呼吸机的操作指南

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                    <p><strong style="color: rgb(32, 32, 32); font-family: Arial, Helvetica, sans-serif; font-size: 12px; line-height: 20px; white-space: normal; background-color: rgb(255, 255, 255);">一、应用</strong><span style="color: rgb(32, 32, 32); font-family: Arial, Helvetica, sans-serif; font-size: 12px; line-height: 20px;  background-color: rgb(255, 255, 255);"></span></p><p>1、评估患者，准备用物。</p><p>2、洗手携用物至患旁，核对，向患者及家属解释。</p><p>3、帮助患者取平卧位。</p><p>4、安装呼吸机<br  />    （1）检查、连接氧气气源<br  />    （2）连接电源或电池<br  />    （3）连接呼吸机管道及集液瓶<br  />    （4）接好呼吸机主机、空气压缩泵<br  />    （5）安装和调节湿化器并开机<br  />    （6）安装和调节可伸缩的万向支架<br  />    （7）使用呼吸机推车，将呼吸机推至患者床旁<br  />    （8）连接模拟肺，用呼吸囊与吸机连接试行通气，并确认呼吸机工作状态</p><p>  （9）接通气源，开机测试</p><p>5、根据患者病情调节好呼吸机的各项参数，确定报警值。</p><p>6、连接呼吸机的回路与患者气管插管或面罩。</p><p>7、观察患者的病情、呼吸机的使用情况并及时记录。</p><p>8、人工通气20分钟后做血气分析检查。</p><p>9、检查呼吸回路的工作情况。</p><p>10、清理呼吸机回路中集液瓶内的积液。</p><p>11、每日冲洗呼吸机上的过滤网。</p><p>12、必要时做气道护理。<br  /> </p><p><strong>二、撤离</strong></p><p>1、评估患者，准备用物。</p><p>2、洗手携用物至患旁，核对，向患者及家属解释。</p><p>3、试行撤离呼吸机：<br  />    （1）若无同步间歇指令通气模式，则辅助呼吸机5次/分维持1小时以上，没有呼吸困难征象、通气和氧和指标均正常时可停用<br  />    （2）早自主呼吸基础上的压力支持通气，白天做间歇辅助呼吸，加强自主呼吸，逐渐延长间歇时间。</p><p>4、撤离呼吸机：</p><p>（1）将呼吸机的螺纹管与患者的气管插管、气管导管断开，关机<br  />（2）关闭气源<br  />（3）断开电源</p><p>5、做好空腔护理。</p><p>6、整理用物。</p><p>7、清洁、消毒呼吸机、氧气源以及呼吸回路等。</p><p style=""><img src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0" data-ratio="0.14784394250513347" data-w="487" width="auto" width="auto" src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0?tp=webp" style="margin: 0px; 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