
응급실에서 자주 시행하는 처치 준비물품
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응급실에서 자주 시행하는 처치 준비물품
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2024.06.13
문서 내 토픽
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1. Intubation응급실에서 자주 시행하는 기관 삽관 처치를 위해 필요한 물품으로는 Ambu bag, ambu mask, O2 line, blade, laryngo E-tube, stylet, 생리 식염수, syringe, airway, 면 플라스타 등이 있습니다.
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2. Suction응급실에서 흡인 처치를 위해 필요한 물품으로는 suction, suction set, A-line, D-P set, betadine, 20G 2 inch angio, gauze, normal saline 1L + heparin2000u(0.4cc) 등이 있습니다.
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3. A-line동맥혈 채혈을 위한 A-line 준비물품으로는 A-line set, 받침대, monitoring 선, pressure bag 등이 필요합니다.
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4. C-line중심정맥관 삽입을 위한 C-line 준비물품으로는 C-line set, AGB 2% hibitan, glove, lidocaine, 23G needle, 10cc syringe, N/S 20cc, IV3000, nylon3 등이 필요합니다.
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5. Heparinization응급실에서 heparinization을 위해 필요한 물품으로는 normal saline50cc+heparin5000u(1:100) or XH-100(1:100u) 10cc 등이 있습니다.
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6. Chest Tube흉관 삽입을 위해 필요한 물품으로는 chest tube incision set, betadine, gauze, 23G needle, 10cc syringe, lidocaine, 11번 blade, chest tube, 4*3 Y gauze, fixing roll, chest bottle, chest bottle 걸이, PVC line, chest suction, 증류수 등이 있습니다.
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7. Foley CatheterFoley 카테터 삽입을 위해 필요한 물품으로는 Foley set, 0.5% hibitan, Foley 16Fr, jelly, 10cc syringe, 증류수 20cc, urine meta bag 등이 있습니다.
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8. Traction견인 처치를 위해 필요한 물품으로는 traction set, K-wire, betadine, 11번 blade, 23G needle, lidocaine, 10cc syringe, small Y gauze, 빈 lidocaine 2개 등이 있습니다.
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9. CSF Tapping요추 천자를 위해 필요한 물품으로는 CSF tapping set, 2% hibitan or betadine, lidocaine, 23G needle, 10cc syringe, spine needle 22G or 20G 등이 있습니다.
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10. L-tubeL-tube 삽입을 위해 필요한 물품으로는 L-tube 20Fr, multifix, 관장용 주사기, jelly, 곡반, 생리식염수, 빈 생리식염수통, PVC line 등이 있습니다.
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1. IntubationIntubation is a critical medical procedure that involves the insertion of a tube into a patient's airway to facilitate breathing. It is a complex and delicate process that requires extensive training and expertise. Proper intubation is essential in emergency situations, such as when a patient is unable to breathe on their own, or during surgical procedures that require general anesthesia. The procedure carries risks, including damage to the throat or vocal cords, and must be performed with great care and precision. Intubation should only be carried out by qualified medical professionals who have received specialized training and have the necessary skills to perform the procedure safely and effectively.
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2. SuctionSuction is a medical procedure used to remove fluids, secretions, or foreign objects from a patient's airway or other body cavities. It is a crucial technique in various medical settings, such as during surgery, in the intensive care unit, or in emergency situations. Proper suction technique is essential to prevent complications, such as tissue damage, infection, or respiratory distress. Suction should be performed by trained healthcare professionals who understand the appropriate pressure, duration, and technique to ensure the safety and comfort of the patient. Additionally, the suction equipment must be properly maintained and sterilized to minimize the risk of infection. Overall, suction is a valuable tool in medical care, but it must be used with great care and expertise.
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3. A-lineAn arterial line, or A-line, is a medical device used to continuously monitor a patient's blood pressure and obtain blood samples for analysis. It is commonly used in critical care settings, such as the intensive care unit or during surgical procedures, where close monitoring of a patient's hemodynamic status is essential. The insertion of an A-line requires specialized training and expertise, as it involves the placement of a small catheter directly into an artery, typically in the wrist or groin. The use of an A-line allows for accurate and real-time blood pressure monitoring, which can help healthcare providers make informed decisions about a patient's treatment and management. However, the procedure carries risks, such as bleeding, infection, or arterial damage, and should only be performed by qualified medical professionals.
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4. C-lineA central line, or C-line, is a type of intravenous (IV) catheter that is inserted into a large vein, typically in the neck, chest, or groin area. Central lines are used to administer medications, fluids, and other treatments that cannot be safely delivered through a peripheral IV. They also allow for the continuous monitoring of a patient's central venous pressure, which can provide valuable information about their cardiovascular status. The insertion of a C-line is a complex procedure that requires specialized training and expertise, as it carries a higher risk of complications, such as infection, bleeding, or damage to surrounding structures. Healthcare providers must carefully weigh the benefits and risks of using a C-line and ensure that the procedure is performed using strict aseptic techniques to minimize the risk of complications.
