胃管Chapter 3 Gastric tube
学习目标
1.熟悉胃管改良的方法
2.鼻腔护理
3.掌握以下词汇
intestinal obstruction 肠梗阻
gastrointestinal decompression 胃肠减压
nasal-gastric tube 鼻胃管
aseptic procedures 无菌操作
semi-reclining position 半卧位
menthol nasal 薄荷脑滴鼻剂
Lu Xuan is a patient with advanced pancreatic cancer and has been taking painkillers for a long time.He has been diagnosed with intestinal obstruction.Gastrointestinal decompression is arranged using nasal-gastric tube.Lin Yun is his primary nurse.She is preparing for gastrointestinal decompression.She chooses 18 Fr gastric tube.Under aseptic procedures, two side holes are cut out from the blind side of the gastric tube and one side hole is expanded to ensure more effective drainage.
Nurse manager: Lin Yun, since the patient has a large body size, the placement of gastric tube should be 10 to 15 centimeters more than the distance ofhis nose-ear-subxiphoid.You need to put the patient in semi-reclining position when placing gastric tube.
Lin Yun: All right, nurse manager.
On the second day after gastrointestinal decompression, Lin Yun comes for a ward round.
Lu Xuan: Lin Yun, a nurse gave me oral care this morning.My mouth feels better now, but my nose still hurts.
Lin Yun: The doctor has prescribed menthol nasal drops to relieve dry pain in the nasal cavity.Now let me help you with nose drops.
Lu Xuan: Thanks.I hope it will make me feel better.
译文
陆轩是一位胰腺癌晚期患者，长期服用止痛药，出现了肠梗阻，拟置入胃管进行胃肠减压。林允是他的责任护士，正在准备胃肠减压的用物，她选了18号胃管，在无菌操作下，为了引流更通畅，把胃管盲端剪了2个侧孔，扩大了1个侧孔。
护士长：林允，这个患者体形高大，测量长度采用鼻—耳—剑突法，再加10～15 cm，置入时，采取半卧位法。
林允：好的，护士长。
胃肠减压第二天，林允去查房。
陆轩：林允，早上有护士给我做了口腔护理，口腔清爽了很多，可我的鼻子不太舒服，有点疼。
林允：医生给你开了薄荷脑滴鼻液，用来缓解鼻腔不适，现在我帮你滴一下鼻腔。
陆轩：谢谢，希望它能让我好受点儿。