Obrabotka gastrostomy and eyunostomy

The skin around the stoma treatment is carried out on a daily basis, since the gastric juice, falling on the skin, causing irritation.

Actions in this should be the following:

  • prepare 0.5-percent solution of chlorhexidine bigluconate or 0.5 percent solution of potassium permanganate, scissors, a spatula, a paste or Lassara zinc ointment, an adhesive plaster, a package with a sterile dressing, polyethylene­new bag, a container with warm water;
  • explore the strip adhesive tape, which is wrapped and attached to the patient’s skin glands,­A new tube;

Note: otkleevanii with adhesive tape must be replaced: preparing strip adhesive tape length of at least 15 – 16 cm rubber tube is folded and fixed to the skin of the patient.

  • put a bottle of ointment in a container of warm water;
  • wash your hands twice with soap and treat them with alcohol;
  • to treat the skin around the stoma tissue, SMOchennoy 0.5 percent solution of potassium permanganate (blotting movements;
  • throw in the towel made of polyethylen­Lenovo bag;
  • dry skin around stoma dry sterile cloth;
  • throw the tissue in a plastic bag;
  • cause spatula sufficiently thick layer (at least 0.5 cm) heated paste Lassara or zinc ointment sterile towel, cut type “pants” (first napkin is placed down cut, the second – the cut up, the third – on the left, the fourth – right);
  • fold gauze in four layers;
  • make it a cut in the center;
  • Lay napkin with a large opening on the top of sterile napkins and output the rubber tube through a hole in a napkin;
  • glue strips of plaster cloth big four sides.

Note:

  1. After feeding through a gastrostomy leave the patient in the “reclined” position for 30 minutes.
  2. When caring for a patient having a gastrostomy tube should be positioned so patsientav bed, so he was not lying on the probe.
  3. Through feeding a patient through the gastrostomy and watching her in the intervals between the armature­straightening, make sure that the probe is well fixed in the stoma and the content does not appear either
    through the stoma, or through a tube.

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