Harchuvannya and a year of a sick person's life as a result of a stroke. Probe placement technique

Installation of the probe vimag from a doctor of a clear indication, and from a sick person - bazhannya sp_vpratsyuvati. We are averse to conducting a conversation, explaining the character of the procedure. It is clear that the probe should be carefully inserted through the nizdrum into the nasopharynx) Fig. ... It’s ailing to ask for robiti kovtalny ruha, for an hour to put the probe down the throat, stravohіd and dalі into the slurry. Dovzhin, on the yak it is necessary to insert a probe, sword-like sprout sternum to the tip of the nose and from the tip of the nose to the lobe of the nose. About the penetration of the probe into the slurry pipe should be judged by the appearance in the sink of the slurry pipe.

Malunok 18. Probe installation technique.

· Visually, the position of the probe is possible for an additional auscultation: when the mouth is introduced through the probe over the gastric region, characteristic sounds can be heard.

· To change the bill, put the patient in the position of Fowler (at the same time, in the middle of the camp, lying and sitting).

Table 11.

Algorithm for entering the procedure "Probe installation technique"

etapi priming
1. Explain to the patient about the essence of the procedure (which is worthwhile) and take into account the year of the procedure. The motivation of the patient before the sp_vpratsi. Dotrimannya rights of the patient.
2. Pidgotuvati equipment (The probe is guilty of the buv known to be in the freezer for at least 1.5 years before the cob of the procedure). Safe and efficient procedure. Polegshennya vvedennya probe innaslіdok change bluetooth reflex.
3. Visually the most suitable way of introducing the probe: squeeze one tip of the nose and ask the patient for a dihati, then repeat the procedure with the other nose. The procedure allows you to visibly pass through half of the nose.
4. Visually, on the way to enter the probe (go from the tip of the nose to the lobe of the nose and down the anterior cranial wall, so that the end hole of the probe is bulging lower than the sword-like protuberance). Allows correct probe insertion technique.
5. Help the patient to take Fowler's high position. Physiological provisions for co-operation are being formed.
6. Cover the patient's chest with a towel. Zakhist odyagu vid obrudnenya.
7. Vimiti and dry your hands. Put on the mittens. Protection of infectious safety.
8. Clearly cover the slit tip of the probe with glycerin (hydrochloric mastic). Probe insertion, reduction uncommon views and injuries to the mucous nose.
9. Ask the patient to throw his head back slightly. The possibility of a quick introduction of the probe is ensured.
10. Introduce the probe through the lower nasal path to the 15-18 cm side. It is natural for the nasal passage to lie down with the probe.
11. Ask the patient to shake his head in the natural position. The possibility of using a second probe is secured.
12. Give the patient a bottle of water and a tube for pitt. Ask for a drink with dr_bnymi kovtkami, gasping probe. You can add a piece of ice to the water. Lying down the passage of the probe through the oropharynx. Change by rubbing mucus. For an hour, the epiglottis curved "in" into the trachea, immediately "in" in the stravohid. Cold water zmenshurizik viniknennya nudoti.
13. Assist the patient with a probe, which is sucked into the throat for an hour of the skin rupture. I change the discomfort.
14. Perekonatysya, so the patient can speak clearly and dichati. Make sure that the probe is in stravohody.
15. M'yako blow the probe to the required mark. Yakshcho patient zdatny kovtati, proponuvati yomu vipiti drive through a straw. If there is a patient kovtaє, myako suvat the probe. Lie down by letting in the probe.
16. Re-position the probe in the correct way into the slurry: inject about 20 ml of Janet's syringe behind the aid of the syringe. Luckily, when you have an epigastric delay, or if you bring a syringe to the probe: when aspirating, a slurry (water and slurry juice) comes into the probe. Possibility of carrying out the procedure will linger. Confirmation of correct positioning of the probe.
17. If there is a need to add a probe for a trivial hour: add the plaster of the head of 10 cm, size it up to a maximum of 5 cm of navpil. Prikrіpiti An uncut part of the leukoplastira to the nasal dorsum. Wrap the leukoplastira probe with a dermal reddened skin and fasten the cross-back on the back of the nose, uniquely pushing on the nose. Change the probe.
18. Close the probe with a plug (which is the procedure, if the probe is inserted, if the viconan piznish) and fasten it with a safety hairpin to the patient's chest. Zapobіgannya vіtіkannya shlunkovogo vmіstu mіzh godavannymi.
19. Help the patient to accept the hand position. The biotechnology is correct.
20. Take gum mittens, zanuriti їkh from a disinfectant. Vimiti and dry your hands. Protection of infectious safety.
21. Write a record about the procedure and the reaction of the patient. Bezbezpechennya offensiveness of the sister's look.
22. Promity skin probe for 4 years 15 ml of isotonic sodium chloride (for the Salem drain probe, inject 15 ml of powder through the outflow (blakitny) skin port for 4 years). Probe pass-through detection will be ensured.

