A-C-L导管维护...pptVIP

A-C-L导管程序化维护最佳实践标准 常见静脉输液工具的种类 A-C-L导管维护最佳实践标准 A- Assess the function of the catheter 导管功能评估（抽回血） 导管穿刺期间 导管留置期间 C- Clear 冲管 L – Lock 封管 Blood Return is Mandatory!通过抽回血判断导管通畅是必须的! All catheters should yield a brisk blood return prior to infusion of each dose of medication. 所有的导管在输液前都会有一些回血 Lack of blood return means a non-functioning catheter 无回血意味着导管功能下降 Related to how or where the catheter was placed 与导管留置的过程和部位等因素相关 Catheter Lumen Occlusion导管腔内堵塞 Causes原因 Thrombotic 血栓性 Drug precipitate 药物沉淀 Mechanical 机械性 Proper flushing and locking catheters will either prevent or identify these