recovery. However, it is important to carefully monitor the patient's tolerance and response to L-tube feeding, as well as to follow proper protocols for administering the feedings to minimize the risk of complications, such as aspiration, diarrhea, or tube displacement. Healthcare professionals must be trained in the appropriate techniques and work closely with the patient and their caregivers to ensure the safe and effective use of L-tube feeding.
3. L-TUBE IRRIGATION

L-tube irrigation is a procedure used to maintain the patency and proper functioning of a feeding tube, such as an L-tube, that has been inserted into a patient's gastrointestinal tract. The process involves flushing the tube with a sterile saline solution to prevent clogging, remove any accumulated secretions or debris, and ensure the tube remains open and unobstructed. Proper L-tube irrigation is essential to prevent complications, such as tube blockage, infection, or malnutrition, and to ensure the patient receives the necessary nutrition and hydration. Healthcare professionals must be trained in the correct techniques for L-tube irrigation, including the appropriate volume and frequency of flushing, to ensure the safety and effectiveness of the procedure. Regular L-tube irrigation, along with proper tube care and maintenance, can help optimize the patient's overall health and well-being during enteral feeding.
4. L-TUBE DRAINAGE

L-tube drainage refers to the process of removing fluids or other substances from the gastrointestinal tract through a feeding tube, such as an L-tube. This procedure may be necessary for patients with certain medical conditions, such as intestinal obstruction, pancreatitis, or gastroparesis, where the accumulation of fluids or other materials in the digestive system can cause discomfort, nausea, or other complications. L-tube drainage allows for the controlled removal of these substances, helping to alleviate symptoms and support the patient's overall health and recovery. Healthcare professionals must be trained in the proper techniques for L-tube drainage, including the appropriate use of suction equipment, the monitoring of drainage output, and the maintenance of the drainage system to prevent infection or other complications. Proper L-tube drainage is an important component of comprehensive gastrointestinal care and can play a crucial role in the management of various medical conditions.
5. DRAINAGE SYSTEM

A drainage system is a critical component of various medical procedures and treatments, including those involving feeding tubes like the L-tube. The drainage system is responsible for the controlled removal of fluids, secretions, or other materials from the body, helping to prevent complications and support the patient's overall health and recovery. Effective drainage systems can be used in a variety of settings, such as in the management of intestinal obstructions, pancreatitis, or other gastrointestinal conditions, as well as in the management of wound care or the removal of excess fluid buildup. Healthcare professionals must be trained in the proper setup, maintenance, and monitoring of drainage systems to ensure their safe and effective use. This includes understanding the appropriate types of drainage equipment, the proper techniques for connecting and securing the system, and the necessary precautions to prevent infection or other complications. Proper drainage system management is a crucial aspect of comprehensive patient care and can have a significant impact on patient outcomes.
6. FOLEY CATHETERIZATION

Foley catheterization is a medical procedure in which a flexible tube, known as a Foley catheter, is inserted into the bladder to drain urine. This procedure is commonly used for patients who are unable to urinate on their own, such as those with certain medical conditions or those recovering from surgery. Proper Foley catheterization is essential to prevent complications, such as urinary tract infections, bladder spasms, or catheter-associated urinary tract infections (CAUTIs). Healthcare professionals must be trained in the correct techniques for inserting and maintaining Foley catheters, including the appropriate use of sterile techniques, the monitoring of urine output, and the proper care and maintenance of the catheter and drainage system. Effective Foley catheterization can help maintain the patient's bladder health, prevent complications, and support overall well-being during their medical treatment or recovery.
7. FOLEY CATHETERIZATION IRRIGATION

Foley catheterization irrigation is a procedure used to flush and maintain the patency of a Foley catheter, which is a flexible tube inserted into the bladder to drain urine. This irrigation process involves the instillation of a sterile saline solution through the catheter to remove any debris, blood clots, or other materials that may be obstructing the flow of urine. Proper Foley catheterization irrigation is essential to prevent complications, such as catheter blockage, urinary tract infections, or bladder spasms. Healthcare professionals must be trained in the correct techniques for performing this procedure, including the appropriate volume and frequency of irrigation, the use of sterile techniques, and the monitoring of the patient's response. Effective Foley catheterization irrigation can help maintain the integrity of the urinary drainage system, support the patient's overall bladder health, and minimize the risk of complications during the use of a Foley catheter.

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