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。 参考文献
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