Viklik lіkarya dodomu from 9.00 to 21.00, without a visitor.

If a nasogastric tube is required

Even more often, the need for rehabilitation of patients, who have suffered a stroke, is transferred to the shoulders of relatives. Oskilki the process of updating is trivial, then looking after the patient is trivial and at home. We are glad to be able to master medical management, Deyakі z who vimagayut singing qualifications. One of such manipulations is the installation of a nasogastric tube.

It is a common problem that relatives can easily fit in on their own; The installation of a nasogastric tube is required.

Regular intake of їzhі is a key factor in the life of the people, and the need for adequate, in general, growing growth, with the development of any kind of discomfort. People, with weakened immunity, who had suffered an insult to an oncological ailment, need to be balanced, fed according to energy needs, calorie intake.

Installation of a nasogastric tube

The nasogastric tube is inserted through the nis, for the proper nasogastric and lykarsky razchiniv without the middle into the slunk. It is a plastic tube. To be put on the scene of the muscular zeal.

We recommend installing the probe at home.

It's up to you to see the fakhivtsy-reanimatologist, to carry out the procedure, I will explain how you gave it the right way to vikoristovuvati, blotted out, how to introduce it.

Nasogastric tube 14 mm in diameter, doctor Janet's syringe should be brought with him and given to you for a fake Victory Day.

Harchuvannya on the probe go through a stretch of 3-4 times, then a new change is carried out, and a new one is set up in the first nasal route, with the help of prevention of bedsores in mucous membranes.

show:

  • great traumatic earі nabryk movi, pharynx, larynx і stravohodu;
  • an inconsiderable stance yak manifestation of important damage to the function of the central nervous system;
  • vidmova vid yzhi in case of mental illnesses;
  • non-scarring creep of the slunk.

With all the times, it’s hard to eat, either it’s unwise, or it’s not good, it’s possible to bring up the information about the wounds, or before drinking it in dickheads with the subsequent incidents incinerated or suppuration in the legends. In case of non-scarring viraztsi of the slunk trivial (18 days) feeding through a probe, injections into two to twenty guts It is recommended to use the same method of conservative treatment.

Through the probe, it is possible to inject the be-yak (і lіki) into the іvrіdky viglyadі, rubbing it through a sieve in front of it. Until їzhі obov'yazkovo additional delivery of vitamins. Introduce milk, tops, eggs, broth, slushy or rubbed sheep soup, sour, fruit juices, butter, kava, tea.

For God Vanny Gotuyut:

  • a thin shlunkovy probe without olivia or a chlorinated tube with a diameter of 8 - 10 mm;
  • funnel of 200 ml with the diameter of the tube, similar to the diameter of the probe, or Janet's syringe;
  • 3 - 4 flasks of їzhі.

On the probes, it’s early to build a mint, before you try to enter: in the stravohid - 30 - 35 cm, in the slunker - 40 - 45 cm, in the twelve-fingered intestine - 50 - 55 cm. Probe to start introducing the drug. If there is no contraindication, then the ailment is sitting.

For a frontal glance at the nasal passages of the curvature of the tip of the probe, covering with glycerin, inject into the most wide lower nasal path, reaching straight, perpendicular to the surface of the specimen. If 15 - 17 cm of the probe snaps into the nasopharynx, the patient's head is slightly nailed forward, the thumb of one hand is inserted into the mouth, the tip of the probe is rolled, the tip of the probe is gently pressed down to the back of the throat, and is drained with the hand.

Without finger control, the probe can be drawn into the trachea. If ailments are not possible without svidomosty and it is impossible to plant, the probe should be inserted into the position of the bed, which can be controlled by a finger inserted into the mouth. After the introduction, it is recommended to reconsider without having to drain the probe into the trachea. For a whole, until the end of the probe, give a piece of cotton wool or a piece of cigar paper and wonder if there is no wine when you are crazy.

