不同浓度酒精,临床应用各异 !

2016-11-25 护理人 微信公众号(huli_ren) 护理人 微信公众号(huli_ren)

医用酒精是医院必备药品,是最常用的外用制剂之一。值得注意的是,不同用途要求酒精有不同的浓度。 燃料──95%酒精 医疗单位常需使用酒精灯、酒精炉,点燃后用于配制化验试剂或药品制剂的加热,也可用其火焰临时消毒小型医疗器械。 灭菌消毒──70%~75%酒精 用于包括皮肤消毒、医疗器械消毒、碘酒的脱碘等。酒精消毒的作用是凝固细菌体内的蛋白质,从而杀死细菌。而95%

医用酒精是医院必备药品,是最常用的外用制剂之一。值得注意的是,不同用途要求酒精有不同的浓度。
 
燃料──95%酒精
 
医疗单位常需使用酒精灯、酒精炉,点燃后用于配制化验试剂或药品制剂的加热,也可用其火焰临时消毒小型医疗器械。
 
灭菌消毒──70%~75%酒精
 
用于包括皮肤消毒、医疗器械消毒、碘酒的脱碘等。酒精消毒的作用是凝固细菌体内的蛋白质,从而杀死细菌。而95%的酒精能将细菌表面包膜的蛋白质迅速凝固,形成一层保护膜,阻止酒精进入细菌体内,因而不能将细菌彻底杀死。如果酒精浓度低于70%,虽可进入细菌体内,但不能将其体内的蛋白质凝固,同样也不能将细菌彻底杀死。只有70%~75%的酒精既能顺利地进入到细菌体内,又能有效地将细菌体内的蛋白质凝固,因而可彻底杀死细菌。
 
用70%-75%的酒精消毒医疗器械应当用浸泡的方法,时间不得少于30分钟;浸泡消毒后应用无菌生理盐水冲洗,以免器械上的残余酒精刺激机体组织。
 
因为酒精只能杀死细菌,不能杀死芽孢和病毒,所以,医疗注射或手术前的皮肤消毒常使用效果更好的碘酒。为了减少碘对皮肤的长期刺激,一般在用碘酒消毒后,用75%的酒精脱去碘。
 
由于酒精具有一定的刺激性,75%的酒精可用于皮肤消毒,但不可用于黏膜和大创面的消毒。
 
预防褥疮──40%~50%酒精
 
将少量40%~50%的酒精倒入手中,通过均匀地按摩患者受压部位,能达到促进局部血液循环,防止褥疮形成的目的。
 
物理退热──25%~50%酒精
 
用此浓度酒精擦洗患者皮肤,不仅可刺激高烧患者的皮肤血管扩张,增加皮肤的散热能力,还由于其具有挥发性,可吸收并带走大量的热量,使体温下降、症状缓解。
 
具体方法是:将纱布或柔软的小毛巾用酒精蘸湿,拧至半干轻轻擦拭患者的颈部、胸部、腋下、四肢和手脚心。擦浴用酒精浓度不可过高,否则大面积地使用高浓度的酒精可刺激皮肤,吸收表皮大量的水分。
酒精相关的拓展阅读:

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1835661, encodeId=a18c183566177, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Thu Oct 26 10:51:00 CST 2017, time=2017-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544433, encodeId=3f0a154443385, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Sun Nov 27 06:51:00 CST 2016, time=2016-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158179, encodeId=93811581e997, content=不同浓度酒精,临床应用各异, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Nov 26 00:22:57 CST 2016, time=2016-11-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158151, encodeId=9b4f158151dd, content=总结的好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=19691973294, createdName=莫寒朱焱, createdTime=Fri Nov 25 20:39:06 CST 2016, time=2016-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158143, encodeId=2a8315814300, content=重新理一理,挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Fri Nov 25 20:03:15 CST 2016, time=2016-11-25, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1835661, encodeId=a18c183566177, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Thu Oct 26 10:51:00 CST 2017, time=2017-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544433, encodeId=3f0a154443385, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Sun Nov 27 06:51:00 CST 2016, time=2016-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158179, encodeId=93811581e997, content=不同浓度酒精,临床应用各异, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Nov 26 00:22:57 CST 2016, time=2016-11-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158151, encodeId=9b4f158151dd, content=总结的好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=19691973294, createdName=莫寒朱焱, createdTime=Fri Nov 25 20:39:06 CST 2016, time=2016-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158143, encodeId=2a8315814300, content=重新理一理,挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Fri Nov 25 20:03:15 CST 2016, time=2016-11-25, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1835661, encodeId=a18c183566177, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Thu Oct 26 10:51:00 CST 2017, time=2017-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544433, encodeId=3f0a154443385, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Sun Nov 27 06:51:00 CST 2016, time=2016-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158179, encodeId=93811581e997, content=不同浓度酒精,临床应用各异, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Nov 26 00:22:57 CST 2016, time=2016-11-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158151, encodeId=9b4f158151dd, content=总结的好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=19691973294, createdName=莫寒朱焱, createdTime=Fri Nov 25 20:39:06 CST 2016, time=2016-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158143, encodeId=2a8315814300, content=重新理一理,挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Fri Nov 25 20:03:15 CST 2016, time=2016-11-25, status=1, ipAttribution=)]
    2016-11-26 ann y

    不同浓度酒精,临床应用各异

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1835661, encodeId=a18c183566177, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Thu Oct 26 10:51:00 CST 2017, time=2017-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544433, encodeId=3f0a154443385, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Sun Nov 27 06:51:00 CST 2016, time=2016-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158179, encodeId=93811581e997, content=不同浓度酒精,临床应用各异, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Nov 26 00:22:57 CST 2016, time=2016-11-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158151, encodeId=9b4f158151dd, content=总结的好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=19691973294, createdName=莫寒朱焱, createdTime=Fri Nov 25 20:39:06 CST 2016, time=2016-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158143, encodeId=2a8315814300, content=重新理一理,挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Fri Nov 25 20:03:15 CST 2016, time=2016-11-25, status=1, ipAttribution=)]
    2016-11-25 莫寒朱焱

    总结的好。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1835661, encodeId=a18c183566177, content=<a href='/topic/show?id=cfdc22e893f' target=_blank style='color:#2F92EE;'>#临床应用#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22789, encryptionId=cfdc22e893f, topicName=临床应用)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fc8528, createdName=clmlylxy, createdTime=Thu Oct 26 10:51:00 CST 2017, time=2017-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1544433, encodeId=3f0a154443385, content=<a href='/topic/show?id=ac3d6549e75' target=_blank style='color:#2F92EE;'>#浓度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65497, encryptionId=ac3d6549e75, topicName=浓度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=16b213663040, createdName=12498974m55暂无昵称, createdTime=Sun Nov 27 06:51:00 CST 2016, time=2016-11-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158179, encodeId=93811581e997, content=不同浓度酒精,临床应用各异, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Nov 26 00:22:57 CST 2016, time=2016-11-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158151, encodeId=9b4f158151dd, content=总结的好。, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=19691973294, createdName=莫寒朱焱, createdTime=Fri Nov 25 20:39:06 CST 2016, time=2016-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=158143, encodeId=2a8315814300, content=重新理一理,挺好, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Fri Nov 25 20:03:15 CST 2016, time=2016-11-25, status=1, ipAttribution=)]
    2016-11-25 susice

    重新理一理,挺好

    0

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