雾化产品专题知识讲座.pptx

雾化水和大容量喷雾器雾化水和大容量喷雾器雾化产品专题知识讲座1/25雾化概念雾化概念雾化吸入疗法原理是利用气体射流原理，将水滴撞击微小雾滴悬浮于气体中，形成气雾剂而输入呼吸道，以进行呼吸道湿化或药品吸入治疗方法。雾化吸入有消炎、化痰、解除气管平滑肌痉挛、减轻喉头水肿效果.尤其是对于气管切开且长久卧床患者效果显著。产生微粒为215 m,平均6 m，能抵达各级气道。雾化产品专题知识讲座2/25什么是大容量雾化治疗什么是大容量雾化治疗A type of respiratory therapy used in the hospital,long-term care and home environments.一个用于医院,长久护理和家居护理呼吸治疗方式Provides visible particles of water to the respiratory tract to thin mucus and assist in the mobilization of secretions.向呼吸道提供可见雾化水颗粒，方便稀释呼吸道分泌物，使其易于排出A bland aerosol(water or saline)is created by a nebulizer and carried to the patient via 22mm corrugated tubing.雾化器产生纯净雾气(蒸馏水或生理盐水),由22mm直径螺纹管连接输送雾气给患者Delivered via mask,face tent or trach mask 雾化气体可经过面罩、氧气面帐或气切面罩送达患者LVN Therapy雾化产品专题知识讲座3/25专有名词专有名词LVN-Large Volume Nebulizer 大容量喷雾器Nebulizer A device that transforms a liquid into an aerosol 喷雾器 一个将液体转换成喷雾剂（雾气）装置Aerosol-Suspension of fine liquid particles喷雾剂、雾化颗粒悬浮着细小液体微粒Bland aerosol-Soothing or non-irritating,no pharmacologic action,usually water or saline solution 纯净雾化治疗-不添加药品，舒缓、无刺激，通惯用无菌水或生理盐水Rain Out-Aerosol particles that drop out of suspension and collect in the 22mm tubing 凝水-气雾颗粒沉积在22mm螺纹管内LVN Therapy Definitions 雾化产品专题知识讲座4/25Who Benefits from Aerosol Therapy?雾化治疗适用与哪些病人？Patients with artificial airways:endotracheal or tracheostomy tube 使用气管插管或气切插管建立人工气道病人Patients with thick secretions acute infection or underlying pulmonary disease 急性感染或器质性肺部疾病引发呼吸道分泌物浓稠患者Post-extubation during a recovery period拔管后处于恢复期病人Patients who have had fiberoptic bronchoscopy 使用纤维支气管镜病人Patients with inflammatory obstruction,croup or laryngitis炎症喉阻塞，义膜性喉炎或喉炎患者。LVN Therapy Benefits 雾化产品专题知识讲座5/25What are the Therapeutic Goals?雾化治疗目标Hydrate thick,dry secretions to facilitate mobilization up and out of the airways 稀释粘稠痰液或痰栓，使呼吸道分泌物轻易排出Soothe inflamed upper airway tissues 舒缓发炎上气道组织Improve mucociliary function 改进纤毛功效Improve cough effectiveness改进咳痰能力Aid in sputum induction帮助痰液排出LVN Therapy Therapeutic Goals雾化产品专题知识讲座6/25LVNLVN大容量喷雾器治疗特点大容量喷雾器治疗特点使用無菌蒸餾水或生理盐水氣動式，須連接流量表氣霧粒子大小2-20m氣霧輸出量3050 mg/liter28%-100%氧氣濃度可供選擇雾化产品专题知识讲座7/25湿化治疗和大容量喷雾器区分湿化治疗和大容量喷雾器区分Humidifiers:add invisible water vapor(molecular humidity)to a gas mixture.Molecular humidity cannot carry bacterial or viral pathogens湿化治疗：令不可见水蒸气并与空气混合。湿化分子不能携带细菌和病毒Nebulizers:add visible water particles to the gas mixture in the form of an aerosol.Aerosol particles are large enough to carry bacterial and viral pathogens 雾化器：使可见水滴与气体混合形成悬浮颗粒。