Having passed over in that, where the probe is in the stravohode, I will lose it here, or put it into the drainer, or twelve-fingered intestine and fix the year of bathing. Until the last end of the probe, attach a drip, pour it into it in small portions, no more leather, do not rush, inject the cooked cheese, and then drink it.

When the funnel is seen, and the probe is filled for the entire period of the piece harvesting. The famous tip of the probe is stored and changed on the head of a sick person, so that it doesn’t matter to him. Goduvannya a sick person through an operative fistula. If there is a lack of penetration through the stravohid, when it is struck with an operative way, the shlunkovy fistula can be controlled, through which it is possible to insert the probe and pour it into the shlunkov.

When there is a lot of need for quilting, the edge of the fistula opening was not bothered with a rye, for which injections, the probe should be covered with sticky plaster, and for the skin year, the toilet was rubbed around the fistula, covered with Lassar’s dry paste and applied sterile. With this method, the grasping of a sick person has a reflexive stimulation of the shlunk secretion from the side mouthwash... The price can be memorized by proponuvav the sick person rozzhovuvat the little things їzhі and splyovuvati її into the funnel. Goduvannya of the ailing through zhivilny clizmi.

In the rectum through the clizma, you can enter 0.85% of the range kitchen salt, 5% glucose razchin, 4 - 5 ° / 3 razchin purified alcohol, aminopeptide (a drug that will take revenge on all essential amino acids). Most often, in case of feverish organisms, it is necessary to inject by the dotted method pershі two razchina in a quantity of up to 2 liters. It is possible to inject 100 - 150 ml at once 2 - 3 times a day. Schob help a sick person to fix the injections of razchin; With both methods of introducing for polishing into the rectum, it is necessary to change the distance from the front to the front, and the range to go up to 37 - 40 °.

"Looking out for ailments", E.Ya. Gagunova

Also wonder about:

nasogastric tube (Living Probe)- є Ideal solutions for the improvement of the enteral feeding of patients, as they cannot independently accept the patient, and the introduction of lykarsky zasobiv... The probe for enteral feeding is perfect for nasal administration;

Buy a nasogastric tube (living tube):

Quality standards:DSTU ISO 10555.1-99, GOST R ІСО 10555.2-99, GOST R ІСО 10993 (part number 1,2,5,10), GOST R 52770-2007

Nasogastric tube staging algorithm:

In front of the cob, the robot should pick up the tip of the probe.
Introduce through the mouth abo nis, after the introduction of the upevnitsya, the probe is known into the slunker (small intestine).
The probe for enteral feeding can be victorious by stretching three times without losing power.

Live nasogastric tube

A - tip of the probe;
B - cannula;
З - kovpachok;
D - mitts;
E - rounding atraumatic end;
F - lateral open.

Living nasogastric tube Apexmed

The preparation is made of transparent polyvinylchloride implantation-non-toxic. The living probe Apexmed has an atraumatic thermal end, radiopaque lines.

Roztashuvannya mitok:

Dovzhina 1200 mm:

Dovzhina 400 mm: 150 mm, 160 mm, 170 mm from the distal end.

Sterilization: with ethylene oxide.

Disposable vicoristannya.

Term of attachment: 5 rocks

Instructions for victorian:

  • from the tip of the nose to the lobe of the nose, because of the distance from the probe (1st mite);
  • vimіryatiya from the protrusions to the navel plus the width of the patient's valley, as a matter of fact on the probe (2nd mint - "enter the shlunok");
  • the probe is made with sterile glucerin or vaseline olієu;
  • insert the probe through the nasal passage with the tip up to 1 mite;
  • Then, having crossed over, the probe is on the roots of the mov, and the introduction of the probe is continued up to 2 minutes;
  • perekatisya, scho the probe into the slunk (auscultation of the epigastric dilation is introduced into the slunk through a probe of 20 ml of liquid);
  • close the probe tip to the patient for an additional leukoplastyr or a special set;
  • a syringe or a system of enteral feeding with a lively summit to the cannula of the probe;
  • after the end of the year, the probe is 30-50 ml of water;
  • before the offensive introduction of a life-saving sum, close the probe end with a special plug, cover it with plaster on the shield;
  • vityagti probe through servetka, soaked with disinfectant;
  • break and dispose of the probe in the prescribed order.

