{"id":150,"date":"2007-11-14T23:15:48","date_gmt":"2007-11-14T22:15:48","guid":{"rendered":"http:\/\/www.zdravstvena.info\/vsznj\/odvzem-osnovnih-kuznin-za-mikrobioloske-preiskave\/"},"modified":"2010-06-16T07:22:40","modified_gmt":"2010-06-16T06:22:40","slug":"odvzem-osnovnih-kuznin-za-mikrobioloske-preiskave","status":"publish","type":"post","link":"https:\/\/www.zdravstvena.info\/vsznj\/odvzem-osnovnih-kuznin-za-mikrobioloske-preiskave\/","title":{"rendered":"Odvzem osnovnih ku\u017enin za mikrobiolo\u0161ke preiskave"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/testerji.JPG\" alt=\"testerji.JPG\" align=\"left\" height=\"247\" width=\"235\" \/><strong>Ku\u017enina<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Odvzem, hranjenje in transport katere koli ku\u017enine odlo\u010dilno vplivajo na rezultat preiskave (bakterije), odvzem, skladi\u0161\u010denje vzorca (hladilnik, termostat), transport<br \/>\n\u2022\u00a0\u00a0\u00a0 Pomemben del celotne diagnostike<br \/>\n\u2022\u00a0\u00a0\u00a0 Del terapevtskega delovanja<br \/>\n\u2022\u00a0\u00a0\u00a0 Osebna varovalna oprema (OVO)<\/p>\n<p><strong>Vzorci za preiskave:<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Urin<br \/>\n\u2022\u00a0\u00a0\u00a0 Blato<br \/>\n\u2022\u00a0\u00a0\u00a0 Bris nosu, grla<br \/>\n\u2022\u00a0\u00a0\u00a0 Sputum<br \/>\n\u2022\u00a0\u00a0\u00a0 Rana<br \/>\n\u2022\u00a0\u00a0\u00a0 Sekret iz telesnih votlin<!--more--><\/p>\n<p><strong><br \/>\nSmernice:<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnik se preiskav boji, slabo se po\u010duti<br \/>\n\u2022\u00a0\u00a0\u00a0 Priprava na preiskavo \u2013 te\u0161\u010d, posebne priprave<br \/>\n\u2022\u00a0\u00a0\u00a0 Umivanje razku\u017eevanje rok\u00a0 (drugih ko\u017enih povr\u0161in) pred, po odvzemu<br \/>\n\u2022\u00a0\u00a0\u00a0 Odvzem v namensko, predpisano posodo (pravilno, pravo\u010dasno, zadostno koli\u010dino)<br \/>\n\u2022\u00a0\u00a0\u00a0 Materal pravo\u010dasno oblepiti s pravilnimi bolnikovimi podatki, predpisani spremni listi<br \/>\n\u2022\u00a0\u00a0\u00a0 Pravilen, pravo\u010dasen prenos v laboratorij, pravilno shranjen<br \/>\n\u2022\u00a0\u00a0\u00a0 Odvzem materiala z asepti\u010dno metodo (prepre\u010ditev dodatne oku\u017ebe, ki lahko poka\u017ee napa\u010dne izvide)<br \/>\n\u2022\u00a0\u00a0\u00a0 Ustrezna stojala, zabojniki za shranjevanje<br \/>\n\u2022\u00a0\u00a0\u00a0 Zdravila, hrana, pretirana aktivnost lahko spremenijo izide preiskav<br \/>\n<strong>Urin<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/urin1.jpg\" alt=\"urin1.jpg\" class=\"imageframe imgalignleft\" height=\"467\" width=\"352\" \/><strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Najpogostej\u0161a preiskava:<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Osnovni podatki o delovanju ledvic in metabolizma, o prehranjenosti in potek nekaterih sistemskih obolenj<\/p>\n<p><strong>\u2022\u00a0\u00a0\u00a0 Metoda zbiranja odvisna:<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Vrsta testa<br \/>\n\u2022\u00a0\u00a0\u00a0 Starost bolnika<br \/>\n\u2022\u00a0\u00a0\u00a0 Zdravstveno stanje<br \/>\n\u2022\u00a0\u00a0\u00a0 Zmo\u017enost spontanega uriniranja<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/urikult.jpg\" alt=\"urikult.jpg\" class=\"imageframe imgalignleft\" height=\"180\" width=\"240\" \/><br \/>\n<strong>Urikult<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Bakteriolo\u0161ka preiskava<br \/>\n\u2022\u00a0\u00a0\u00a0 \u0160tevilo bakterij<br \/>\n\u2022\u00a0\u00a0\u00a0 Goji\u0161\u010de (poz. na mikrobiologijo)<br \/>\n\u2022\u00a0\u00a0\u00a0 Metoda \u010distega mokrenja, 1X kateterizacija, iz Urinskega katetra<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 Goji\u0161\u010de polijemo z urinom<br \/>\n\u2022\u00a0\u00a0\u00a0 Oznaka, spremni list, v laboratorij<\/p>\n<p><strong>Sanford\u00a0 ( <\/strong>Leta 1956 je Sanford vpeljal standardno bakteriolo\u0161ko metodo-kvantitativno urinokulturo za dokazovanje bakteriurije (prisotnost bakterij v urinu). Metoda omogo\u010da ugotavljanje vrste in \u0161tevila povzro\u010ditelja oku\u017ebe se\u010dil v 1 ml urina ter nadaljnje\u00a0 testiranje ob\u010dutljivosti na antibiotike.<strong>)<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Mikrobiolo\u0161ka preiskava \u2013 \u0161tevilo, vrsta bakterij, antibiotik<br \/>\n\u2022\u00a0\u00a0\u00a0 Metoda \u010distega mokrenja, 1X katetrizacija, UK<br \/>\n\u2022\u00a0\u00a0\u00a0 Oznaka, spremna dokumentacija<br \/>\n<strong>Preiskava sve\u017eega urina:<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 \u0160t.levkocitov<br \/>\n\u2022\u00a0\u00a0\u00a0 \u0160t.eritrocitov<br \/>\n\u2022\u00a0\u00a0\u00a0 Beljakovine<br \/>\n\u2022\u00a0\u00a0\u00a0 Sladkor<br \/>\n\u2022\u00a0\u00a0\u00a0 Bakterije<br \/>\n\u2022\u00a0\u00a0\u00a0 Barva, bistrost, vonj<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/lab-loncek-urin-sterilen.jpg\" alt=\"lab-loncek-urin-sterilen.jpg\" class=\"imageframe imgalignleft\" height=\"400\" width=\"303\" \/><\/p>\n<p><strong>Odvzem urina \u2013 srednji curek:<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnik, ki spontano urinira<br \/>\n\u2022\u00a0\u00a0\u00a0 Za\u010detni curek odstrani bakterije iz ustja se\u010dne cevi<br \/>\n\u2022\u00a0\u00a0\u00a0 Najla\u017eje za bolnika: strani\u0161\u010de (posteljna posoda)<br \/>\n\u2022\u00a0\u00a0\u00a0 Voda, milo, krpica, brisa\u010da<br \/>\n\u2022\u00a0\u00a0\u00a0 Sterilni tamponi, fiziolo\u0161ka raztopina, sterilna posodica za urin, sterilne rokavice<br \/>\n<strong>Odvzem sve\u017eega urina:<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Brisa\u010da, krpica, milo, voda<br \/>\n\u2022\u00a0\u00a0\u00a0 Rokavice za 1X uporabo<br \/>\n\u2022\u00a0\u00a0\u00a0 Posodica za urin, epruveta, stekleni\u010dka, stojalo<br \/>\n<strong>Odvzem urina \u2013 srednji curek postopek:<\/strong><\/p>\n<p>\u2022\u00a0\u00a0\u00a0 Razku\u017eimo roke<br \/>\n\u2022\u00a0\u00a0\u00a0 Zagotovimo zasebnost \u2013 \u0161panska stena, zavese<br \/>\n\u2022\u00a0\u00a0\u00a0 Nataknemo rokavice, anogenitalna nega<br \/>\n\u2022\u00a0\u00a0\u00a0 Podlo\u017eimo posteljno