三、双语常用注射法(ID)PPT课件

.,1,.,2,皮内注射法Intradermalinjection,ID淮阴卫生高等职业技术学校汤春菊,.,3,IntradermalInjection,ID,【Objective】1、说出皮内注射法（ID）的定义、部位、目的2、学会皮内注射法的操作方法3、操作中严格执行查对制度和无菌原则，体现爱伤观念,.,4,IntradermalInjection,ID,【Definition】将小量药液或生物制品注射于表皮和真皮之间的方法。Anintradermalinjectionistheadministrationofamedicationbetweenepidermisanddermisoftheskin,.,5,IntradermalInjection,ID,【Purpose】1、进行药物过敏试验，以观察有无过敏反应。Tousefordiagnosticskintestsandmedicationallergytests2、预防接种。Toinjectvaccines3、局部麻醉的起始步骤。Apriorsteptolocalanesthesia,.,6,IntradermalInjection,ID,【sites】1、Skintests皮内试验前臂掌侧下段2、vaccineinjection预防接种上臂三角肌下缘。3、localanesthesia局部麻醉实施局部麻醉处。,.,7,.,8,Procedure,【Assessment】1、评估患者用餐情况，询问三史（用药史、过敏史、家族史）。2、评估患者注射部位皮肤有无红肿、硬结、瘢痕等情况。3、评估环境是否清洁、光线是否充足。,.,9,Procedure,【Planning】1、护士洗手、戴口罩2、用物准备Medicationtray:70%alcoholSterileswab1mlsyringe41/2NeedleMedicationKidneybasinMAR(medicationadministrationrecord)如为药物过敏试验，另备0.1%盐酸肾上腺素。,.,10,【Implement】,洗手、戴口罩查对抽吸药液查对、解释定位、消毒（70%乙醇）再次核对，排尽空气左手绷紧皮肤右手进针（针尖斜面向上、50角）固定注药0.1ml拔针再次查对清理用物20min观察局部反应记录,washhands,wearmaskcheckwithdrawmedicationIdentifytheclient.ExplaintheprocedureSelectappropriatesiteSterilizetheskinwithanalcoholswabCheckagain,ejectairinsyringethoroughlyUsethelefthandtospreadtheskintautInserttheneedleintotheskinuntilthebevelinsertsintotheskincompletely（at5-degreeangle）FirmthehubwiththumbSlowlyinjectthemedicationabout0.1mlforasmallwhealtoappearWithdrawtheneedlequicklyCheckagain.WashhandsObserveresponseoftheclient.(20min)Recordtheoutcomes,.,11,【Evaluation】,1.Whetherthenursehasfollowedtheprincipleofthethreechecksandsevenrightsandthesteriletechniques.2.Observethesizeofthewhealinthesiteofinjection.3.Whetherthereisbleeding,infiltrationordiscomfortintheinjectionsite4.Theclientsknowledgeaboutmedicationandmethodsofadministration,.,12,Notice,1、严格遵守无菌操作原则及查对制度2、忌用碘酊消毒，以免影响局部反应的观察3、如对结果有怀疑，应在另一前臂内注入0.1ml的等渗无菌盐水作对照试验4、把握好进针角度，以免药液注入皮下,.,13,Exercise,1、皮内注射选前臂掌侧下端的原因是A.皮肤薄，颜色浅B.没有大血管C.离大神经较远D.皮下脂肪薄E.操作较方便,.,14,Exercise,2、皮内注射过程中，不正确的操作是A针尖与皮肤呈5角刺入B用70醇消毒皮肤C拔针后，用无菌棉签按压进针处D注药量0.1mlE严格三查七对,.,15,Exercise,3、用皮内注射法接种卡介苗，正确的步骤是A注射前询问过敏史B进针部位在前臂掌侧上段C进针时针头与皮肤呈5角D注入药物前要抽回血E拔针后用于棉签轻压针刺处,.,16,Exercise,4、婴儿接种卡介苗的正确部位及方法是A前臂掌侧下段，皮内注射B三角肌下缘，皮内注射C三角肌下缘，皮下注射D臀小肌，皮下注射E股外侧，皮下注射,.,17,Exercise,5、WhatarethepurposeofID?ATousefordiagnosticskintestsandBApriorsteptolocalanesthesiaCToinjectvaccinesDM