Exit Site Management - Hariza

8/17/2019 Exit Site Management - Hariza

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Copyright of Baxter Healthcare (Asia)

Norhariza TorimanNurse ClinicianBaxter Malaysia

Penjagaan ‘exit site’ dan

tiub


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Apakah aksud ‘!xit "ite’ #


$$Adalah diana tepat P% dialysiscatheher keluar dari kulit di bahagian

perut&


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Apakah tanda'tanda berlakunya

jangkitan kuan di ‘exit side’ #


arna keerahan

eluar nanah atauseru darah * discharge

"akit apabila disentuh

Bengkak di sekeliling


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Apa yang harus dilakukan

untuk engelak dari jangkitan #



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Apakah yang perlu

dilakukan #


+& "entiasa bersih,

-Selalu mencuci tangan dan

mengeringkan dengan cara yang

betul

-Melakukan dressing setiap hari

-Mandi setiap hari

-Menukar pakaian setiap hari


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Apakah yang perlu

dilakukan #


- JANGAN tarik atau putar tiub

.

' -A./A. enggaru dika0asan ‘exit site’&


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hat should you do #


&

JANGAN memakai tali pinggang

menimpa ‘exit site’

JANGAN menggunakan bedak,

minyak urut, dan krim tanpa arahan

dktr.

JANGAN menggunakan

G!N"#NG berdekatan dengan tiub


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!xit site %ressing Procedure



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!xit site dressing should

perfored after bath

1akukan exit site dressing selepas andi


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Clean en2ironent

"uasana yang bersih


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ear ask

Pakai ask

http://sg.wrs.yahoo.com/_ylt=A0S0zvhM1zFKSIEAAGIl4gt.;_ylu=X3oDMTBqNzBoY2J0BHBvcwMxNARzZWMDc3IEdnRpZAM-/SIG=1hb206qkm/EXP=1244866764/**http%3A//sg.images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fsg.images.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dnurse%252Bwearing%252Bmask%2526ei%253Dutf-8%2526fr%253Dslv8-yie8%2526fr2%253Dsg-gac%26w=200%26h=200%26imgurl=www.umm.edu%252Ffeatures%252Fimages%252FEca_046r.JPG%26rurl=http%253A%252F%252Fwww.umm.edu%252Ffeatures%252Flaparo.html%26size=25k%26name=Eca%2B046r%2BJPG%26p=nurse%2Bwearing%2Bmask%26oid=45080b807427e98e%26fr2=sg-gac%26no=14%26tt=48%26sigr=117c12ffm%26sigi=11808ele4%26sigb=1351josag%26type=JPG


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Prepare and clean 0ork area

for exit site dressing

easkan dan bersihkan tepat untuk

elakukan dressing


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"ediakan barang'barang ,

Po2idone iodine3 ask3 /entaicincrea3

4icropore ( cut ) 3 %isposable dressing

set&


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Basuh tangan

ash hand ( +st )

http://rds.yahoo.com/_ylt=A0WTefSeKwtJdQkBTG2JzbkF;_ylu=X3oDMTBpZTByOGFiBHBvcwMyBHNlYwNzcgR2dGlkAw--/SIG=1hmk2f0dc/EXP=1225555230/**http:/images.search.yahoo.com/images/view?back=http://images.search.yahoo.com/search/images?p=FACE+TOWEL&fr=sfp&ei=utf-8&x=wrt&w=300&h=204&imgurl=www.lblossom.com/Merchant2/graphics/00000001/UUFaceTowelC01-2_D.jpg&rurl=http://www.lblossom.com/store/prods/UUFaceTowelC01.html&size=15.1kB&name=UUFaceTowelC01-2_D.jpg&p=FACE+TOWEL&type=JPG&oid=cb955f75dddac0f8&no=2&tt=10,862&sigr=11n7hcd5h&sigi=1232acmok&sigb=12fqgj621http://rds.yahoo.com/_ylt=A0WTefbcKgtJzxIBIj.JzbkF;_ylu=X3oDMTBqdGFzdWxiBHBvcwMxNQRzZWMDc3IEdnRpZAM-/SIG=1p9jvgcd2/EXP=1225555036/**http:/images.search.yahoo.com/images/view?back=http://images.search.yahoo.com/search/images?fr2=sg-gac&sado=1&p=dry%20hands%20with%20towel&fr=sfp&ei=utf-8&x=wrt&w=500&h=375&imgurl=static.flickr.com/230/535848554_7e2c97c0a5.jpg&rurl=http://www.flickr.com/photos/nickgray/535848554/&size=70.7kB&name=Dry+your+Hands+with+Cloth+Towels+in+PALEXPO&p=dry+hands+with+towel&type=JPG&oid=2a0cd27402a13dfe&fusr=nickgraywfu&tit=Dry+your+Hands+with+Cloth+Towels+in+PALEXPO&hurl=http://www.flickr.com/photos/nickgray/&no=15&tt=184&sigr=11gnhr57i&sigi=11e4e1elj&sigb=13h48ab0h&sigh=116v55u82


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5pen the outer and innerdressing pack

Buka dressing set


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Basuh tangan

ash hand ( 6nd )



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7se forceps to take cotton ballsand gau8e out fro the dressing

tray

/unakan penyepit ( forcep) untuk eletakkankapas dan gau8e diluar tray dressing set


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!xaple ,



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1oosen up the old dressing


1onggarkan dressing laa


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Basuh tangan

ash hand ( 9rd )



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Prepare the cotton balls0ith Po2idone :odine

+& "ediakan kapas yang engandungi Po2idone

iodine

OR


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Clean exit site 0ith Po2idone

fro inner to outer

6& Cuci sekeliling tiub denganenggunakan Po2idone :odine


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Clean exit site 0ith dry cotton

9& Cuci sekelilingtiub enggunakan

kapas kering

;& "apukan kridisekeliling ‘exit site’&

http://sg.wrs.yahoo.com/_ylt=A0S0zu3IBTJKDwwAsb0l4gt.;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1ieaig29p/EXP=1244878664/**http%3A//sg.images.search.yahoo.com/images/view%3Fback=http%253A%252F%252Fsg.images.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dyellow%252Bplastic%252Bforcep%2526ei%253Dutf-8%2526fr%253Dslv8-yie8%26w=160%26h=160%26imgurl=www.health-care-beauty.com%252Fimages%252FPlastic-Forcep-B0006G2XTY-M-A3RJHKN59DL8A_.jpg%26rurl=http%253A%252F%252Fwww.health-care-beauty.com%252FTweezers-3784601_22.htm%26size=3k%26name=Plastic%2BForcep%2BB...%26p=yellow%2Bplastic%2Bforcep%26oid=736c7849711a29b4%26fr2=%26no=1%26tt=1%26sigr=11pil9mdv%26sigi=12g6o3ovr%26sigb=12t6tquae%26type=JPG


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>& =apalkan ‘icropore’

dengan keas dan selaat&



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Basuh tangan

ash hand ( ;rd )


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?& Catitkan kedala buku

CAP%



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"egera beritahu jurura0atsekiranya ada tanda'tanda

infeksi



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4engapa penting untuk

enjaga ‘exit site’ #


7ntuk encegah dari Peritonitis3 jangkitan di ‘exit site’ dan ‘tunnel

infection’


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!xit site :nfection


P!@:=5.:=:"


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Exit Site Management - Hariza

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