气溶胶颗粒足够大可携带细菌和病毒LVN Therapy Humidification vs.Nebulization雾化产品专题知识讲座8/25AquaPak 预装水雾化装置预装水雾化装置LVN Therapy Delivery Options AquaPak Includes a pre-filled sterile water bottle and nebulizer adapters 包含预充无菌水瓶及雾化器接头 Interfaces with Aquatherm nebulizer heater and other accessories 有雾化加热器和其它配件配套供给Sterile AquaPak water/AquaPak蒸馏水Provides hot or cold nebulization/有加热雾化和不加热雾化装置Variable concentration adapters and reservoir bottles 各种可调浓度接头和不一样剂量储水瓶Aerosol Masks雾化面罩Tracheostomy Masks气切面罩Face Tents 氧气面帐Corrugated Tubing 螺纹管Drainage Systems 排水系统Heaters加热器雾化产品专题知识讲座9/25AQUAPAK Prefilled Large Volume NebulizersAQUAPAK预装水大容量喷雾器预装水大容量喷雾器Convenient 方便Cost effective 经济Sterile 无菌Aseptic technique 无菌技术Closed system密闭系统Infection control感染控制Variety of options各种选择LVN Therapy Delivery Options AquaPak雾化产品专题知识讲座10/25Equipment Requirements 需要配件需要配件1.Aerosol generator(nebulizer)including a variable oxygen concentration feature 能够调整氧浓度雾化发生器Patients needing aerosol therapy often need supplemental oxygen需要雾化治疗病人往往需要供氧Always verify delivered oxygen levels 可控制氧气供给水平2.Corrugated tubing 螺纹管3.Aerosol drainage bag 雾化排水袋4.Patient interface:face mask,trach mask,face tent 连接病人端：面罩、气切面罩、面帐5.External heater can be added as needed 依据需要添加加热器Greatly increases the aerosol output 大幅度提升雾化输出量Always verify aerosol temperature at the patient可控制病人端雾化温度LVN Therapy Equipment Requirements雾化产品专题知识讲座11/25Equipment Requirements需要配件需要配件LVN Therapy Equipment RequirementsTemperature Monitor 温度监测器温度监测器Aerosol Mask雾化面罩雾化面罩 Corrugated Tubing螺纹管螺纹管 Reservoir 雾化瓶雾化瓶 Heater加热器加热器 Adapter雾化接头雾化接头 雾化产品专题知识讲座12/25Jet Nebulizer Adaptors 雾化接头雾化接头ReservoirBottleLVN Therapy Delivery Options AquaPak Adapters雾化接入系统雾化接入系统雾化接头雾化接头输入氧气输入氧气外部空气从外部空气从通气口进入通气口进入氧气氧气,雾化水雾化水和外部空气和外部空气到病人端到病人端有氧气进口和水进口吸引器有氧气进口和水进口吸引器,调整调整到对应角度到对应角度,空气进口空气进口引导气流管道引导气流管道刺尖进入雾刺尖进入雾化瓶化瓶多出水回流多出水回流水流通路水流通路:当氧气经过吸引器当氧气经过吸引器端口时端口时,水受负压被抽上来水受负压被抽上来雾化水有雾化水有440,760,440,760,10701070和和2200ml2200ml装装雾化产品专题知识讲座13/25AquaPak 雾化水容量选择雾化水容量选择Three sizes,440ml,760ml,1070ml to meet every clinical situation三种规格针对每种临床情况2200mL discontinued/2200ml不再提供Three bland solutions,sterile water,.45%NaCl,.9%NaCL 三种不一样配方：无菌水、0.45%NaCl、0.9%生理盐水Color coded labels by solution 不一样配方有不一样颜色标签Available separately or packaged with 028 or 033 adapter 有单独包装和与028/033接头一起包装供给LVN Therapy Delivery Options AquaPak Reservoir Options雾化产品专题知识讲座14/25Two Nebulizer Adaptor