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اکسیژن درمانی

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بیمار شما براي بهبود وضعیت تنفس در منزل و با نظر پزشک معالج نیاز به استفاده از اکسیژن دارد شما می توانید اکسیژن را از طریق کپسول هاي مخصوص حمل اکسیژن در اختیار بیمار قرار دهید.

 

 

 در این مبحث به این سؤالات شما پاسخ داده می‌شود:

  1. اکسیژن درمانی چیست؟
  2. شرایط استفاده از کپسول اکسیژن در منزل چیست؟
  3. چرا در منزل به اکسیژن نياز است؟
  4. نکاتی که زمان استفاده از اکسیژن در منزل باید بدانید چه هستند؟
  5. علائم هشداردهنده کمبود اکسیژن چیست؟

 

1. اکسیژن درمانی چیست؟

 بیمار شما برای بهبود وضعیت تنفس در منزل و با نظر پزشک معالج نیاز به استفاده از اکسیژن دارد شما می‌توانید اکسیژن را، از طریق کپسول‌های مخصوص حمل اکسیژن در اختیار بیمار قرار دهید.

در قسمت بالای کپسول اکسیژن، وسیله ای مدرج جهت تنظیم میزان فشار اکسیژن وصل شده است.                                                        

وسیله‌ای مدرج که تنظیم میزان فشار اکسیژن را به عهده دارد.

ظرفی که در زیر وسیله مدرج تنظیم کننده فشار اکسیژن وصل شده است محتوی آب مقطر یا آب جوشیده سرد شده می‌باشد.

canola که تا خط علامت‌گذاری شده باید در آن آب ریخته شود. این آب باعث مرطوب شدن اکسیژن می‌گردد؛ و از آسیب به بافت مخاط بینی و دهان بیمار جلوگیری می‌کند.                                     

بیمار از طریق کانولا (لوله‌ای که دو اتصال کوچک برای قرار گرفتن در سوراخ‌های بینی دارد) و یا ماسک که بر روی دهان و بینی قرار می‌گیرد، اکسیژن مورد نیاز را دریافت می‌کند.           

 

                                2. شرایط استفاده از کپسول اکسیژن در منزل چیست؟


توجه کنید:                                               

-در کنار کپسول اکسیژن الکل، اسپری، تینر، روغن، گازوئیل و بنزین قرار ندهید.

-از استفاده وسایلی مانند فندک، سیگار و ریش تراش در کنار کپسول اکسیژن جداً خودداری نمایید.

-مراقب باشید کپسول اکسیژن زمین نیفتد و احیاناً به آن ضربه وارد نشود.

-هر چند روز یک‌بار ظرف محتوی آب مقطر را با مواد ضد عفونی کننده و آب جرم گیری کنید.

-هرگز با دست‌های چرب و روغنی به کپسول اکسیژن دست نزنید.

-دمای اتاقی که کپسول اکسیژن در آن نگهداری می‌شود نباید بالا باشد و هرگز نباید کپسول اکسیژن را نزدیک وسایل حرارت زا مانند: بخاری – اجاق گاز و...قرار داد.

-برای اطلاع از نحوه استفاده کپسول اکسیژن در منزل ابتدا از یک فرد آگاه راهنمائی بگیرید.

 


3. چرا در منزل به اکسیژن نیاز است؟

اگر بیمار شما مشکل ریه دارد و تنفس وی به راحتی انجام نمی‌پذیرد، باید طبق دستور پزشک در منزل اکسیژن دریافت نماید.

اکسیژن به بیمار شما کمک می‌کند تا:

-بیمار بهتر نفس بکشد.

-احساس بهتری داشته باشد و راحت بخوابد.

-هوشیارتر گردد.

 

4. نکاتی که زمان استفاده از اکسیژن در منزل باید بدانید چه هستند؟

- لوله بینی و ماسک را دو بار در هفته با آب و صابون بشویید و خشک نمایید.

- حین دریافت اکسیژن، بیمار در دهان و بینی خود احساس خشکی خواهد کرد. بنابراین چند بار در روز دهان و بینی بیمار را با آب شستشو دهید. مکیدن آب‌نبات نیز می‌تواند برای پیشگیری از خشکی دهان کمک کننده باشد.

- اگر لوله کانولا پشت گوش بیمار قرار دارد مراقب باشید که زیر آن قرمز نشود و چندین بار در روز آن‌ را از نظر قرمزی و زخم بررسی کنید. در صورت قرمز شدن زیر لوله کانولا جای آن را تغییر دهید.

- میزان اکسیژن و نحوه کار با کپسول اکسیژن را از پزشک و یا پرستار سؤال فرمایید.

- اگر عقربه وسیله مدرج تنظیم کننده فشار اکسیژن را باز کردید و عقربه زیر 5 لیتر را نشان داد یعنی میزان اکسیژن موجود در کپسول کافی نمی‌باشد، باید مجدداً کپسول اکسیژن پر شود.

- در صورتی که عقربه زیر 5 لیتر رانشان دهد باید به سرعت آن را تعویض نمایید.

 


5. علائم هشداردهنده کمبود اکسیژن چیست؟

اگر علائم زیر را مشاهده کردید سریع به پزشک یا پرستار خود اطلاع دهید:

1) اگر احساس کردید بیمار حالت عصبی دارد.

2) اگر احساس کردید بیمار به سختی تنفس می‌کند.

3) اگر لب‌ها و زیر ناخن‌های بیمار به رنگ آبی در آمد.

 


خلاصه

بیمار شما برای بهبود وضعیت تنفس در منزل و با نظر پزشک معالج نیاز به استفاده از اکسیژن دارد شما می‌توانید اکسیژن را، از طریق کپسول‌های مخصوص حمل اکسیژن در اختیار بیمار قرار دهید.

اگر بیمار شما مشکل ریه دارد و تنفس وی به راحتی انجام نمی‌پذیرد، باید طبق دستور پزشک در منزل اکسیژن دریافت نماید.

اکسیژن به بیمار شما کمک می‌کند تا:

-بیمار بهتر نفس بکشد.

-احساس بهتری داشته باشد و راحت بخوابد.

-هوشیارتر گردد.


 


برای مشاهده اسلایدهای تعاملی اینجا کلیک کنید.

ویدیو این قسمت در دست تهیه است.

 

شناسه

تهیه کننده: نجمه نادری

متخصص علمی محتوا: دکتر عباس خسروی، دکتر گلنار ثابتیان و دکترشهرام پایدار

References:

1.      درسنامه پرستاری داخلی جراحی برونرسودارث، اس‍م‍ت‍ن‍ر (1385)، س‍وزان‌ اوک‍ان‍ل‌

2.      www.mdconsult.com/public/patient/view

3.       www.critcaremd.com

4.       www.myicucare.org/Critical_Care_Team

5.      www.ncbi.nlm.nih.gov/pubmed/11863143

6.      www.tju.edu/jmc 

7.      www.mc.vanderbilt.edu/root/vumc.php?site=neurocritical

8.      www.stonybrooksurgery.org

9.      libraries.umdnj.edu/camlbweb/hrc/critical

10.   www.uhn.ca

 


 

 

 

 

 

آخرین بروزرسانی ( يكشنبه ، 6 بهمن 1392 ، 11:58 )  

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