CN220175385U - Special application of peritoneal dialysis exit nursing - Google Patents

Special application of peritoneal dialysis exit nursing Download PDF

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Publication number
CN220175385U
CN220175385U CN202321661818.9U CN202321661818U CN220175385U CN 220175385 U CN220175385 U CN 220175385U CN 202321661818 U CN202321661818 U CN 202321661818U CN 220175385 U CN220175385 U CN 220175385U
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China
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application
skin
catheter
adhesive tape
peritoneal dialysis
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CN202321661818.9U
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Chinese (zh)
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廖慧玲
张霁亮
章泽玉
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First Affiliated Hospital of Guangxi Medical University
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First Affiliated Hospital of Guangxi Medical University
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Abstract

The utility model belongs to the technical field of medical supplies, and discloses a special application for nursing at a peritoneal dialysis outlet, which is provided with: the first is applied ointment or plaster and the second is applied ointment or plaster, is applied ointment or plaster the outside and is made for the non-woven fabrics and have self-adhesion ventilative adhesive tape, and the inboard is the aseptic square yarn layer of multilayer, and first is applied ointment or plaster and is pasted between pipe and skin, and the right edge that the gauze layer flushes with the non-woven adhesive tape is fixed in the position that is close to pipe exit, and the second is applied ointment or plaster and is covered the whole exit of pipe, and the left edge that the gauze layer flushes with the non-woven adhesive tape is fixed in the position that the pipe comes out, ventilative adhesive tape is used for fixing the pipe on skin and application. The utility model can protect the skin from being pressed by the catheter through the first application between the catheter and the skin, so that the catheter is in natural radian, and can cover all outlets of the catheter through the second application, thereby having good air permeability, simple and convenient operation, being not easy to fall off and being beneficial to protecting the skin and the catheter at the outlets.

