中英版卫教手册.PDF

House Maid Care Handbook （英文（英文）） （（英文英文）） 1 HOME CARE 留置尿管的居家照顧 (Home care of in-dwelling catheter) ＊ 尿道口分泌物 ，每天用沖洗大棉棒、溫水 （勿加清潔劑）由上往 下沖洗 ，沖洗時男性包皮向下推露出尿道口。 ＊ 女性撥開大陰唇沖洗 ，每天至少一次， 分泌物多時每天二次 。 ＊ The urethral meatus should be cleansed daily using large cotton balls or swab and warm water using a downward motion (see above drawing ). ＊ The male patient’s prepuce should be peeled back to expose the urethral meatus. ＊ The female patient’s labia majora is pulled apart during cleaning. Cleansing should be done once a day; twice a day if more secretions are encountered. ＊ 可剪一段褲襪 ，綁在大腿上以固定尿管，不可綁太緊，每二小時 檢查是否受壓 、扭曲、拉扯，並擠壓尿管、按摩下腹部 （膀胱位 置）預防阻塞 （男性：固定於大腿前側或下腹部；女性：固定於 大腿內側 ），固定部位可每天更換 ，以防皮膚過敏或發紅。 The urinary catheter is secured to the thigh with a segment of stockings, taking care not to tie this too tight. Check every 2 hours to see if the catheter is compressed, bent or stretched. Squeeze the catheter and massage lower abdomen (site of urinary bladder) to prevent clogging of the catheter. Secure catheter to the front of the thigh in men and between the thighs in females. Change the position of the catheter to the other leg every day to avoid skin irritation. ＊ 病人飲水量 ，每天至少維持2000CC 以上 （包括灌食的牛奶） 每天可補充 ： （1）蔓越梅果汁 240 CC 或健康醋 20-30 CC （2 ）維他命 C500 單位 ，一天一顆， 每日尿量至少維持 1500 CC 。如有心衰竭、腎功能不全者，需依醫 師指示限制水分 Maintain fluid intake of the patient at 2000cc or more (include milk in the total fluid intake). Give daily supplement of Vit. C (500units). Maintain urinary output for at least 1500cc daily. If there is cardiac failure or renal insufficiency, fluid is restricted according to the doctor’s order. ＊ 尿袋開口隨時關閉 ，維持低於病人腰部（膀胱）以下 ，勿放地上 至少離地面 5 公分 （可放在臉盆裡） The urinary bag outlet should always be closed. The bag is placed lower than the abdomen (ur