laerdal Nursing Baby, Инструкция по применению

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• Oral intubation
• Nasal intubation
• Digital intubation
• Oropharyngeal airway insertion
• Nasopharyngeal airway insertion
•
V ocal sound identification
Anterior Fontanelle Variables -
The black pulse bulb allows f or controlling pressure in f ontanelle area to
si m ulate normal , bulging , and depressed f ontanelles .
1. T o create normal or bulging f ontanelles :
a) T urn sil v er knob on black pulse bulb clockwise to finger tight .
b) Squeeze black bulb until desired f ontanelle state is achie v ed.
2. T o create depressed f ontanelles:
a) T urn sil v er knob on black pulse bulb counter clockwise to loosen.
b) Allow air to release .
Laerdal Recommends
Endotracheal tube size – 3.5 ID
Straight laryngoscope blade – size #1
T racheosto m y tube size – 3.5 PED
Airway Management -
Spray pharynx , nostrils and all intubation devices with a liberal
amount of manikin lubricant . (Liquid soap may be used instead.)
Tracheostomy Plug -
The tracheosto m y plug may be remo v ed by grasping firml y, then lifting up
and then out . T o replace , press into hole .
Tracheostomy Care & Suctioning -
1. Mix solution of 1/2 cup mild liquid detergent and 1/2 cup water .
2. Mo v e the ribcage with speakers , by flipping it o v er the manikin ’ s face .
(Photo 1)
Rib Cage with Speakers
Lungs
Photo 1
3 . Remo v e the white lung bags.
4. Pour the mixture into the si m ulated lungs , enough f or suction catheter
to pick up solution.
5
. Reattach lungs to bronchial tubes .
The consistency of the solution approximates the m ucus normally
suctioned in a trachesosto m y patient.
Drain and air-dry lungs immediately after use.
(Photo 2)
Drain Plug
Photo 2
Laerdal Recommends
NG f eeding tube – 8 French
NG Tube Insertion -
1. Filling stomach reservoir for NG Tube insertion:
a . Remo v e chest skin from torso by detaching straps on back of manikin .
b . Place infant in supine position.
c . Remo v e drain plug from stomach reser v oir . (Photo 2)
d . Use a syringe to fill reser v oir with approximately 50cc of water .
e . Replace drain plug.
f. Replace chest skin , being sure to secure straps.
2. Emptying stomach after NG Tube insertion:
a . Remo v e chest skin from torso by detaching straps on back of manikin.
b . Place infant in supine position.
c . Remo v e drain plug from the stomach reser v oir .
d . Allow fluid to drain by tilting infant or aspirate fluid with a syringe .
e . Allow to air dry be f ore reassembl y.
Lungs -
Lungs may be detached from the bronchial tubes by removing bands
and pulling them off
. T o replace , re v erse the procedure . Spreading the
bands with f orceps and slipping them o v er the “Y” connector may aid in
reconnecting the lungs.
IV Arm -
1. Fill a 12cc syringe with colored fluid .
2. Attach fluid filled syringe to one of the v eins.
3 . Slowly inject fluid , allowing it to flow through arm and out other v ein.
4. Clamp v ein through which fluid is flowing using hemostats or a similar
device . (Figure 1)
5 . IV arm is now ready to practice v enipuncture .
Fig . 1
Laerdal Recommends
Use nothing larger than a 22-gauge needle f or IV or intra m uscular
injections . This will extend the li f e of the skin .
Laerdal 4 Nursing Bab y