Virobnik: "Аpexmed International B.V.", Netherlands (Apexmed)

Ch / Fr Internal diameter I.D. (Mm) Named diameter O.D. (Mm) Kolіrna koduvannya Dovzhina 400 mm,
Price
Dovzhina 1200 mm,
Price
4 0,8 1,4 chervonia RUB 16.35 RUB 19.00
5 0,9 1,7 zhovty
6 1,1 2,0 blue
8 1,7 2,7 blakitny
10 2,3 3,3 black
12 2,8 4,0 barren
14 3,3 4,7
16 3,8 5,3
18 4,5 6,0

Probe vital nasogastric Integral preparation with pro-implantation-non-toxic polyvinylchloride. Material є thermoplastic and under the injected temperature of the fabrics that feel good. A radiopaque line is inserted at the side of the probe along all the way. Especially the development of bichon openings, which significantly reduces the risk of development of "dumping" - the syndrome. When the nasogastric tube is twisted, do not twist the lumen. Luer-type connector, adaptations to victorian with automatic doser attachments. The equipment of the connector is hermetically sealed with a cork to prevent infection in the place of the catheter.

Roztashuvannya mitok:

Dovzhina 1200 mm (Ch / Fr 4-18): 500 mm, 600 mm, 700 mm, 800 mm, 900 mm from the distal end;

Dovzhina 1000 mm (Ch / Fr 4-18): 450 mm, 550 mm, 650 mm, 750 mm, 900 mm from the distal end;

Dovzhina 400 mm (Ch / Fr 4-10): 140 mm, 150 mm, 200 mm from the distal end.

Zakritiy distal tip of the probe, retally crumbling and rounding for the prevention of atraumatic setting.

sterilization: ethylene oxide (EO)
Term of attachment: 3 rocky

Virobnik:

"INTEGRAL Medical", China
"Hayan", China

Ch / Fr Internal diameter I.D. (Mm) Named diameter O.D. (Mm) Kolіrna koduvannya Dovzhina 400/500 mm,
Price
Dovzhina 1000 mm,
Price
Dovzhina 1200 mm,
Price
4 0,8 1,33 chervonia RUB 4.70
5 0,87 1,67 zhovty RUB 4.70
6 1,1 2,0 burgundy RUB 4.70 - -
8 1,7 2,7 blakitny RUB 4.70 - -
10 2,3 3,3 black RUB 4.70 - RUB 11.00
12 2,8 4,0 bily - - RUB 11.00
14 3,3 4,7 greenery - -
16 3,8 5,3 orange - - RUB 11.00.
18 4,5 6,0 chervonia - -
20 5,1 6,7 zhovty - -

Living nasogastric probe TRO-NUTRICATH і child (pediatric) TRO-NUTRICATH paed

Child nasogastric tube TRO-NUTRICATH paed is an empty tube, secured with a Nelaton-type sealed tip with two screw holes and a connector for connecting with dozing attachments. Probe for nasogastric indications for enteral feeding and the introduction of lykarsky zasobiv into the empty slunk. You can also be victorious in neonatology, pediatrics and older children.

TRO-NUTRICATH and TRO-NUTRICATH paed:

Preparation from neutral polyvinylchloride (PVC), so that you allow the probe to be pulled out three times without breaking the authorities, without allergic reactions;
- rounding, soft tip of the probe will make it easier, atraumatic and painless introduction. - the appearance of small openings at the end of the day, the maximum increase in the efficiency of the surviving sums, the breakdown of the lykarsky slugs into the slurry, the sufficient drainage of the slunker, and the reduction of the risk of development of the dumping syndrome;
- the safety connector should be hermetically sealed with a cork to replace the probe;
- the connector of the probe can be used as an adapter, a nasogastric probe is used with attachments of two types of connection: Luer and Catheter-type (with standard syringes, large syringes, automatic dosage attachments);
- radiopaque smuga along all the way, and signs across the skin 10 cm, lie down on the position of the catheter in the intestinal tract;
- the connector can be easily coded to the size of the probe (according to the ISO standard), which allows you to easily and quickly provide the necessary size;
- Size range:
NUTRICATH paed - 4-10 Fr (50 cm)
NUTRICATH - 6-24 Fr (approximately 105 cm);
- sterile individual blister packaging (papir + polyethylene plastic).

Term of attachment: 5 rockiv

16.03.2009, 23:21

In my other robot in a private hospice, she stuck with the problem of probe feeding at a sick man, operated on a drive, crayfish movi. The new varto has a permanent nasal probe. I may only be the best educator for the food.
How many hours can the probe stand? Yak often need yogo minnyati? Yak to transfer the ailing to Bezondovy grub? Do you want to know more about the attachment of the probe? As a result of the attachment behind the help of the bandage, the sick person will have bedsores on the whales. The sick man was amputated mova, the lower slit, a part of the mouths of the bottom of the empty mouth.
The doctors! I can enlighten you in the food supply chain, I check your participation, for example, so that you know what the food is like.