Description

Special application of peritoneal dialysis exit nursing
Technical Field
The utility model belongs to the technical field of medical supplies, and particularly relates to a special application for nursing at a peritoneal dialysis outlet.
Background
Currently, the current state of the art commonly used in the industry is as follows:
peritoneal dialysis is a treatment technology for removing excessive moisture, metabolites and toxins in a human body through dispersion and convection by using the peritoneal membrane of the human body as a semipermeable membrane and the peritoneal cavity as an exchange space, so as to achieve blood purification and kidney function replacement, and is one of effective kidney replacement treatment methods for treating acute kidney injury and chronic kidney failure. The peritoneal dialysis treatment needs to insert one end of the peritoneal dialysis catheter into the abdominal cavity by a doctor, and the other end is left outside the abdominal cavity and is used as a passage for the dialysate to enter and exit the abdominal cavity, and a 'connecting short tube' with a knob switch is connected with the peritoneal dialysis catheter. The 'outlet' refers to the place where the peritoneal dialysis catheter drills out skin from the abdominal cavity through the abdominal wall, and nursing at the outlet is a very important part in the conventional peritoneal dialysis, so as to prevent the breeding of skin bacteria, reduce the chance of infection and damage at the outlet, further avoid the occurrence of catheter related infection and peritonitis, and prolong the service life of the peritoneal dialysis catheter. The current long-term exit nursing mode is as follows: after the patient has been bathed, the outlet of the catheter, the catheter and surrounding skin are cleaned and disinfected by using normal saline and iodophor, the catheter outlet is covered with sterile small Fang Sha after the disinfectant is air-dried, and the gauze and the catheter are fixed by using adhesive tape. If the patient is nursing at the exit, the patient always takes the posture of the sitting position, the sterile square yarn does not have self-adhesive property, the patient must tear the adhesive tape for later use in advance, after the square yarn is placed, the gauze needs to be fixed by one hand, and the other hand holds the torn adhesive tape to fix the square yarn on the skin. The sterile gauze used as the isolation protection outlet has the advantages of absorbing the skin blood, liquid and secretion at the outlet of the catheter, along with good air permeability, and is suitable for protecting the outlet of the catheter for a long time. Some patients also use medical sterile application (waterproof or breathable) for a long time to protect the outlet of the catheter, the application is commonly used for postoperative incision to protect unhealed wounds, and the inner absorption pad can absorb blood and liquid at the wounds. The fresh wound has more blood seepage and liquid seepage, but the secretion or blood seepage and liquid seepage at the long-term abdomen penetrating outlet are less, and the absorption pad has more functions of isolation protection for the outlet, but the absorption pad generally has a certain thickness, higher density and poorer air permeability. The application has the advantages of simple operation, difficult pollution, tearing of the isolation paper after disinfection of the outlet, and smooth pasting of the isolation paper aiming at the outlet, but can not separate the catheter from the skin, and the skin is protected from being pressed by the catheter. If the catheter is fixed too tightly by improper pasting, the catheter can press the skin, and the catheter can be pulled out of the skin during breathing or sneezing, so that healing at the outlet is affected.
In summary, the problems of the prior art are:
the nursing articles adopted at the existing peritoneal dialysis outlet cannot achieve the effects of convenient operation, difficult pollution, good air permeability and better protection of the skin at the outlet of the catheter from being pulled or worn.
Disclosure of Invention
Aiming at the problems existing in the prior art, the utility model provides a special application for nursing at the outlet of peritoneal dialysis,
the utility model is realized in that a special application for nursing at the peritoneal dialysis outlet is provided with: the first application and the second application;
the first application and the second application;
the outer sides of the first application and the second application are non-woven fabrics to form a self-adhesive breathable adhesive tape, the inner sides of the first application and the second application are multi-layer sterile square yarn layers, the right edge of the sterile square yarn layer of the first application is flush with the right edge of the self-adhesive breathable adhesive tape, and the left edge of the sterile square yarn layer of the second application is flush with the left edge of the self-adhesive breathable adhesive tape;
the first application is pasted between pipe and skin, and the gauze layer is fixed in the position that is close to pipe exit with the right edge that nonwoven tape flushes, and the second is applied and is covered the whole exit of pipe, and the gauze layer is fixed in the position that the pipe comes out with the left edge that nonwoven tape flushes, and ventilative adhesive tape is used for fixing the pipe on skin and application.
Further, the first application and the second application have 8 layers of sterile square gauze.
Further, the upper ends of the non-woven adhesive tape and the multi-layer sterile square yarn layer are covered with folding isolating paper, the area of the isolating paper is the same as that of the non-woven adhesive tape of the base layer, the isolating paper is divided into two parts, one part is longer and the other part is shorter, and auxiliary wings are arranged at the joint of the two parts.
Further, the inner side of the non-woven fabric is covered with medical low-sensitivity hot melt adhesive.
Further, the breathable adhesive strip is used to secure the catheter over the application and skin after the second application is applied.
The utility model compares the advantages and disadvantages with various application modes:
in combination with the technical scheme and the technical problems to be solved, the technical scheme to be protected has the following advantages and positive effects:
(1) The utility model adopts two independent application, and improves the flexibility of application and the convenience of application. The design of the outer sides of the self-adhesive breathable adhesive tapes and the inner sides of the aseptic square yarns for the two application ensures that the application provides good air permeability and simultaneously maintains good aseptic environment, thereby effectively reducing infection risk.
(2) The number of the layers of the two applied multilayer sterile square yarns reaches 8, the absorbability of the application is increased, body fluid exuded from a wound can be absorbed more effectively, and the wound is kept dry and clean, so that the possibility of infection is reduced.
(3) The area of the non-woven adhesive tape and the folded isolation paper covered by the upper ends of the sterile square yarn layers adopted by the utility model is the same as that of the non-woven adhesive tape of the base layer, so that the non-woven adhesive tape is convenient to store and use, and the practicability of the application is improved. The design of the isolation paper enables the application to be more convenient, the two parts are long and short, the application operation is simpler and more convenient through the design of the auxiliary wings, and the application experience of the application is effectively improved.
Drawings
Fig. 1 is a schematic view of a first application structure according to an embodiment of the present utility model.
Fig. 2 is a schematic view of a second application structure provided in an embodiment of the present utility model.
Fig. 3 is a schematic view of a first application use position provided in an embodiment of the present utility model.
