Bard PowerPICC SOLO 2 Скачать руководство пользователя страница 8

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What should I do if I become allergic to tape?

There are other choices of hypoallergenic tapes that can be used. It is important to

be aware of any skin problems near the insertion site because the danger of infection

increases if there is skin irritation.

Should I wear a medical alert type bracelet or have some other information

available regarding my catheter?

It would be a very good idea to wear something to alert others that you have a

peripherally inserted central venous catheter. If you were in an accident or became

ill and couldn’t give this type of information yourself, the bracelet could be lifesaving

by informing emergency personnel that you have a catheter. There are commercial

companies that have medical alert bracelets or you may want to ask for a hospital type

plastic waterproof I.D. band as a temporary measure. Another option is the catheter

Maintenance/I.D. card given to you by your nurse or physician. Place the card in your

wallet and carry it with you at all times.

Should someone else learn the procedures?

Most people can not change a PICC dressing by themselves. Having another person

available who has been trained in all of the necessary procedures is important. The

most important thing is that someone else knows how to do emergency procedures.

I’ve heard that some chemicals can hurt the catheter. Is this true?

Some chemicals can damage the catheter. It is important not to use anything near the

catheter unless you check with your doctor or nurse. Acetone, such as that found in nail

polish remover or some tape removers, is especially harmful and should not be used.

How long can the catheter stay in place?

Your doctor is the best source for this answer. The catheter is designed to stay in place

for long periods of time, but each patient situation is unique. The answer depends

on what the catheter is used for, your general health, and the care and attention paid

to the procedures. The better care you take of your catheter, the longer you may be

without complications.

Comments and/or changes as recommended by your nurse or physician.

________________________________________________________________________

“YOU CAN MAKE A DIFFERENCE!”

Quiz

Answer the following questions by circling T for true or F for false.

The answers are below.

1. If there is a break in the catheter, the first thing that I should do is call the doctor.

T F

2. If the cap becomes loose, it should be tightened immediately.

T F

3. If the cap falls off, replace it immediately.

T F

4. “Site Care” must be done between 9 and 10 a.m.

T F

5. It is okay to use more force during the flush procedure to get the flow going.

T F

6. I can jog or do other activities as long as it is okay with my doctor or nurse.

T F

7. To prevent contamination, I should keep the catheter under my clothing and not

disturb it between flushes.

T F

8. During the dressing change, if I notice that the catheter has come out a little bit, I

should push it back in.

T F

Answers

1. False. The first thing to do is to bend the catheter back on itself and secure with a

rubber band or tape, then call the doctor or nurse.

True.

3. False. The cap needs to be replaced but with a sterile cap. If the same cap is

reapplied there is an increased risk of infection. Follow the full procedure for cap

change.

4. False. You can do “site care” at 3 a.m. if you wish, as long as you do it on a regular

basis and are alert enough to do the procedure carefully.

5. False. You may dislodge a blood clot or rupture the catheter which is dangerous. If

you have difficulty flushing, stop the procedure and call your doctor or nurse.

True. The catheter should not interfere with your normal activity as long as you get

permission for the activity from your doctor or nurse.

7. False. You should periodically look at the catheter, especially if long periods of time

elapse between flushes. This is especially true for the period of time immediately

following the insertion of the catheter.

8. False. You should call your doctor or nurse. Never try to re-insert the catheter. This

may lead to an infection.

Comments and/or changes as recommended by your nurse or physician.

__________________________________________________________________________

Содержание PowerPICC SOLO 2

Страница 1: ...iledning Informacje dla pacjenta tmutat betegek sz m ra Pr vodce Pacienta Hasta K lavuzu P How To Care For Your Comment entretenir votre Selbstpflege La manutenzione del C mo cuidar de su Verzorging v...

Страница 2: ......

Страница 3: ...ni n c nica inversa Omgekeerd taps C nico Invertido Forl ngerstykke Omv nd avfasning Taaksep in kapeneva kohta Omvendt tape Element zw any sto kowo Ford tott k p Obr cen zkosen Ters Konik Extension Le...

Страница 4: ...sec Warning Exceeding the maximum flow rate of 5 ml sec or the maximum pressure of power injectors of 300 psi may result in catheter failure and or catheter tip displacement Warning Power injector ma...