posodo<br \/>\n\u2022\u00a0\u00a0\u00a0 Snamemo rokavive, razku\u017eimo roke<br \/>\n\u2022\u00a0\u00a0\u00a0 Odpremo sterilni set, polijemo tampone s sterilno fiziolo\u0161ko raztopino<br \/>\n\u2022\u00a0\u00a0\u00a0 Odpremo sterilno posodico<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eimo roke, nataknemo sterilne rokavice<br \/>\n\u2022\u00a0\u00a0\u00a0 Mo\u0161ki, \u017eenska<br \/>\n<strong>Odvzem urina srednji curek 2.na\u010din<br \/>\n\u2022\u00a0\u00a0\u00a0 Mo\u0161ki:<\/strong><br \/>\n1.\u00a0\u00a0\u00a0 Primemo penis, potegnemo ko\u017eico nazaj, \u010distimo kro\u017eno od ustja se\u010dnice navzven<br \/>\n2.\u00a0\u00a0\u00a0 Bolnik za\u010dne urinirati v posteljno posodo, prestre\u017eemo srednji curek v sterilno posodico (20 -30 ml)<br \/>\n<strong>Odvzem urina srednji curek 3.na\u010din<br \/>\n\u2022\u00a0\u00a0\u00a0 \u017denska:<\/strong><br \/>\n1.\u00a0\u00a0\u00a0 Razpremo labije s palcem in kazalcem nevodilne roke<br \/>\n2.\u00a0\u00a0\u00a0 Z vodilno roko o\u010distimo od zgoraj navzdol proti anusu. \u010cistimo s tremi tamponi, najprej levo in desno stran , nato \u0161e sredino.<br \/>\n3.\u00a0\u00a0\u00a0 Medtem, ko dr\u017eimo labiji razprti, za\u010dne bolnica urinirati, prestre\u017eemo srednji curek<br \/>\n<strong>Odvzem urina srednji curek 4.na\u010din<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Sterilno posodico odstranimo, (spustimo labiji)<br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnik kon\u010da uriniranje v posteljno posodo<br \/>\n\u2022\u00a0\u00a0\u00a0 Posodico takoj zapremo. Pokrov primemo na zunanji strani.<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eimo posodico na zunanji strani (prepre\u010dimo raznos na druge)<br \/>\n\u2022\u00a0\u00a0\u00a0 Odstranimo rokavice, razku\u017eimo roke<br \/>\n\u2022\u00a0\u00a0\u00a0 Namestimo nalepko<br \/>\n\u2022\u00a0\u00a0\u00a0 Prenos v laboratorij v 15 min<br \/>\n<strong>Zbiranje urina 24 ur<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Testi ledvi\u010dne funkcije (24, 48, 72)<br \/>\n\u2022\u00a0\u00a0\u00a0 Izlo\u010deni elektroliti, beljakovine, kreatinin, hormoni, (adrenokortikosteroidi), sladkor<br \/>\n\u2022\u00a0\u00a0\u00a0 Pokrita zbirna posoda (mo\u017enost odvzema)<br \/>\n\u2022\u00a0\u00a0\u00a0 Dodatek kemi\u010dnega konservansa pri zbiranju urina za ugotavljanje hormonov, du\u0161ika<br \/>\n<strong>Pripomo\u010dki za zbiranje 24-urnega urina<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Graduirana posoda s pokrovom (p.p. konservans)<br \/>\n\u2022\u00a0\u00a0\u00a0 Oznaka pri bolniku, da se zbira 24 urni urin<br \/>\n\u2022\u00a0\u00a0\u00a0 \u010ciste rokavice<br \/>\n\u2022\u00a0\u00a0\u00a0 Posodica za urin oz. epruveta<br \/>\n<strong>Zbiranje 24 \u2013 urnega urina 2.