Fig. 4 is a schematic view of a second application use position provided in an embodiment of the present utility model.
Fig. 5 is a horizontal view of a first application and a second application provided by an embodiment of the present utility model.
In the figure: 1. a first application; 2. a second application; 3. a sterile square yarn layer; 4. a release paper; 5. self-adhesive tape.
Detailed Description
For a further understanding of the utility model, its features and advantages, reference is now made to the following examples, which are illustrated in the accompanying drawings.
The structure of the present utility model will be described in detail with reference to the accompanying drawings.
As shown in fig. 1 to 5, the application special for nursing at the outlet of peritoneal dialysis provided by the embodiment of the utility model comprises: a first application 1, a second application 2, a sterile square yarn layer 3, a release paper 4 and a self-adhesive tape 5.
The novel breathable fabric comprises a first application 1 and a second application 2, wherein a plurality of layers of sterile gauze layers 3 are arranged between the first application 1 and the second application 2, the upper ends of the sterile gauze layers 3 are covered with breathable nonwoven fabrics, the right edge of the sterile gauze layers 3 of the first application 1 is flush with the right edge of the breathable nonwoven fabrics, and the left edge of the sterile gauze layers 3 of the second application 2 is flush with the left edge of the breathable nonwoven fabrics.
As a preferred embodiment, the first application is adhered between the catheter and the skin, and the right edge of the gauze layer, which is flush with the nonwoven fabric, is fixed at a position close to the outlet of the catheter, so that the catheter is separated from the skin, the skin can be protected from being pressed by the catheter, and the catheter is in a natural radian.
As a preferred embodiment, the second application can cover all the outlet of the duct, the left edge of the gauze layer which is flush with the non-woven adhesive tape is fixed at the outlet of the duct, and the application can cover all the outlet but not be fully closed, so that the air permeability is good.
As a preferred embodiment, the multi-layer sterile medical absorbent gauze is adhered and fixed on the inner side of the non-woven fabric, the gauze adopts a structure with lower density to enable the gauze to be folded into 8 layers of gauze layers, the gauze has good air permeability, and the area of a gauze block is smaller than that of the non-woven fabric.
As the preferred embodiment, the upper ends of the non-woven adhesive tape and the sterile gauze layer are covered with the folded isolation paper 4, the area of the isolation paper 4 is the same as that of the non-woven adhesive tape of the base layer, the isolation paper 4 is divided into two parts, one part is longer and shorter, the joint of the two parts is provided with auxiliary wings, the isolation paper 4 is convenient to paste and is not easy to pollute the application, when in use, the isolation paper 4 is only required to be torn by pinching one auxiliary wing on one side with fingers, the isolation paper is stuck on the skin aiming at the position to be pasted, and then the isolation paper 4 on the other side is torn off by pinching the auxiliary wing on the other side.
As a preferred embodiment, the length of the sterile gauze layer 3 of the first application 1 is 4.5cm and the width is 3.5cm, and the length of the breathable nonwoven fabric is 5.5cm and the width is 5.5cm; the length of the sterile gauze layer 3 of the second application 2 was 5.5cm and the width was 3.5cm, and the length of the breathable nonwoven fabric was 6.5cm and the width was 6cm.
As a preferred embodiment, the breathable adhesive tape is used for fixing the catheter on the application and the skin after the second application is adhered, two adhesive tapes are needed for fixing the catheter according to the requirements of the Standard Operation Procedure (SOP) of peritoneal dialysis on nursing at the outlet, one butterfly-shaped encircling catheter is used for adhering the catheter on the application or the skin, the other adhesive tape is adhered on the skin after being shaped, and the fixed catheter is doubly protected from external force to pull the catheter and damage the outlet. The novel adhesive tape of the special abdomen cover for nursing at the peritoneal dialysis outlet is provided with 4 adhesive tapes, and the rest 2 adhesive tapes are used as standby adhesive tapes.
When the utility model is used, the isolation paper 4 of the first application 1 is torn after the skin is disinfected, one side of the aseptic square yarn layer 3 of the first application 1, which is flush with the self-adhesive breathable adhesive tape, is close to the skin at the outlet, is fixed at the skin under the catheter to protect the skin from being pressed by the catheter, the isolation paper 4 of the second application 2 is torn, the central position of the aseptic yarn layer 3 of the second application 2 is aligned with the outlet of the catheter and then is stuck, the catheter extends out from one side of the aseptic square yarn layer 3, which is flush with the breathable non-woven adhesive tape, four standby breathable self-adhesive adhesives 5 are used for fixing the catheter and the skin, and two catheters and two are used conventionally for standby.
Two specific embodiments of the embodiment of the utility model are as follows:
example 1:
the special application for nursing at the peritoneal dialysis outlet consists of two parts, namely a first application 1 and a second application 2. The outer side of each application is made of non-woven fabric and is made of self-adhesive breathable adhesive tape, and the inner side is made of a plurality of layers of sterile square yarns. In this embodiment, each applied sterile square gauze layer 3 is 8 layers.
First, the first application 1 is applied between the catheter and the skin, and the right edge of the gauze layer flush with the nonwoven is fixed close to the catheter outlet. The second application 2 is then applied over the entire outlet of the catheter and the left edge of the gauze layer flush with the nonwoven is secured in place on the catheter. Finally, the catheter is secured to the skin and application using a breathable adhesive strip.
Example 2:
the dedicated nursing dressing for peritoneal dialysis outlet is also made up of two parts, namely a first 1 and a second 2 dressing. The outer side of each application is made of non-woven fabric and is made of self-adhesive breathable adhesive tape, and the inner side is made of a plurality of layers of sterile square yarns. In addition, in this embodiment, the upper ends of the nonwoven fabric and the multi-layer aseptic square yarn layer 3 are covered with folded isolation paper, the area of the isolation paper 4 is the same as that of the nonwoven fabric of the base layer, and the isolation paper 4 is divided into two parts, one long and one short, and the joint of the two parts is provided with auxiliary wings.
First, the first application 1 is applied between the catheter and the skin, and the right edge of the gauze layer flush with the nonwoven is fixed close to the catheter outlet. The second application 2 is then applied over the entire outlet of the catheter and the left edge of the gauze layer flush with the nonwoven is secured in place on the catheter. The release paper 4 is removed from the application using the wings and the catheter is then secured to the skin and application using the breathable adhesive tape. In this way, the catheter is secured, the application site is kept clean, and the risk of infection is reduced.
The foregoing description is only of the preferred embodiments of the present utility model, and is not intended to limit the utility model in any way, but any simple modification, equivalent variation and modification of the above embodiments according to the technical principles of the present utility model are within the scope of the technical solutions of the present utility model.