Страница 5: ...ecure the catheter to the dressing or arm with tape This will prevent pulling of the catheter at the insertion site and decrease irritation To help prevent possible catheter occlusion coiling the cath...

Страница 6: ...y procedure Wear a mask if you have a cold or a cough Avoid persons who are ill Do your procedures in a well ventilated but draft free place PROBLEM Phlebitis SIGNALS You may have redness tenderness o...

Страница 7: ...be changed every seven days and as needed if the dressing is loose soiled or damp or as instructed by your doctor or nurse What do I do if I get a cold or cough If you have a cold or cough your doctor...

Страница 8: ...______ YOU CAN MAKE A DIFFERENCE Quiz Answer the following questions by circling T for true or F for false The answers are below 1 If there is a break in the catheter the first thing that I should do...

Страница 9: ...__________________________ _________________________________ ____________________________________ _________________________________ ____________________________________ _______________________________...

Страница 10: ...niquement des lumens marqu s Power injectable Injectable sous pression pour l injection forc e de produit de contraste Avertissement L utilisation de lumens non marqu s Power injectable Injectable sou...

Страница 11: ...le rembourrage si n cessaire puis appliquez les morceaux de sparadrap 13 V rifiez afin de voir si le cath ter n est pas pli ou pinc Appliquez le pansement en le centrant sur le site d insertion et en...

Страница 12: ...______________________________________________________________________ ________________________________________________________________________ ________________________________________________________...

Страница 13: ...vous demander de faire d autres observations p riodiques C est une autre fa on de s assurer que tout se passe bien Comment saurais je si quelque chose se passe mal Si vous rencontrez des probl mes av...

Страница 14: ...me cutan proximit du site d insertion parce que le risque d infection augmente si la peau est irrit e Dois je porter un bracelet d alerte m dicale ou fournir des informations suppl mentaires concernan...

Страница 15: ...cath ter __________________ Longueur en cm du cath ter _______________ N de lot ___________________ Le CCIP a t ins r via la veine basilique c phalique droite gauche Retour sanguin Obtenu Non obtenu _...

Страница 16: ...r Hochdruckinjektion auf K rpertemperatur erw rmt werden Achtung Wird das Kontrastmittel vor der Hochdruckinjektion nicht auf K rpertemperatur erw rmt kann dies zu einer Fehlfunktion des Katheters f h...

Страница 17: ...Zoll Werfen Sie den Applikator nach einmaligem Gebrauch weg 11 Einige Einrichtungen legen an dieser Stelle eine Sicherungsvorrichtung an Pr fen Sie mit Ihrem Pfleger oder Arzt ob dies auch f r Ihren...

Страница 18: ...__________________________________ ________________________________________________________________________ ________________________________________________________________________ ___________________...

Страница 19: ...problem vorliegen das die sofortige Aufmerksamkeit Ihres Arztes oder Pflegers erfordert Eine niedergradige Temperatur und ein Gef hl allgemeiner M digkeit Schw che die mehr als 24 Stunden andauert bed...

Страница 20: ...ehmen die diese medizinischen Warnarmb nder herstellen oder Sie k nnen als bergangsma nahme nach einem wasserdichten Plastik ID Armband wie es in Krankenh usern verwendet wird fragen Eine weitere Opti...

Страница 21: ...nge des Katheters in cm ______________ Charge Nr ___________________ PICC wurde ber die rechte linke Vena basilica encephalica eingesetzt Blutr cklauf kam vor nicht vor _____________________ cm der ei...

Страница 22: ...atetere stesso 7 Usare solo lumi contrassegnati con Iniettabile sotto pressione per l iniezione sotto pressione di mezzi di contrasto Avvertenza l utilizzo di lumi che non siano marcati con Iniettabil...

Страница 23: ...cigliato o compresso Applicare il bendaggio esterno centrando sul sito d inserzione seguendo le indicazioni contenute nella confezione e le istruzioni del medico o dell infermiere 14 Fissare il catete...

Страница 24: ...ione fisiologica e pronta per l uso sar cura del medico o di un infermiere comunicare al paziente la quantit di normale soluzione fisiologica da utilizzare I passaggi della procedura sono 1 Lavarsi le...

Страница 25: ...osso accorgermi se qualcosa va storto In caso di problemi con la procedura di lavaggio potrebbe esservi un coagulo che richiede l attenzione immediata di un medico o di un infermiere Una temperatura b...

