口腔护理并发症

口腔护理并发症 口腔护理操作并发症处理 (一) 窒息 立即停止操作 迅速有效清除吸入的异物 如异物已进入气 管，病人出现呛咳或呼吸受阻 先用粗针头在环状软骨下1-2cm 出刺入气管 争取时间气管插管 在纤维支气管镜下取异物， 必要时气管切开。 (二) 吸入性肺炎 已出现肺炎的病人 合适的抗生素抗感染治疗 对症处理 高热使用物理降温或用退热剂 气急、紫绀可给氧气吸入 咳嗽、咳痰可用镇咳剂。 200 Yuan, construction person in charge a fine of 50 Yuan. (8) no permit to work and the job in accordance with the provisions, on the job unit fined 300 yuan, the unit will charge a fine of 100 Yuan. 7.5.3 accident penalties (1) injuries fatalities directly punished 1~2 million. Direct responsibility for the accident and have the corresponding responsibility of leadership, such as concerning administrative sanctions, should be brought to the company or the relevant Department. (2) personal injury accident occurred, the direct punishment 0.5-10,000 yuan, responsible for the direct responsibility for the accident and the responsibility of leadership, such as concerning administrative sanctions should be dealt with by the personnel Department of the company. (3) personal injury accident occurs, the direct punishment 500-1000, who is directly responsible for the accident responsibility, give notice of criticism and 50-100 economic sanctions against them. (4) to conceal the accident, reported without undue delay or false, to inform the administrative leadership of the criticism, resulting in serious consequences, the pursuit of leadership, along with 500-1000 punishment. (5) significant near miss should be attempted as the case of responsible for the accident and construction team injuries accident penalty provisions, mutatis mutandis. Eight, should perform in the construction standards and specifications, serial number a 1 GB3323-2005 steel fusion welded butt joints, welding engineering-Ray lighting and quality rating of 2 GB11345-89 steel welds manual methods of ultrasonic inspection and testing results for grade 3 GB50236-2002 industrial pipe welding engineering code for construction and acceptance of field equipment 4 HGJ222-92 technical specification for welding of aluminium and its alloys 5 low temperature 静脉输液操作并发症处理流程 (一) 急性肺水肿 立即减慢或停止输液 病情允许取端坐卧位 高浓度给氧(50% —70%酒精湿化后吸入) 必要时进行四肢轮扎 酌情给予强心剂、利尿剂。 (二) 静脉炎 停止在患肢静脉输液 患肢抬高、制动 局部热敷(50%硫酸镁湿热敷) 如合并全身感染，应用抗生素治疗。 (三) 空气栓塞 发生空气栓塞 立即将病人置于左侧卧位或头低足高位 有条件者可通过中心静脉导管抽出空气 立即给予高流量氧气吸入 密切观察病情，及时对症处理。 (四) 血栓栓塞 发生血栓栓塞 停止在患肢输液 抬高患肢、制动 局部热敷或理疗 严重者手术切除栓子。 200 Yuan, construction person in charge a fine of 50 Yuan. (8) no permit to work and the job in accordance with the provisions, on the job unit fined 300 yuan, the unit will charge a fine of 100 Yuan. 7.5.3 accident penalties (1) injuries fatalities directly punished 1~2 million. Direct responsibility for the accident and have the corresponding responsibility of leadership, such as concerning administrative sanctions, should be brought to the company or the relevant Department. (2) personal injury accident occurred, the direct punishment 0.5-10,000 yuan, responsible for the direct responsibility for the accident and the responsibility of leadership, such as concerning administrative sanctions should be dealt with by the personnel Department of the company. (3) personal injury accident occurs, the direct punishment 500-1000, who is directly responsible for the accident responsibility, give notice of criticism and 50-100 economic sanctions against them. (4) to conceal the accident, reported without undue delay or false, to inform the administrative leadership of the criticism, resulting in serious consequences, the pursuit of leadership, along with 500-1000 punishment. (5) significant near miss should be attempted as the case of responsible for the accident and construction team injuries accident penalty provisions, mutatis mutandis. Eight, should perform in the construction standards and specifications, serial number a 1 GB3323-2005 steel fusion welded butt joints, welding engineering-Ray lighting and quality rating of 2 GB11345-89 steel welds manual methods of ultrasonic inspection and testing results for grade 3 GB50236-2002 industrial pipe welding engineering code for construction and acceptance of field equipment 4 HGJ222-92 technical specification for welding of aluminium and its alloys 5 low temperature 静脉注射法操作并发症处理流程 药液外渗性损伤 立即停止注射，拔针后局部按压，根据渗出药液的性质，分别进行处理: 1.化疗药或对局部有刺激的药物 局部封闭治疗 加强热敷、理疗，防止皮下组织坏死及静脉炎的发生。 2.血管收缩药外渗 采用酚妥拉明5,10mg溶于20ml生理盐水作局部浸润 同时给予3%醋酸铅局部湿热敷。 3.高渗药物外渗 用0.25%普鲁卡因5,20ml溶解透明质酸酶50,250U 注射于渗液局部周围。 ,.抗肿瘤药物外渗 尽早抬高患肢 局部冰敷 200 Yuan, construction person in charge a fine of 50 Yuan. (8) no permit to work and the job in accordance with the provisions, on the job unit fined 300 yuan, the unit will charge a fine of 100 Yuan. 7.5.3 accident penalties (1) injuries fatalities directly punished 1~2 million. Direct responsibility for the accident and have the corresponding responsibility of leadership, such as concerning administrative sanctions, should be brought to the company or the relevant Department. (2) personal injury accident occurred, the direct punishment 0.5-10,000 yuan, responsible for the direct responsibility for the accident and the responsibility of leadership, such as concerning administrative sanctions should be dealt with by the personnel Department of the company. (3) personal injury accident occurs, the direct punishment 500-1000, who is