Options两种接头选择两种接头选择Adjustable air entrainment 可调整空气入口Full range of oxygen concentrations:28 to 98%(yellow)黄色接头有28-98%氧气浓度可选择33 to 98%(blue)more silent,more rain out 蓝色接头氧浓度选择为33-98%，更平静，出雾更多Easy to use self-sealing puncture pins 简单实用封口穿刺针Closed system:recycles large particles back to the reservoir,infection control 全密闭系统：回收多出雾化粒子，便于感控Ideal particle size for optimal nebulization 理想雾化颗粒到达最正确雾化效果Special baffling system provides quiet nebulization 平静雾化Compatible with all AQUAPAK reservoirs 可与各种型号AQUAPAK雾化储水瓶相接Sterile assembly,covered puncture pins 部件都是消毒包装，穿刺针有针尖帽覆盖LVN Therapy Delivery Options AquaPak Adapters雾化产品专题知识讲座15/25031-28(028)Nebulizer Adaptor 雾化接头雾化接头Smallest particle size,fewer large particles to rain out in tubing最小颗粒，极少有大颗粒残留在管道内Lowest rain-out levels:less waste最低大颗粒沉积百分比，降低浪费Most efficient water consumption:750mL bottle lasts longer than competitors 1,000mL bottle水利用率更高：750ml装雾化水比竞争品牌1000ml装水使用时间更长28%-98%oxygen settings/28-98%氧浓度设置Bright yellow entrainment collar 显著黄色标识识别Puncture pin punctures the water bottle 穿刺针穿刺水瓶LVN Therapy Delivery Options AquaPak Adapters雾化产品专题知识讲座16/25031-33(033)Nebulizer Adaptor 雾化接头雾化接头Quieter than the 028 adaptor,due to different internal baffle 不一样内部调整口设计，使它比028接口更静音Mist more visible than 028 due to slightly larger particle size 雾化颗粒略大于028接头，雾气可视性更加好Consumes more water than 028 比028接头更费水More rainout than 028 比028接头水汽沉积更多33%-98%oxygen settings/33-98%氧浓度设置Bright blue entrainment collar 接头为亮蓝色LVN Therapy Delivery Options AquaPak Adapters雾化产品专题知识讲座17/25Rain Out in Aerosol Tubing在雾化管道中沉积在雾化管道中沉积LVN Therapy Delivery Options AquaPak Rain Out雾化产品专题知识讲座18/25Variable Oxygen Concentration:不一样氧气浓度不一样氧气浓度Venturi Effect 文丘里效应文丘里效应Oxygen from gas source is forced through a restricted orifice inside adaptor氧气从接头中小孔经过氧气从接头中小孔经过Vacuum is created and room air is entrained through openings on adaptor 产生真空，使空气从接头开口处进入产生真空，使空气从接头开口处进入Combination of oxygen flow and room air entrainment=total flow and FIO2氧气和空气总和氧气和空气总和=总流量和总氧气浓度总流量和总氧气浓度Total Flow Data 总流量数据总流量数据LVN Therapy Delivery Options AquaPak Venturi Effect雾化装置设置（LPM/FLO2)总流量 LPMHudson RCI#0285 LPM/28%10 LPM/60%10 LPM/98%49.420.810.8Hudson RCI#0338 LPM/33%10 LPM/60%10 LPM/98%4919.710.5雾化产品专题知识讲座19/25Large volume nebulizers can be heated to provide a heated mist to the patient.大容量雾化装置可用加热方法向患者提供加热雾气大容量雾化装置可用加热方法向患者提供加热雾气Heating the solution to be aerosolized raises the temperature of the gas leaving the nebulizer and increases its capacity to carry humidity.