Страница 26: ...ottima idea indossare qualche forma di indicazione della presenza di catetere venoso centrale a inserzione periferica In caso di incidenti o malattia che impedisca al paziente di comunicare questo ti...

Страница 27: ...________ Nome del catetere _________________ Lunghezza del catetere in cm ______________ N lotto ___________________ Il PICC stato inserito attraverso la vena cefalica basilica destra sinistra stato o...

Страница 28: ...ra la inyecci n autom tica de medios de contraste Advertencia el uso de luces sin la marca Power Injectable para la inyecci n autom tica del medio de contraste puede causar el fallo del cat ter 8 Comp...

Страница 29: ...o y aplique tiras de cinta adhesiva 13 Compruebe que el cat ter no est enroscado ni apretado Aplique el vendaje de cobertura centr ndolo sobre el lugar de inserci n siguiendo las instrucciones que se...

Страница 30: ..._________________________________________________________ __________________________________________________________________________ ___________________________________________________________________...

Страница 31: ...r a Una temperatura baja y una sensaci n de debilidad o cansancio general que dura m s de 24 horas podr a significar el comienzo de una infecci n Si un ni o se vuelve menos activo sin ning n motivo ap...

Страница 32: ...emergencia de que usted tiene un cat ter Existen empresas comerciales que ofrecen pulseras de alertas m dicas o puede que prefiera solicitar una cinta hospitalaria de identificaci n de pl stico como m...

Страница 33: ...Se obtuvo No se obtuvo retorno de la sangre ______________ cm de longitud del cat ter insertable expuesto desde el lugar de inserci n Hospital ______________________________________ Tel fono _________...

Страница 34: ...er veroorzaken 7 Gebruik alleen lumina die geschikt zijn voor aangedreven injectie aangeduid met Power Injectable voor aangedreven injectie van contrastmiddel Waarschuwing Het gebruik van lumina die n...

Страница 35: ...ig en breng tapepleisters aan 13 Controleer of de katheter niet geknikt of afgekneld is Breng het dekverband aan op het midden op de insteekplaats volgens de aanwijzingen in de verpakking en de instru...

Страница 36: ...________________________ ________________________________________________________________________ ________________________________________________________________________ _____________________________...

Страница 37: ...ige zodra u denkt dat er iets mis is Zijn er speciale instructies bij de verzorging van een kind met een PICC Opmerking In perioden van verhoogde lichamelijke activiteit is frequenter spoelen van de P...

Страница 38: ...n de katheter blijven zitten Uw arts kan deze vraag het beste beantwoorden De katheter is ontworpen voor langdurige perioden maar elke pati ntsituatie is uniek Het antwoord hangt af van waarvoor de ka...

Страница 39: ..._________________________________ _________________________________ ____________________________________ _________________________________ Schema katheterverzorging ___________________________________...

Страница 40: ...na falha do cateter 7 Utilize apenas l mens com a indica o de injec o mec nica Power Injectable para a injec o mec nica de meio de contraste Advert ncia A utiliza o de l menssem a marca o Para injec o...

Страница 41: ...cateter no local de inser o e diminuir a irriga o Para ajudar a evitar uma poss vel oclus o do cateter n o recomend vel enrolar o cateter 15 Fixe sempre o cateter de forma a que possa facilmente ver...

Страница 42: ...______ ________________________________________________________________________ ________________________________________________________________________ Conseguir Detectar Problemas e saber como agir...

Страница 43: ...actividade especialmente logo ap s o PICC ser inserido recomend vel uma substitui o por actividades mais calmas em vez de restri es de actividades A crian a dever usar um tipo de roupa de cubra o bra...

Страница 44: ...ro ou m dico ________________________________________________________________________ ________________________________________________________________________ _________________________________________...

Страница 45: ...________________ ____________________________________ _________________________________ ____________________________________ _________________________________ Tabela de Manuten o do Cateter __________...

Страница 46: ...___________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ __...

Страница 47: ...________________________________________________________________ __________________________________________________________________________ PICC PICC 1 2 ______________________________________________...

Страница 48: ...________________________________________________ 1 1 ChloraPrep 1 1 2 3 4 ChloraPrep 5 6 3 5 __________________________________________________________________________ ________________________________...