17.03.2009, 00:19

17.03.2009, 08:02

The probe with a singular multiplicity (it is created for 2 years) is washed with a physiological break or water (with water). The probe should be fastened to the nipple with hypoallergenic plaster and followed by the ulcers (bedsores). The detailed information of the bullet is in the book "Criticality from the technology of political manpulations". I definitely don’t remember. I want to know.

17.03.2009, 09:50

Єgor, it’s not like that. Skin prism 4 years old with draining probes. So it is said in your designated Kerіvnistvі (DjVu format) ([Posilannya can bachiti only registered and assets koristuvachі]). Probe for feeding to fill in the amount of skin injection of a life-saving sum. And bedsores in the nizdrya are just the tip of the iceberg. :)

17.03.2009, 14:30

With the drive of the fizrozchinu є more mirkuvannya. I thought that I had been diagnosed with neurology until I was sick with bulbar syndrome, the fizrozchin itself was injected into the probe. Some illnesses coughed. Tobto, in the evening the probe is put into the trachea, then it can be seen in the trachea. It’s not respectful, but it’s just like that. Then it turned out that neurologists and before the hour of installation so to reverse the probe - coughing up ailments chi ni. Those same bachiv with infiltration rotary nerve plump middle. It seems that when the larynx is normally innervated, such cases are infrequently trapped. Ale at the designated vische of the sick may be similar. It would be more beautiful to drink fizrozchin into the trachea, not sour cream.

17.03.2009, 14:41

Then it turned out that neurologists and before the hour of installation so to reverse the probe - coughing up ailments chi ni.
Beat on hands for take: mad:. Drowning in physiological difference. Methods for controlling the position of the probe, including those described in the negotiated version. There is no such thing.

17.03.2009, 15:01

Beat on hands for take: mad:. Drowning in physiological difference.

When it is established, I am fit - purely drowning. The literal sense is "cleaner".
And what about the axis of the installation? More beautifully, melodiously, add to the physiological difference, lower in sour cream.
You seem to have a professional illness - aspiracy pneumonia, Mendelssohn's syndrome;). Even better than you. For me, the cysts may be tied with a lot of help.

17.03.2009, 15:46

Do not drown vzagalі more beautifully. Before injecting chogos into the probe:
1. Aspirations. Otrimannya shlunkovogo vm_stu.
2. In case of failure - the introduction of a twist into the probe with auscultation of an epigastrium (boules of prote ... :))
3. In case of failure - R control, for example, the visualization of the probe reintroductions until the end of the day 1 and 2.
ZI. Nothing special. Tse rules.

17.03.2009, 23:09

Vzagal, if necessary, trivial piece enteral feeding (more than 4 - 6 years), it is recommended to eat food with gastro / jejunostomy. You can wonder the axis here GUIDELINES FOR THE MANAGEMENT OF ENTERAL TUBE FEEDING IN ADULTS The nasogastric tube may not be prone to cold, as long as the nose is not visible. Just apply a dodatkovu mint "Rivnya stannya" (in a short hour the victorious stays unvirtualized). Option - krypiti leukoplastir to the nose / cheeks. Avoid introducing only for giddiness and for seeing (how easy is it to be priced in a particular patient with a particular pathology?). Stretching out the recommended hour of victorian, if you save time, you can not change it. Schodo "probeless" - with such a pathological tse yak? : Eek: Parenteral is not visible. Gastrostomy prote ...

Jmovirno, the situation was bigger and bigger, the situation was given to the ailment, you need to clarify that there is a hospice є a small pharmacy for 25 slopes in a village 60 km from Moscow. There is a pratsyu therapist, 1 time in 2 days, surgery and psychiatrists. To bring a sick person, shchob pozbutis from the turbot. Zrozumіlo, as soon as you see my problems will be brought to the place by the mighty forces. It is important to know that it is possible for such a sick person to insert a probe 4-5 times a day for a year. Tom will be fed up with kolishnіmi.

17.03.2009, 23:57

Tom will be fed up with kolishnіmi.

