JUST ONE. Measure central venous pressure (central venous pressure, key venous pressure) to examine circulatory physiology
Parameters, as well as estimated body fluid quantities. Because of the reason for measuring central venous difficulty, central venous pressure is usually used as the bogus name of CVC within Taiwanese hospitals.
2. A large number of rapid intravenous infusion, often occurs in operations the location where the blood loss may always be large, or to keep blood pressure during unexpected emergency.
3. Long-term parenteral food intake, long-term antibiotic injection, in addition to long-term analgesic injection.
FOUR. For drugs that will be more irritating to peripheral blood vessels (small veins), inject them through the central venous catheter. For example: Amiodarone and so about.
5. Tubes for hemodialysis, such as plasma exchange or dialysis
A FEW. Tumor chemotherapy to stop chemical phlebitis, prevent the actual extravasation of liquid medicine,
7. Establish a good infusion siphon for patients with repeated infusions to prevent the pain of recurrent puncture.
8. Establish infusion pathways for critically ill clients.
Nursing points
1. Partial stretch mark
In addition to closely observing your regional skin for inflammatory reactions such as redness, swelling, heat discomfort, etc.,the puncture points are generally disinfected with iodine and alcohol everyday. After the volatilization is definitely dry, iodophor is added. Because iodophor has the capability to gradually release iodine, it can play Continuous sterilization. Furthermore, the local skin where iodophor is applied is known for a layer of dark brown lightly thin scab formed, which will cover the entrance from the catheter skin and includes a certain effect on keeping bacteria from entering the blood down the sinus of the catheter. Then cover the puncture point and the catheter with a 3M transparent film. Because of its good air permeability along with sterility, it is quite difficult to cause the skin excrement at the covered part to be struggles to volatilize and cause contamination. These may be the chief reasons for this number of non-infected people. In supplement, it is necessary for you to closely observe the adjustments in body temperature. Body temperature can be an important indicator for following infection during central venous catheter indwelling. Should the patient suddenly develops chills and fever, the body heat suddenly rises, and other causes is not found clinically, it really should be considered as a catheter. Related infections.
2. Anti-embolism treatment
The heparin lock is linked to the end of that indwelling catheter, because the heparin fasten can prevent blood clotting from the catheter and reduce the chance of bacterial intervention. Insert the scalp needle on the heparin lock for infusion. Towards the end of the daily infusion, inject 3ml of heparin solution (125U/ml) with the scalp needle. The speed need to be slow. Pay attention to retract the scalp needle for you to only the tip of the needle to make certain the heparin solution fills all the lumen. So as in order to avoid the relatively low awareness of heparin solution leading to blockage. When connecting the scalp needle every single day, pay attention to down side blood to determine no matter whether the catheter is maximum. If no blood return is seen, it should be judged whether the tube is taken off or the blood is coagulated inside tube. Air embolism frequently occurs in deep venous catheters. If measures will not be taken quickly, the patient will die with the air embolism within a few moments. This group of patients prepared infusion pump products before puncture, and set alarm items reported by the function of your infusion pump, such because blockage, air, infusion the end, etc.,to ensure which the liquid enters the entire body smoothly and avoid injury.
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