Страница 49: ...PICC PICC 166 2 54 5 08 cm 24 48 24 39 C PICC PowerPICC SOLO PICC PICC 2 54 5 08 cm 2 5 5 8 6 47...

Страница 50: ..._______ ____________________________________________________________________________ ____________________________________________________________________________ ______________________________________...

Страница 51: ...____________ __________________ _______________________________________ __________________ ______________________________________ __________________ ____________________________________ ______________...

Страница 52: ...tmedium kan beskadige katetret 8 Gennemf r power injektionsstudiet og v r p passelig med ikke at overskride flowhastighedsgr nserne Den maksimale flowhastighed p 5 ml sek m ikke overskrides Advarsel O...

Страница 53: ...r omvikl med tape Dette vil forhindre at katetret tr kkes ud ved indspr jtningsstedet og samtidig formindske irritation For at hj lpe med at forebygge mulig tilstopning af katetret anbefales det ikke...

Страница 54: ...kulderystelser h velse eller sivning ved indspr jtningsstedet Du kan bem rke en d rlig lugt f le smerte eller varme fra indspr jtningsstedet Generel tr thed eller nedsat aktivitet hos et barn uanset o...

Страница 55: ...et af en person som ikke er tr net i kateterpleje b r der foretages en gennemgang af n dhj lpsprocedurerne Dette b r indg i planl gningen f r personen passer barnet S rg ogs for at n dhj lpsinformatio...

Страница 56: ...______________________________________________________ ________________________________________________________________________ ________________________________________________________________________...

Страница 57: ...__________________________ _________________________________ ____________________________________ _________________________________ Plan for kateterpleje ______________________________________________...

Страница 58: ...ven injicering av kontrastmedel kan leda till att katetern g r s nder 8 Slutf r insprutningen och var f rsiktig s att fl deshastighetsgr nserna inte verskrids verskrid inte den maximala fl deshastighe...

Страница 59: ...er armen med tejp Det f rhindrar att katetern dras vid ins ttningsplatsen och minskar irritationen Undvik att rulla ihop katetern eftersom det kar risken f r kateterocklusion 15 F st alltid katetern p...

Страница 60: ...ROBLEM Infektion SYMPTOM Feber med temperatur ver 38 o C frossa svullnad eller v tskning kring ins ttningsplatsen Sm rtar v rmek nsla eller fr n lukt vid ins ttningsplatsen Allm n tr tthet eller l g a...

Страница 61: ...dig F rbandet b r bytas med en veckas mellanrum och vid behov om det sitter l st blir smutsigt eller fuktigt eller om l karen eller sjuksk terskan ger andra anvisningar Vad g r jag om jag f r hosta e...

Страница 62: ...R f r r tt svar eller F f r fel svar De r tta svaren finns p n sta sida 1 Om katetern g r s nder ska jag allra f rst ringa l karen R F 2 Om locket sitter l st ska det genast dras t R F 3 S tt tillbak...

Страница 63: ..._________________________ _________________________________ ____________________________________ _________________________________ Schema f r katetersk tsel ___________________________________________...

Страница 64: ...en tehoinjektiot salliviksi merkittyj luumeneita Varoitus Sellaisten luumenien k ytt joita ei ole merkitty varjoaineen tehoinjektioita varten voi aiheuttaa katetrissa toimintah iri n 8 Suorita tehoinj...

Страница 65: ...varteen teipill T m est katetrin vet mist sis nvientipaikassa ja v hent rsytyst Voit est katetrin mahdollisen tukoksen olemalla kiert m tt katetria ker lle 15 Kiinnit katetri aina niin ett voit helpos...

Страница 66: ...k tarkempia tietoja kustakin ONGELMA Infektio MERKIT Sinulla voi olla kuumetta yli 37 8 C vilunv ristyksi turvotusta tai veren tihkumista sis nvientipaikassa Voit huomata pahaa hajua kipua tai kuumotu...

Страница 67: ...na Jos lapsi j tet n sellaisen ihmisen hoitoon jota ei ole koulutettu hoitamaan katetria h nen kanssaan on k yt v l pi ensiaputoimet T st on sovittava ennen kuin kyseinen henkil hoitaa lasta Varmista...

Страница 68: ...________________________________________________________________________ ________________________________________________________________________ ______________________________________________________...