So nibi and іdpovіdі on yakі poured power supply boo nadano. What if I missed something? Skіlki o'clock - bulo, if minyati - it’s like krіpiti is written, in "Bezondoviy" - niyak. We have seen two "pennants". Trokhs talked ... Is that all? And dumb, yak hirurg to the sick, or to the sick to the hirurg for the gastrostomy - well, I don’t know. : Ac: Already yaksho viirishili, so you need to be robbed ...

18.03.2009, 07:26

I’m building zrozum_v. THE PROBE IS INSERTED NOT ON THE SKIN GODIVLYA, BUT ON TRIVALIY TERMIN.

18.03.2009, 16:36

The introduction of the probe on the skin is one of the options. It is realized that the patient has no problems with the introduction. Term of 4-6 days with a steady state of taking not from the stele. Distant growth is the number of trophic and infectious diseases.

18.03.2009, 16:40

For especially gifted neurologists, navigate movies to NEJM ([Possibility to back up only registered and active assets]). Take Janet's syringe, a stethoscope to live, water is introduced into the probe. Auscultatory picture in the belly will show that the probe is dereba. Before the speech, there is a lot of it.

18.03.2009, 16:43

19.03.2009, 22:29

Singingly, in a specific specific context, there is a meaningful forecast for the best 4-6 times for the most ailing. The probe, as I am, is still standing. And if there is a ruling?

Operation of a bullet in the fall of leaves 2008. The first time the probe stood for 3 months without a change. Let the ailment get rid of the day alive without a probe, mamagavatsya independently (covital reflex of sparing). Chastkovo the hedgehog took it into the clown, a little bit later they fell back. Harchuvannya in this way appeared ineffectively. I spite a whole sick person 3 types. Over the course of the period, they lost the mass, and partially remembered the mass deficit. I didn’t give anything to try to call the operative with the doctor. They just didn’t begin to talk to me. Of course, it is possible to insert a probe during the skin year (in general, it’s worth the nursing manipulation); you can take food about gastrostomy. Ale skіlki live ailments in such a way?
I was encouraged to find an alternative solution for other ailments.
Be-like vipadku. Thank you all for your fate and request to the dzherel. I will familiarize myself with the literature of food.
Protest, I don’t give a thought about trying to translate ailments into self-catering.

20.03.2009, 11:27

The probe is required if є teeth.
Lord, Єgor, well, what have teeth to do with it? : Eek: For dermal manipulation, to understand clearly the indication and caution / contraindication. I accelerated. Thinking up new - on the right is ungrateful. And so with the presence of teeth and undead, it is possible to house until the need for a rectal probe. : Rolleyes:
1. Orogastric tube - disposable, decompression of the slunk, "promivannya". For trivial znakhozhennya non-patronymic. Reflexogenic zone, the probe is permanently in Russia, not one person with the least amount of evidence is not showcased.
2. The nasogastric tube (vivilny) should be stashed, if necessary, a piece enteral year for lines up to 6 types. The forecast is important, with singing minds immediately in clause 3. It is easier to tolerate the ailment (probe in the glottis of "fixation"). May be naso-gastric / duodenal / jejunal. The deviation from the summarized terms is possible, well, it is clear that it’s not possible to use a gastrostomy for 6 days for a sick TBMT, which has been updated, and if it’s fixed, take a natural way.
3. Gastrostomy / jejunostomy - if you need a piece enteral defect for more than 6 types, in case of persistent pathological process, which has called for unpleasantness to take a natural habit (for example, an autonomic retardation) ... It’s not enough to see the food in the complex, by the operator. All іnshe, including "the introduction of the probe 4 times a day" - of the evil one.
Ale skіlki live ailments in such a way?
Deshcho more, less "yduchi" in nutritional deficiency, and even melodiously calm.
in general, the price of being involved in nursing manipulation
Not this way.
MINISTRY OF HEALTH PROTECTION SRSR ORDER 21 lipnya 1988 r
N 579
About the hardened quality characteristics of LIKARIV-SPETSIAALISTIV
1. KVALIFIKATSIYNA CHARACTERISTICS SPETSIAALISTA doctor-therapist
- shlunkov i duodenal probe

ZI. There are no "industrial" devices.

20.03.2009, 16:00

I haven’t gotten anything (in my rubbish) the nasogastric tube is installed. The last time there was a need for a definite rock in ten volumes. Volition to trust the previous nurse. :(
And what about the reflexogenic zone? I bachiv a sick man without a facial skull (pid poizd after drinking) there was only one empty bullet (nasopharyngeal), but I don’t know.