<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Bolniku med zbiranjem zagotovimo zasebnost<br \/>\n\u2022\u00a0\u00a0\u00a0 Kadar pripravljamo urin si, po razku\u017eevanju rok, nataknemo rokavice<br \/>\n\u2022\u00a0\u00a0\u00a0 Prvi urin zavr\u017eemo in zapi\u0161emo \u010das, ko bolnik za\u010dne zbirati urin \u2013 \u010das zbiranja se pri\u010dne s praznim mehurjem<br \/>\n\u2022\u00a0\u00a0\u00a0 Zbirna posoda, hladen prostor, konzervans<br \/>\n\u2022\u00a0\u00a0\u00a0 Oznaka na posodi<br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnika spodbudimo, da sprazni mehur v 15 min. pred koncem zbiranja<br \/>\n\u2022\u00a0\u00a0\u00a0 Zmerimo koli\u010dino 24 urnega zbiranja<br \/>\n\u2022\u00a0\u00a0\u00a0 Pripravimo ustrezno koli\u010dino vzorca za laboratorij<br \/>\n\u2022\u00a0\u00a0\u00a0 Bolniku povemo, da je kon\u010dal z zbiranjem<\/p>\n<p><strong><br \/>\nPriprava vzorca iz UK<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Za\u0161\u010dita nastavka katetra \u2013 sterilna kompresa<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eilo, sterilni tamponi<br \/>\n\u2022\u00a0\u00a0\u00a0 Brizga, inj. igla<br \/>\n\u2022\u00a0\u00a0\u00a0 Sterilna posodica<br \/>\n\u2022\u00a0\u00a0\u00a0 Rokavice<br \/>\n\u2022\u00a0\u00a0\u00a0 Nalepka, napotnica, stojalo, tasa<br \/>\n\u2022\u00a0\u00a0\u00a0 Ko\u0161 za odpadke<\/p>\n<p><strong><br \/>\nPriprava vzorca pri bolniku z UK<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Pogoste kontrole<br \/>\n\u2022\u00a0\u00a0\u00a0 Odvzem iz katetra<br \/>\n\u2022\u00a0\u00a0\u00a0 Asepti\u010dna metoda<br \/>\n\u2022\u00a0\u00a0\u00a0 Zbiralna vre\u010dka<br \/>\n<strong>Priprava pri UK 2.na\u010din<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eimo roke<br \/>\n\u2022\u00a0\u00a0\u00a0 Zapremo kateter s peanom (nabiranje v mehurju) \u2013 30 min.<br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnika namestimo v ustrezen polo\u017eaj, da lahko nemoteno pripravimo vzorec<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eimo roke<br \/>\n\u2022\u00a0\u00a0\u00a0 Namestimo za\u0161\u010dito pod kateter<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eimo odvzemni del<br \/>\n\u2022\u00a0\u00a0\u00a0 Vzamemo vzorec z iglo in brizgo<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eimo odvzemni del<br \/>\n\u2022\u00a0\u00a0\u00a0 Odpremo pean<br \/>\n\u2022\u00a0\u00a0\u00a0 Vzorec damo v zbirno posodico<br \/>\n\u2022\u00a0\u00a0\u00a0 Uredimo bolnika in pospravimo material<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eimo roke<br \/>\n\u2022\u00a0\u00a0\u00a0 Bakterije se hitro razvijajo in spremenijo izvide<\/p>\n<p><strong>Dokumentiranje<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Datum, namen preiskave<br \/>\n\u2022\u00a0\u00a0\u00a0 Barva, bistrost, vonj<br \/>\n\u2022\u00a0\u00a0\u00a0 Posebnosti pri odvzemu \u2013 \u010de je prime\u0161an fecus postopek odvzema ponovimo<br \/>\n&#8211; bolnik ne more urinirati na zahtevo, potrebuje ve\u010d \u010dasa, popiti mora ve\u010d teko\u010dine<br \/>\n&#8211; primeren je jutranji vzorec ali vsaj 3 ure<br \/>\n<strong>Odvzem blata za preiskave<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Pomembni podatki o prebavilih<br \/>\n\u2022\u00a0\u00a0\u00a0 Primesi: kri, \u017eol\u010dna barvila, ma\u0161\u010dobe, jaj\u010deca parazitov, prozoriji, bakterije,\u2026<br \/>\n\u2022\u00a0\u00a0\u00a0 Rast tumorjev, krvavitev, infekcija, slaba prebava<br \/>\n\u2022\u00a0\u00a0\u00a0 Ugotavljanje parazitov, analiza \u017eol\u010dnih barvil, prebavljivost posameznih hranil, skrita krvavitev, mikrobiolo\u0161ke preiskave<br \/>\n\u2022\u00a0\u00a0\u00a0 \u010cista metoda dela, brez primesi urina, vode, papirja<br \/>\n<strong>Posebnosti \u2013 odvzem blata<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Vidne primesi \u2013 zajamemo te primesi<br \/>\n\u2022\u00a0\u00a0\u00a0 Paraziti, jaj\u010deca \u2013 v laboratorij najkasneje v 30 min.<br \/>\n\u2022\u00a0\u00a0\u00a0 Infekcijske bolezni \u2013 poseben pozor pri transportu<br \/>\n<strong>Svetovanje<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Pou\u010devanje zakaj in kako je potrebno vzeti vzorec<br \/>\n\u2022\u00a0\u00a0\u00a0 Dieta pri posameznih preiskavah<br \/>\n\u2022\u00a0\u00a0\u00a0 Zdravila: antikoagulansi, steroidi \u2013 pojav krvi v blatu<br \/>\n\u2022\u00a0\u00a0\u00a0 \u017divila, ki spremenijo barvo blata npr. rde\u010da pesa<br \/>\n\u2022\u00a0\u00a0\u00a0 Odvzem doma, na\u010din hranjenja do dostave v laboratorij<br \/>\n<strong>Pripomo\u010dki<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Stekleni\u010dka za blato<br \/>\n\u2022\u00a0\u00a0\u00a0 Razku\u017eena posteljna posoda<br \/>\n\u2022\u00a0\u00a0\u00a0 Brisa\u010da, krpica, milo, voda<br \/>\n\u2022\u00a0\u00a0\u00a0 Ko\u0161<br \/>\n\u2022\u00a0\u00a0\u00a0 Nalepke, spremni listi<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/blato.jpg\" alt=\"blato.jpg\" class=\"imageframe imgalignleft\" height=\"400\" width=\"237\" \/><br \/>\n<strong>Odvzem vzorca blata<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Zagotovimo zasebnost<br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnik najprej urinira, urin odstranimo<br \/>\n\u2022\u00a0\u00a0\u00a0 Blato odvaja v razku\u017eeno posteljno posodo<br \/>\n\u2022\u00a0\u00a0\u00a0 Anogenitalna nega<br \/>\n\u2022\u00a0\u00a0\u00a0 Ureditev bolnika, namestitev v ustrezen polo\u017eaj<br \/>\n\u2022\u00a0\u00a0\u00a0 Pokrijemo no\u010dno posodo, v posebnem prostoru odvzamemo vzorec<br \/>\n<strong>Odvzem vzorca za koprokulturo<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Z \u017eli\u010dko vzamemo za grah velik vzorec, v posodico<br \/>\n\u2022\u00a0\u00a0\u00a0 Zelo teko\u010de blato \u2013 pomo\u010dimo sterilno pal\u010dko v blato in jo vlo\u017eimo v sterilno epruveto<br \/>\n\u2022\u00a0\u00a0\u00a0 Dovoljen je le dotik s sterilno \u017eli\u010dko ali vatirano pal\u010dko.<br \/>\n<strong>Zbiranje blata<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Zagotovimo zasebnost<br \/>\n\u2022\u00a0\u00a0\u00a0 Pokrita posoda<br \/>\n\u2022\u00a0\u00a0\u00a0 Hranjenje v hladnem prostoru<br \/>\n<strong>Dokumentiranje<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Datum, \u010das odvzema vzorca<br \/>\n\u2022\u00a0\u00a0\u00a0 Vonj, barva, primesi<br \/>\n\u2022\u00a0\u00a0\u00a0 Bole\u010dine med odvajanjem<br \/>\n\u2022\u00a0\u00a0\u00a0 Posebnosti zabele\u017eimo v negovalno