Страница 69: ..._______________ _________________________________ ____________________________________ _________________________________ Katetrin hoitoaikataulu ______________________________________________________...

Страница 70: ...rides Advarsel Overskridelse av maksimal str mningshastighet p 5 ml sek eller det maksimale trykket for trykkspr yter p 300 psi kan resultere i katetersvikt og eller forskyvning av katetertupp Advarse...

Страница 71: ...uksjonene som ble gitt av lege eller sykepleier med hensyn til hvor klemmen skal settes Det finnes forskjellige typer klemmer Bulldog klemmen er en liten tung ledningsklemme som pnes n r enden er i kl...

Страница 72: ...kkert Skift bandasjen hver syvende dag eller hvis den blir skitten eller l sner eller som instruert av legen din eller sykepleier PROBLEM Brudd eller separasjon av kateteret forlengelsen eller kateter...

Страница 73: ...rs k aldri gj re noe med kateteret du ikke ble l rt opp til gj re Du kan l sne en propp i blodet eller du kan skade kateteret Hva skjer med PICC hvis det er skadet Etter at du har tatt forholdsregel a...

Страница 74: ...et ut litt skal jeg presse det inn igjen T F Svar 1 Falsk Det f rste du m gj re er b ye kateteret tilbake p seg selv og sikre med en strikk eller tape og deretter ringe lege eller sykepleier 2 Sant 3...

Страница 75: ..._______ _________________________________ ____________________________________ _________________________________ Tidsplan for kateterstell _____________________________________________________ S N MAN...

Страница 76: ...nym Ostrze enie Niezapewnienie podgrzania rodka kontrastowego do poziomu temperatury cia a przed badaniem ze wstrzykiwaniem wspomaganym mo e spowodowa uszkodzenie cewnika 7 Do wstrzykiwania wspomagane...

Страница 77: ...o y na p gaz wielko ci 5 cm x 5 cm 22 cale x i umie ci j pod z czem cewnika je li trzeba i przymocowa plastrem 13 Sprawdzi czy cewnik nie jest zagi ty lub ci ni ty Na o y opatrunek wierzchni tak aby...

Страница 78: ..._____ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________...

Страница 79: ...rozwijaj cej si infekcji Je eli dziecko bez wyra nego powodu staje si mniej aktywne na czas d u szy ni zazwyczaj mo e to oznacza pocz tek infekcji nawet je eli nie obserwuje si wzrostu temperatury Je...

Страница 80: ...procedurach Najwa niejsz spraw jest aby inna osoba zna a procedury post powania w przypadkach nag ych Podobno niekt re substancje chemiczne mog uszkadza cewnik Czy to prawda Niekt re chemikalia mog us...

Страница 81: ...____________ _________________________________ ____________________________________ _________________________________ Harmonogram zabieg w piel gnacyjnych dot cewnika ___________________________ NIEDZ...

Страница 82: ...mas jel l ssel ell tott lumeneket haszn ljon Figyelmeztet s a kat ter meghib sod s t okozhatja ha olyan lumeneket haszn l kontrasztanyag befecskendez s re amelyek nincsenek Kontrasztanyag befecskendez...

Страница 83: ...valamint orvosa vagy pol ja tmutat sait k vetve 14 A kat tert szalaggal r gz tse a k t shez vagy a karj hoz Ez megakad lyozza hogy a kat ter kih z djon a behelyez s hely n s cs kkenti az irrit ci t A...

Страница 84: ..._________________________ ________________________________________________________________________ ________________________________________________________________________ ____________________________...

Страница 85: ...fokozott fizikai tev kenys g id szakok eset n gyakrabban kell t bl tenie gyermeke PowerPICC SOLO kat ter t K rjen tmutat st az pol j t l vagy orvos t l Lehets ges hogy korl tozni kell bizonyos aktivit...

Страница 86: ...rd tott figyelemt l Min l jobban gondozza a kat tert ann l hosszab ideig viselheti komplik ci k n lk l Az pol ja vagy orvosa ltal javasolt megjegyz sek s vagy v ltoztat sok ___________________________...

Страница 87: ...____ ____________________________________ _________________________________ ____________________________________ _________________________________ Kat tergondoz si temterv ____________________________...