对雾化水加热，使雾化气体温度提升，增加其携带湿气能力对雾化水加热，使雾化气体温度提升，增加其携带湿气能力Heat also increases the water output from the nebulizer by raising the temperature of the water.加热可增加雾化器出雾量加热可增加雾化器出雾量Indicated for patient needing excessive amounts of aerosol/hyperactive airways(i.e.Asthma)用于需要大剂量雾化病人或气道亢进患者（如哮喘）用于需要大剂量雾化病人或气道亢进患者（如哮喘）Heated Aerosol 加热雾化加热雾化LVN Therapy Delivery Options Heated Aerosol雾化产品专题知识讲座20/25Aquatherm III Heater,Cat.No.050-12/050-14加热器加热器Push-to-turn temperature knob prevents accidental adjustment 温度调控旋钮，预防意外温度调控旋钮，预防意外触碰改变温度触碰改变温度Self cleaning internal heater 有自动净化功效有自动净化功效Output temperature and temperature at patient depends upon heater setting,room temperature,length of tubing and oxygen setting输出温度和抵达病人端温度取决于加热器温度输出温度和抵达病人端温度取决于加热器温度设定、设定、房间温度、房间温度、管道长度和氧气设置。管道长度和氧气设置。Note:Always monitor temperature of aerosol delivered to patient 注意：不停监测抵注意：不停监测抵达病人端雾气温度达病人端雾气温度LVN Therapy Delivery Options Aquatherm Heaters雾化产品专题知识讲座21/25Aerosol Output:Unheated vs.Heated雾气输出：加热和不加热比较雾气输出：加热和不加热比较接头雾气输出数据接头雾气输出数据LVN Therapy Delivery Options Aquatherm HeatersHudson RCI#028 接接头设置置总液体液体输出（出（ML/小小时）病人端湿度病人端湿度mg/L不加不加热加加热不加不加热加加热5 LPM/28%10 LPM/60%10 LPM/98%2320.814.784.2101.687.615.721.123.231.150.761.8Hudson RCI#033 接接头设置置总液体液体输出（出（ML/小小时）病人端湿度病人端湿度mg/L不加不加热加加热不加不加热加加热8 LPM/33%10 LPM/60%10 LPM/98%30.320.414.570.483.271.017.221.523.322.942.546.6雾化产品专题知识讲座22/25Aerosol Drainage Options 雾化集水袋选择雾化集水袋选择Cat.No.1740（无证）“TEE”style/T型Cat.No.1742(有证）“WYE”Style/Y型两种都有以下特点两种都有以下特点Both options feature750 cc 750 cc 袋子袋子方便使用排水口方便使用排水口22mm 22mm 接口接口塑料挂带塑料挂带LVN Therapy Delivery Options Aerosol Drainage Options雾化产品专题知识讲座23/25Temperature Monitoring Options温度监测器选择温度监测器选择Should be used whenever heated aerosol therapy is being delivered当加当加热雾化时必须使用热雾化时必须使用Insert as close to the patient as possible 尽可能靠近病人端尽可能靠近病人端Cat.No.1637 can be placed in the tubing between two cuff sections/型号型号16371637适合用于两段螺纹管间适合用于两段螺纹管间Cat.No.1647 can be placed between the tubing and the mask grommet or trach tee 型号型号16471647可放置于螺纹管和面罩可放置于螺纹管和面罩接口或接口或T T型接口处型接口处Cat.No.1637Cat.No.1647LVN Therapy Delivery Options Temperature Monitoring雾化产品专题知识讲座24/25Patient Interface Options病人端面罩选择病人端面罩选择全部面罩标准22mm螺纹管接口透明软塑料，贴合性好雾化面罩(1083/1084)加长和普通型成人和儿童尺寸面帐（1095）气切面罩（1075/1076）适合气切病人，w/可旋转接头成人和儿童尺寸T型接口（1638/1639)LVN Therapy Delivery Options Patient Interfaces雾化产品专题知识讲座25/25