directly responsible for the accident responsibility, give notice of criticism and 50-100 economic sanctions against them. (4) to conceal the accident, reported without undue delay or false, to inform the administrative leadership of the criticism, resulting in serious consequences, the pursuit of leadership, along with 500-1000 punishment. (5) significant near miss should be attempted as the case of responsible for the accident and construction team injuries accident penalty provisions, mutatis mutandis. Eight, should perform in the construction standards and specifications, serial number a 1 GB3323-2005 steel fusion welded butt joints, welding engineering-Ray lighting and quality rating of 2 GB11345-89 steel welds manual methods of ultrasonic inspection and testing results for grade 3 GB50236-2002 industrial pipe welding engineering code for construction and acceptance of field equipment 4 HGJ222-92 technical specification for welding of aluminium and its alloys 5 low temperature 皮下注射法操作并发症处理流程 (一) 出血 1.拔针后少量出血者 重新按压注射部位 2.皮下小血肿 早期冷敷 48h后应用热敷 3.皮下较大血肿 消毒后无菌注射器穿刺抽出血液 加压包扎 必要时手术切开取出血凝块。 (二) 低血糖反应 发生低血糖反应 立即监测血糖 口服糖水、馒头等 严重者静脉推注50%葡萄糖40,60ml。 (三) 针体折断 一旦发生针体折断 立即用手捏紧局部肌肉 嘱病人放松，保持原体位，勿移动肢体或做肌肉收缩动作 迅速用止血钳将折断的针体取出。 肌肉注射法操作并发症处理流程 (一) 神经性损伤 1.中度以下不完全神经损伤 行理疗、热敷 使用神经营养药物治疗。 2. 中度以上神经损伤 尽早手术探查，做神经松解术。 200 Yuan, construction person in charge a fine of 50 Yuan. (8) no permit to work and the job in accordance with the provisions, on the job unit fined 300 yuan, the unit will charge a fine of 100 Yuan. 7.5.3 accident penalties (1) injuries fatalities directly punished 1~2 million. Direct responsibility for the accident and have the corresponding responsibility of leadership, such as concerning administrative sanctions, should be brought to the company or the relevant Department. (2) personal injury accident occurred, the direct punishment 0.5-10,000 yuan, responsible for the direct responsibility for the accident and the responsibility of leadership, such as concerning administrative sanctions should be dealt with by the personnel Department of the company. (3) personal injury accident occurs, the direct punishment 500-1000, who is directly responsible for the accident responsibility, give notice of criticism and 50-100 economic sanctions against them. (4) to conceal the accident, reported without undue delay or false, to inform the administrative leadership of the criticism, resulting in serious consequences, the pursuit of leadership, along with 500-1000 punishment. (5) significant near miss should be attempted as the case of responsible for the accident and construction team injuries accident penalty provisions, mutatis mutandis. Eight, should perform in the construction standards and specifications, serial number a 1 GB3323-2005 steel fusion welded butt joints, welding engineering-Ray lighting and quality rating of 2 GB11345-89 steel welds manual methods of ultrasonic inspection and testing results for grade 3 GB50236-2002 industrial pipe welding engineering code for construction and acceptance of field equipment 4 HGJ222-92 technical specification for welding of aluminium and its alloys 5 low temperature 皮内注射法操作并发症处理流程 (一) 局部组织反应 发生局部组织反应 告诫病人勿抓、挠 用0.5%碘伏溶液外敷 局部有水泡者 先用0.5%碘伏溶液消毒 无菌注射器将水泡内液体抽出 注射部位出现溃烂、破损 外科换药处理。 (二) 虚脱 立即停止注射 将病人取平卧位，保暖 针刺人中、合谷等穴位 病人清醒后可口服糖水 必要时对症处理。 (三) 过敏性休克 立即停药 使患者平卧 0.1%肾上腺素1ml皮下注射 氧气吸入，必要时人工呼吸或气管切开 根据医嘱用药 若心跳停止，给予复苏抢救。 200 Yuan, construction person in charge a fine of 50 Yuan. (8) no permit to work and the job in accordance with the provisions, on the job unit fined 300 yuan, the unit will charge a fine of 100 Yuan. 7.5.3 accident penalties (1) injuries fatalities directly punished 1~2 million. Direct responsibility for the accident and have the corresponding responsibility of leadership, such as concerning administrative sanctions, should be brought to the company or the relevant Department. (2) personal injury accident occurred, the direct punishment 0.5-10,000 yuan, responsible for the direct responsibility for the accident and the responsibility of leadership, such as concerning administrative sanctions should be dealt with by the personnel Department of the company. (3) personal injury accident occurs, the direct punishment 500-1000, who is directly responsible for the accident responsibility, give notice of criticism and 50-100 economic sanctions against them. (4) to conceal the accident, reported without undue delay or false, to inform the administrative leadership of the criticism, resulting in serious consequences, the pursuit of leadership, along with 500-1000 punishment. (5) significant near miss should be attempted as the case of responsible for the accident and construction team injuries accident penalty provisions, mutatis mutandis. Eight, should perform in the construction standards and specifications, serial number a 1 GB3323-2005 steel fusion welded butt joints, welding engineering-Ray lighting and quality rating of 2 GB11345-89 steel welds manual methods of ultrasonic inspection and testing results for grade 3 GB50236-2002 industrial pipe welding engineering code for construction and acceptance of field equipment 4 HGJ222-92 technical specification for welding of aluminium and its alloys 5 low temperature