poro\u010dilo<br \/>\n<strong>Odvzem brisov<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Sluznice<br \/>\n\u2022\u00a0\u00a0\u00a0 Ko\u017ea<br \/>\n\u2022\u00a0\u00a0\u00a0 Rane<br \/>\n\u2022\u00a0\u00a0\u00a0 Razli\u010dna mesta<br \/>\n\u2022\u00a0\u00a0\u00a0 Enkratni poteglaj \u2013 izjeme<br \/>\n\u2022\u00a0\u00a0\u00a0 Vatirana pal\u010dka, goji\u0161\u010de<br \/>\n\u2022\u00a0\u00a0\u00a0 Nalepka, spremni list<br \/>\n<strong>Bris nosu, \u017erela<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Sodelovanje bolnika \u2013 neprijetno, dra\u017eenje grla, strah<br \/>\n\u2022\u00a0\u00a0\u00a0 Zmeden bolnik, otrok \u2013 potrebujemo pomo\u010d<br \/>\n\u2022\u00a0\u00a0\u00a0 Pri siljenju na bruhanje pritisnemo z lopar\u010dkom na sprednjo tretjino jezika<br \/>\n\u2022\u00a0\u00a0\u00a0 Industrijsko pripravljeni &#8211;\u00a0 sterilni &#8211;\u00a0 brisi<br \/>\n\u2022\u00a0\u00a0\u00a0 Pred jedjo ali vsaj 1 uro po jedi<br \/>\n<strong>Bris nosu &#8211; pripomo\u010dki<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Sterilen bris<br \/>\n\u2022\u00a0\u00a0\u00a0 Sterilna fiziolo\u0161ka raztopina<br \/>\n\u2022\u00a0\u00a0\u00a0 Nalepke, spremni listi<br \/>\n\u2022\u00a0\u00a0\u00a0 Ledvi\u010dka, stani\u010devina<br \/>\n\u2022\u00a0\u00a0\u00a0 Vatirane pal\u010de<br \/>\n\u2022\u00a0\u00a0\u00a0 Rokavice<br \/>\n<strong>Bris nosu 2.na\u010din<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Osebna varovalna oprema<\/p>\n<p>\u2022\u00a0\u00a0\u00a0 O\u010di\u0161\u010deni nosnici<br \/>\n\u2022\u00a0\u00a0\u00a0 Psihofizi\u010dna priprava bolnika<br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnik nagne glavo nazaj<br \/>\n\u2022\u00a0\u00a0\u00a0 Bris omo\u010dimo s sterilno NaCl<br \/>\n\u2022\u00a0\u00a0\u00a0 3X zavrtimo v nosnici<br \/>\n\u2022\u00a0\u00a0\u00a0 Vlo\u017eimo v goji\u0161\u010de<br \/>\n\u2022\u00a0\u00a0\u00a0 Uredimo bolnika<br \/>\n\u2022\u00a0\u00a0\u00a0 Pospravimo pripomo\u010dke<br \/>\n\u2022\u00a0\u00a0\u00a0 Ozna\u010den bris \u2013 ime in priimek bolnika, mesto, datum, ura<\/p>\n<p><strong><br \/>\nBris nosu 3. na\u010din<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Krvavitev iz nosu<br \/>\n\u2022\u00a0\u00a0\u00a0 Pred brisanjem pregledamo nosnici<br \/>\n\u2022\u00a0\u00a0\u00a0 Pritisk ob nosnem korenu, ledena vre\u010dka<br \/>\n\u2022\u00a0\u00a0\u00a0 Dodatno oku\u017een bris &#8211; dotik<br \/>\n<strong>Bris \u017erela &#8211; pripomo\u010dki<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Sterilen bris<br \/>\n\u2022\u00a0\u00a0\u00a0 Ledvi\u010dka, stani\u010devina<br \/>\n\u2022\u00a0\u00a0\u00a0 OVO \u2013 rokavice, (maska)<br \/>\n\u2022\u00a0\u00a0\u00a0 Ko\u0161 za odpadke<br \/>\n\u2022\u00a0\u00a0\u00a0 Nalepke, spremni listi<br \/>\n<strong><br \/>\nBris \u017erela &#8211; izvedba<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Psihofizi\u010dna priprava<br \/>\n\u2022\u00a0\u00a0\u00a0 Bolnik nagne glavo nazaj, odpre usta, re\u010de A<br \/>\n\u2022\u00a0\u00a0\u00a0 Z lopar\u010dkom potisnemo jezik navzdol<br \/>\n\u2022\u00a0\u00a0\u00a0 