ID 原文 译文
1441 每班行CAM-ICU谵妄筛查，尽早识别阳性患者。 Perform CAM-ICU delirium screening in every shift to ensure an early diagnosis of COVID-19 patients.
1442 落实谵妄预防集束化策略：处理疼痛，最小化镇静，沟通交流，促进睡眠，早期活动等。 Apply centralization strategy for delirium prevention, including pain relief, sedation, communication, quality sleep, and early mobilization are used.
1443 VAP的预防 Prevention of Ventilator-Associated Pneumonia (VAP)
1444 执行VAP预防Bundle。包括：遵循手卫生制度；如无禁忌症，患者床头抬高30～45°；q4h～q6h进行1次口腔护理，采用一次性吸唾牙刷；维持气囊压30～35cmH2O，并q4h监测；经胃管管饲营养液，q4h监测胃残留量；每天评估能否撤机；使用可冲洗的气管导管，进行声门下分泌物持续低负压吸引，加间断q1h～q2h10mL注射器抽吸，根据实际囊上分泌物的量调整抽吸频次。 The ventilator bundle is used to reduce VAP, which includes hand washing; raising the tilt angle of the patient's bed by 30-45° if no contradiction is presented; oral care every 4 to 6 hours by using a disposable oral mucus extractor; maintain endotracheal tube (ETT) cuff pressure at 30-35 cmH O every 4 hours; enteral nutrition support and monitor gastric residual volume every 4 hours; evaluating daily for ventilator removal; using washable tracheal tubes for continuous subglottic suctioning combined with 10 mL syringe suctioning every 1 to 2 hours, and adjusting the suctioning frequency according to the actual amount of secretions.
1445 声门下滞留物的处置： Dispose retentate below the glottis:
1446 用10mL注射器抽吸囊上分泌物后立即抽吸适量含氯2500mg/L的消毒水，连接针帽，放入锐器盒中。 the syringe containing the subglottic secretions is immediately used to aspirate an appropriate amount of chlorine-containing disinfectant (2500 mg/L), then be re-capped and disposed of in a sharp container.
1447 吸痰的护理 Sputum Suction
1448 1）吸痰：使用密闭式吸痰管、密闭式抛弃型集痰袋，减少气溶胶及飞沫。 (1) Use a closed sputum suction system, including closed suction catheter and closed disposable collection bag, to reduce the formation of aerosol and droplets.
1449 2）采集痰液标本：使用密闭式吸痰管配套使用的集痰器，减少飞沫暴露。 (2) Collection of sputum specimen: use a closed suction catheter and a matching collection bag to reduce exposure to droplets.
1450 呼吸机管道冷凝水的处理 Disposal of Condensation from Ventilators