Claims (5)

1. The special application of peritoneal dialysis exit nursing, characterized in that, special application of peritoneal dialysis exit nursing is provided with:
the first application and the second application;
the outer sides of the first application and the second application are non-woven fabrics to form a self-adhesive breathable adhesive tape, the inner sides of the first application and the second application are multi-layer sterile square yarn layers, the right edge of the sterile square yarn layer of the first application is flush with the right edge of the self-adhesive breathable adhesive tape, and the left edge of the sterile square yarn layer of the second application is flush with the left edge of the self-adhesive breathable adhesive tape;
the first application is pasted between pipe and skin, and the gauze layer is fixed in the position that is close to pipe exit with the right edge that nonwoven tape flushes, and the second is applied and is covered the whole exit of pipe, and the gauze layer is fixed in the position that the pipe comes out with the left edge that nonwoven tape flushes, and ventilative adhesive tape is used for fixing the pipe on skin and application.
2. The special care application for peritoneal dialysis outlet of claim 1, wherein the first application and the second application have 8 layers of sterile square gauze.
3. The special nursing dressing for peritoneal dialysis as claimed in claim 1, wherein the upper ends of the nonwoven adhesive tape and the plurality of sterile square yarn layers are covered with folding isolating paper, the area of the folding isolating paper is the same as that of the nonwoven adhesive tape of the base layer, the isolating paper is divided into two parts, one long and one short, and an auxiliary wing is arranged at the joint of the two parts.
4. The special nursing dressing for peritoneal dialysis as claimed in claim 1, wherein the non-woven fabric is covered with a medical low-sensitive hot melt adhesive on the inner side thereof to make it self-adhesive.
5. The special application for nursing at the outlet of peritoneal dialysis as claimed in claim 1, wherein the strip of breathable adhesive is used to secure the catheter over the application and the skin after the second application has been applied.
CN202321661818.9U 2023-06-28 2023-06-28 Special application of peritoneal dialysis exit nursing Active CN220175385U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202321661818.9U CN220175385U (en) 2023-06-28 2023-06-28 Special application of peritoneal dialysis exit nursing

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202321661818.9U CN220175385U (en) 2023-06-28 2023-06-28 Special application of peritoneal dialysis exit nursing

Publications (1)

Publication Number Publication Date
CN220175385U true CN220175385U (en) 2023-12-15

Family

ID=89098945

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202321661818.9U Active CN220175385U (en) 2023-06-28 2023-06-28 Special application of peritoneal dialysis exit nursing

Country Status (1)

Country Link
CN (1) CN220175385U (en)

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