Obri\u0161emo \u017erelo, tonzili (pazi dlesni, zobje, jezik)<br \/>\n\u2022\u00a0\u00a0\u00a0 Bris izvle\u010demo, vlo\u017eimo v goji\u0161\u010de<br \/>\n\u2022\u00a0\u00a0\u00a0 Uredimo bolnika<br \/>\n\u2022\u00a0\u00a0\u00a0 Pospravimo pripomo\u010dke<br \/>\n\u2022\u00a0\u00a0\u00a0 Bris ozna\u010dimo (pacient, datum, \u010das, mesto), v laboratorij<br \/>\n<strong>Dokumentiranje<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Datum, \u010das, mesto odvzema<br \/>\n\u2022\u00a0\u00a0\u00a0 Opis sluznice, dodatni zapleti, opa\u017eanja, posebnosti<br \/>\n\u2022\u00a0\u00a0\u00a0 Izvid<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.zdravstvena.info\/vsznj\/wp-content\/uploads\/2007\/11\/sputum.thumbnail.JPG\" alt=\"sputum.JPG\" class=\"imageframe imgalignleft\" height=\"470\" width=\"440\" \/><br \/>\n<strong>Sputum<\/strong><br \/>\n\u2022\u00a0\u00a0\u00a0 Zjutraj<br \/>\n\u2022\u00a0\u00a0\u00a0 30 min. naj ne izka\u0161ljuje<br \/>\n\u2022\u00a0\u00a0\u00a0 Pred odvzemom umije zobe, usta in \u017erelo spere s sterilni aquo, NaCl \u2013 ne pri odvzemu za TBC; ustna nega<br \/>\n\u2022\u00a0\u00a0\u00a0 Za\u0161\u010dita bolnika, izvajalca<br \/>\n\u2022\u00a0\u00a0\u00a0 Globoko izka\u0161levanje, v \u0161iroko sterilno posodico<br \/>\n\u2022\u00a0\u00a0\u00a0 Po odvzemu ustna nega<br \/>\n\u2022\u00a0\u00a0\u00a0 Odvzem z aspiracijo<!-- wp_ad_camp_1 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ku\u017enina \u2022\u00a0\u00a0\u00a0 Odvzem, hranjenje in transport katere koli ku\u017enine odlo\u010dilno vplivajo na rezultat preiskave (bakterije), odvzem, skladi\u0161\u010denje vzorca (hladilnik, termostat), transport \u2022\u00a0\u00a0\u00a0 Pomemben del celotne diagnostike \u2022\u00a0\u00a0\u00a0 Del terapevtskega delovanja \u2022\u00a0\u00a0\u00a0 Osebna varovalna oprema (OVO) Vzorci za preiskave: \u2022\u00a0\u00a0\u00a0 Urin \u2022\u00a0\u00a0\u00a0 Blato \u2022\u00a0\u00a0\u00a0 Bris nosu, grla \u2022\u00a0\u00a0\u00a0 Sputum \u2022\u00a0\u00a0\u00a0 Rana \u2022\u00a0\u00a0\u00a0 Sekret iz telesnih votlin<\/p>\n","protected":false},"author":336,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[68],"tags":[103,102,106,105,107,3654],"class_list":["post-150","post","type-post","status-publish","format-standard","hentry","category-zdravstvena-nega-klinicne-vaje","tag-kuznine","tag-odvzem-osnovnih-kuznin-za-mikrobioloske-preiskave","tag-sanford","tag-sputum","tag-urikult","tag-zdravstvena-nega-klinicne-vaje"],"_links":{"self":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts\/150","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/users\/336"}],"replies":[{"embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/comments?post=150"}],"version-history":[{"count":0,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts\/150\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/media?parent=150"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/categories?post=150"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/tags?post=150"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}