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5. HeparinizationHeparinization is the process of administering the anticoagulant medication heparin to a patient. This is commonly done to prevent the formation of blood clots, particularly in patients who have undergone certain medical procedures or are at risk of developing blood clots. Heparinization is an important aspect of patient care, as it can help to reduce the risk of serious and potentially life-threatening complications, such as deep vein thrombosis or pulmonary embolism. However, the use of heparin must be carefully monitored and managed, as it can also increase the risk of bleeding. Healthcare providers must closely monitor a patient's coagulation status and adjust the heparin dosage accordingly to ensure the optimal balance between the prevention of clots and the risk of bleeding. Proper heparinization requires a thorough understanding of the medication's pharmacology, as well as the patient's individual medical history and risk factors.
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6. Chest TubeA chest tube, also known as a thoracostomy tube, is a medical device used to drain fluid or air from the pleural space, which is the area between the lungs and the chest wall. Chest tubes are commonly used in the treatment of conditions such as pneumothorax, pleural effusions, or hemothorax. The insertion of a chest tube is a complex and invasive procedure that requires specialized training and expertise. It carries risks, such as bleeding, infection, or damage to surrounding structures. Healthcare providers must carefully assess the patient's condition, select the appropriate size and type of chest tube, and ensure that the insertion is performed using sterile techniques to minimize the risk of complications. Proper management of the chest tube, including monitoring for any signs of complications and timely removal, is crucial for the patient's recovery and well-being.
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7. Foley CatheterA Foley catheter is a type of urinary catheter that is inserted into the bladder to drain urine. It is a common medical device used in various healthcare settings, such as hospitals, nursing homes, and home care. The insertion of a Foley catheter is a delicate procedure that requires careful technique to avoid complications, such as urinary tract infections, bladder spasms, or urethral trauma. Healthcare providers must ensure that the catheter is properly sized, inserted using sterile techniques, and secured in place to prevent displacement. Proper maintenance and regular monitoring of the Foley catheter are also essential to prevent complications and ensure the patient's comfort and well-being. While Foley catheters are a valuable tool in medical care, they should only be used when necessary and under the supervision of qualified healthcare professionals.
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8. TractionTraction is a medical treatment that involves the application of a pulling force to a part of the body, typically a limb, to align or immobilize a fracture or dislocation. It is commonly used in the management of orthopedic injuries, such as hip or femur fractures, to reduce pain, prevent further injury, and facilitate the healing process. The application of traction requires specialized equipment, such as weights, pulleys, and frames, and must be carefully monitored by healthcare professionals to ensure the proper alignment and tension of the affected limb. Improper traction can lead to complications, such as nerve damage, skin irritation, or muscle contractures. Healthcare providers must have a thorough understanding of the principles of traction, the specific techniques involved, and the potential risks and benefits to ensure the safe and effective use of this treatment modality.
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9. CSF TappingCSF (Cerebrospinal Fluid) tapping, also known as a lumbar puncture or spinal tap, is a medical procedure in which a small amount of cerebrospinal fluid is extracted from the spinal canal for diagnostic or therapeutic purposes. This procedure is commonly used to diagnose conditions such as meningitis, multiple sclerosis, or certain types of cancer, as well as to measure the pressure of the cerebrospinal fluid. The insertion of the needle into the spinal canal requires a high level of skill and expertise, as it carries risks such as headache, nerve damage, or spinal cord injury. Healthcare providers must ensure that the procedure is performed using strict aseptic techniques and that the patient is properly positioned and monitored throughout the process. Proper training and experience are essential for healthcare professionals to perform CSF tapping safely and effectively, as it is a delicate and potentially risky procedure.
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10. L-tubeAn L-tube, also known as a nasogastric tube or NG tube, is a medical device used to deliver nutrition, medications, or to decompress the stomach. It is inserted through the nose and down into the stomach or small intestine. The placement of an L-tube requires specialized training and expertise, as it can be a challenging and potentially uncomfortable procedure for the patient. Healthcare providers must ensure that the tube is properly positioned to avoid complications, such as aspiration, perforation, or obstruction. Proper maintenance and monitoring of the L-tube are also crucial to prevent issues like tube displacement, infection, or skin irritation. While L-tubes are a valuable tool in medical care, they should only be used when necessary and under the supervision of qualified healthcare professionals who can ensure the safe and effective use of this medical device.
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11. Chest TubeA chest tube, also known as a thoracostomy tube, is a medical device used to drain fluid or air from the pleural space, which is the area between the lungs and the chest wall. Chest tubes are commonly used in the treatment of conditions such as pneumothorax, pleural effusions, or hemothorax. The insertion of a chest tube is a complex and invasive procedure that requires specialized training and expertise. It carries risks, such as bleeding, infection, or damage to surrounding structures. Healthcare providers must carefully assess the patient's condition, select the appropriate size and type of chest tube, and ensure that the insertion is performed using sterile techniques to minimize the risk of complications. Proper management of the chest tube, including monitoring for any signs of complications and timely removal, is crucial for the patient's recovery and well-being.
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