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实用置管技术---静脉置管技术 (七)

2013-10-20 19:41| 发布者: 值班编辑| 查看: 3435| 评论: 0

摘要: 五、中心静脉置管后的护理 1. 护士要定时巡诊,观察滴速,观察穿刺点有无红肿,以便及时处理。2.导管液体有无泄漏。 3.穿刺点的护理,更换透明敷料贴前用络合碘灭菌消毒三便穿次点,一周换药一至二次。4.穿刺时千万 ...
五、中心静脉置管后的护理

1. 护士要定时巡诊,观察滴速,观察穿刺点有无红肿,以便及时处理。
2.导管液体有无泄漏。
3.穿刺点的护理,更换透明敷料贴前用络合碘灭菌消毒三便穿次点,一周换药一至二次。
4.穿刺时千万不要抽回血,每次输液时先用10ml氯化钠注射液冲管,避免导管堵塞。
5.此管如若输血及血浆和白蛋白时,最好用泵,使用前后应用10ml氯化钠注射液冲管后使用。
6.所有导管每次输液完毕后用无菌氯化钠注射液20ml脉冲式冲洗导管,再用配制好的肝素盐水1~2ml封管。只有三向瓣膜式输出液体的PICC免肝素盐水封管。
7.肝素盐水配制方法∶(肝素12500u/2ml/支)取0.2ml加入10ml氯化钠注射液,稀释后取2ml封管。
8. 如不输液时对需用肝素盐水封管末端开口式输出液体的PICC,也要一天封管一次,免肝素盐水封管三向瓣膜式输出液体的PICC 一周用20ml氯化钠注射液封管一次。
 
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