Страница 88: ...en ch ur eno pro tlakov injekce pro tlakov injekce kontrastn l tky m e m t za n sledek selh n kat tru 8 P i prov d n studie s tlakovou injekc dbejte na to abyste nep ekro ili limitn hodnoty pr toku Ne...

Страница 89: ...nebo zdravotn sestry 14 Upavn te kat tr k obvazu nebo k pa i n plast Zabr n to vyta en kat tru z m sta zaveden a omez to podr d n Nedoporu uje se kat tr svinovat aby nedo lo k jeho okluzi 15 V dy zaji...

Страница 90: ...pecifick mi informacemi o ka d m z nich PROBL M Infekce SIGN LY M e se st t e budete m t hore ku s teplotou vy ne 37 8o F nachlazen otok nebo v tok z m sta zaveden M e se st t e uc t te z pach poc t t...

Страница 91: ...p i o kat tr je t eba revizi kontrolu urgentn ch postup Je t eba to napl novat p ed asem kdy p slu n osoba p evezme p i o d t Tak zajist te aby byly poskytovateli p e dostupn urgentn informace a urge...

Страница 92: ...____ ________________________________________________________________________ ________________________________________________________________________ _________________________________________________...

Страница 93: ..._______________ _________________________________ ____________________________________ _________________________________ Rozvrh p e o kat tr ________________________________________________________ NE...

Страница 94: ...te Edilebilir olarak i aretli olmayan l menlerin kullan m kateterin zarar g rmesine neden olabilir 8 Elektrikli enjeksiyon al mas n ak h z limitlerini ge memeye dikkat ederek tamamlay n 5 ml sn lik ma...

Страница 95: ...arg s n tatbik edin 14 Kateteri sarg ya veya kola bantla sabitleyin Bu i lem kateterin yerle im b lgesinde ekilmesini nleyecek ve tahri i azaltacakt r Muhtemel kateter t kanmas n nlemeye yard mc olmas...

Страница 96: ...yel sorunlara ili kin bir liste bulunmaktad r PSORUN Enfeksiyon BEL RT LER 100o F zerinde ate me veya yerle im b lgesinde i kinlik veya s z nt olabilir Yerle im b lgesinden gelen k t bir koku hissedeb...

Страница 97: ...ysi ayn zamanda ocu un kateteri a z na almas na veya kateteri i nemesine de engel olur G n i inde aral klarla giysinin alt nda bulunan katetere bakmak gerekli olabilir ocuk kateter bak m konusunda e i...

Страница 98: ...____________________ ________________________________________________________________________ ________________________________________________________________________ _________________________________...

Страница 99: ...________________________________ _________________________________ ____________________________________ _________________________________ Kateter Bak m Takvimi ________________________________________...

Страница 100: ...deep Copyright 94 Garb e t t PICC PICC d _____________________________________________________________________________ _____________________________________________________________________________ ___...

Страница 101: ...____________________________________ ___________________________________________________________________________ ___________________________________________________________________________ PICC PICC 1...

Страница 102: ...rep 1 1 2 3 4 One Step ChloraPrep 5 6 3 5 _____________________________________________________________________________ _____________________________________________________________________________ __...

Страница 103: ...PICC PICC 911 1 2 2 5 5 24 48 24 100 F 37 8 C PICC PowerPICC SOLO PICC 6 101...

Страница 104: ..._________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ __...

Страница 105: ..._________ ________________ ______________________________________ ________________ Tedarik i _______________________________________ ________________ ____________________________________ _____________...

Страница 106: ...Marken und oder eingetragene Marken der C R Bard Inc Alle anderenWarenzeichen sind Eigentum ihrer jeweiligen Besitzer Principi attivi dell applicatore One Step per soluzione di ChloraPrep Clorexidina...

Страница 107: ...SP Om du vill ha mer information om ChloraPrep enstegsapplikatorn ringer du f ljande nummer 1 800 523 0502 08 00 17 00 UTC 6 tim Ett utgivnings eller revisionsdatum f r dessa instruktioner finns angiv...

Страница 108: ...chlorhexidinu 2 hm obj antiseptick Isopropylalkohol 70 obj obj antiseptick Neaktivn slo ky purifikovan voda dle l kopisu USA Dal informace o jednokrokov m aplik toru p pravku ChloraPrep One Step m ete...

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