嬰兒心肺復(fù)蘇、搶救臺(tái)、Apgar評(píng)分計(jì)時(shí)

FXQ4型輻射式新生兒搶救臺(tái)的使用1、接通外接電源，打開控溫電源。此時(shí)，溫度顯示窗的溫度顯示為搶救臺(tái)面的溫度。2（30-34左手手指按住設(shè)定顯示開關(guān)，同時(shí)右手旋轉(zhuǎn)調(diào)節(jié)旋鈕，觀察溫度顯示窗的溫度值，達(dá)到所需值，停止調(diào)節(jié)。若檢查設(shè)定值，按住顯示開關(guān)，讀取溫度顯示值即可。3、用手背小心接近加熱元件逐一感覺(jué)是否有熱量發(fā)出，以確定加熱器工作。4恒溫指示燈（黃燈）亮。超溫時(shí)，紅燈亮。5、達(dá)到恒溫，將患兒抱到搶救臺(tái)上，開始護(hù)理操作。TheApplicationofFXQ4NeonateRescueBedConnectthepower,andthenopenthemachine.Thetemperatureofrescuebedsurfacewillbeshowedonthescreen.Basedontheclinicneed,setthetemperaturethatweneed.wesettemperaturebetween30-34℃.Theinfantisyounger,thetemperatureishigher.)Thefingeroflefthandpressesthesettingbutton;therighthandturnstheregulatingbuttonatthesametime.Observethetemperatureonthescreen.Whenitreachesthetemperaturethatweneed,stopsetting.Ifyouwouldliketoreadthesettingtemperature,pleasepressthesettingbutton.Carefullyneartheheatinglightbythebackofhand,andfeeltheheat.Makethattheheatinglightworks.Whenthetemperatureisclosetothesettingtemperature,theheatingindicatorlampandtheconstanttemperatureindicatorlampbegintoflashalternatively.Whenthetemperaturereachestheconstanttemperature,theconstanttemperatureindicatorlamp(yellowlamp)willbeon.Whenthetemperatureisoverthesettingnumber,theredlampwillbeon.Whenthetemperaturereachestheconstanttemperature,puttheillinfantonrescuebed,begintodonursingoperation.Apgar評(píng)分計(jì)時(shí)操作1、打開計(jì)時(shí)電源開關(guān)。250s1min4min50s5min9min50s至10min有聲光提示。34、計(jì)時(shí)結(jié)束時(shí)再次按下計(jì)時(shí)按鈕。TheApplicationofApgarTimekeeperTurnontheswitchofApgartimekeeper.Pressthetimebutton,andthencomputerbeginstocalculatetimefrom1second.Thetimewillbeshowedonthescreen.Thesoundandlightwillbeoutfrom50s1min,4min50sto5min,and9min50sto10minIfeliminatethesoundandlight,pleasepressthe“stop”button.Finishednursingoperation,pressthetimebuttonagain.1ApgarApgar8-10分為正常，4-7分為輕度（青紫）窒息，0-3（蒼白556分者，則影響神經(jīng)系統(tǒng)可能性大，預(yù)后較差。新生兒心肺復(fù)蘇（KAF/CPR150型嬰兒心肺復(fù)蘇模擬人）1、連接電源，打開電腦顯示器上的電源開關(guān)。2、按頻率鍵，選擇工作頻率120次/分。3、按開始鍵，放下床欄，開始操作。4、將患兒抱到搶救臺(tái)上，取仰臥位。5、判斷意識(shí)。拍打或彈足底，觀察反應(yīng)。觸肱動(dòng)脈，聽呼吸音，感覺(jué)有無(wú)氣體逸出，觀察胸廓起伏，聽心音，檢查有無(wú)頭頸外傷。6、呼救。7避免頭過(guò)度后仰（下頜角與耳垂連線與地面垂直物。8、放置紗布在患兒口鼻。9、人工呼吸。對(duì)準(zhǔn)患兒口鼻吹氣，直到患兒胸部稍膨隆起，停止吹氣（捏住鼻孔，口對(duì)口吹氣；牙關(guān)緊閉者采用口對(duì)鼻孔吹氣。吹氣與排氣的時(shí)間比30-50（0.2730毫升，紅燈顯示）102-51/3（嬰兒胸部?jī)扇轭^連線與胸骨正中線交界點(diǎn)下一橫指41.5-2（按壓正確綠燈顯示；按壓位置錯(cuò)誤紅燈顯示；按壓深度錯(cuò)誤黃燈顯示）11、通氣：按壓=1：3。12、5CPR到肱動(dòng)脈波動(dòng)。根據(jù)患兒情況轉(zhuǎn)入進(jìn)一步生命支持。NeonateCPR(Cardiopulmonaryresuscitation)Connectpower.Turnontheswitchofthecomputer.Presstheratingbutton,andchoosetherateofwork:120timespermin.Press“on”button.Putdownthebedrails,begintooperate.Puttheillneonateonarescuebed.Makesupineposition.Judgeconsciousness.Beatfootplate,andobserveresponse.Touchthebeatofarteriabrachialis,listentothesoundofbreath,feeltheairoutornot,observefluctuationofthoraciccage,listentothebeatofheart,andexamineiftheretraumasonheadandneck.Askforhelp.Openairway.Raiseshoulder2-2.5cmbyabigtowel.Holdthesubmaxillabytheindexfingerofrighthand,putthelefthandontheillforehead,andmakethelinebetweentheangleofsubmaxillaandearlobebeverticalwiththeground.Eliminatesecretioninmouth,nose,throat,andPutapieceofagauzeonthemouthandnose.Breathing.Blow1timetothemouthandnose.Stopblowinguntilthechestisexpanded.Circulation.Compressionmode:Encirclingthechestofneonatewithtwohandsandcompressingwiththetwoapposedthumbs.Compressionposition:inthelower1/3ofmidsternum(1fingerwidthbelowthenippleline).Compressiondepth:1.5-2.0cmRateofcompression:120timespermin.Breathing:compression=1:3Afterevery5cycles,blowair,andthenobservebreathandthebeatofthebigIftherescuesucceeds,canbetouched thebeatofarteriabrachialis.Basedonthesituationofneonate,provideadvancedlifesupport.心肺復(fù)蘇成功的標(biāo)志：1、捫到頸、肱、股動(dòng)脈的跳動(dòng)，測(cè)得血壓>60mmHg(8kPa)；2、聽到心音、心率失常轉(zhuǎn)為竇性心律；3、瞳孔收縮為組織灌流量和氧供給量足夠的最早指征；4、口唇甲床顏色轉(zhuǎn)紅。成年人 兒童 嬰兒 新生按壓位置乳頭連線與胸骨交界處，即胸骨中、 胸骨體下1/3下1/3處（劍突上2橫指） （雙乳頭連線下1橫指）按壓頻率100次/分100次/分100-120次/分120次/分按壓深度3.8-5cm2.5-3.8cm1.3-2.5cm1.5-2.0cm按壓方式雙手交疊掌跟單手掌跟按壓2-3個(gè)手指按壓雙手環(huán)抱胸部，大按壓拇指相對(duì)或交疊按（或中指和環(huán)指按