Difficulties in elderly patients with venous puncture and Countermeasures.docVIP

 PAGE \* MERGEFORMAT 6 Difficulties in elderly patients with venous puncture and Countermeasures [Keywords:] vein; puncture; elderly Venous cannulation is a commonly used treatment for elderly patients, especially in the emergency as soon as the establishment of intravenous access is essential. However, in frail patients to venous puncture, due to vascular thin, brittle, easily lead to puncture failure. Especially Base hospitals, in elderly patients with venous cannulation is a test of technology for nurses. venipuncture skilled and accurate technology can not only reduce the nurses and patients or their family disputes. more conducive to harmonious relations between nurses and patients. now the difficulties in elderly patients with venous puncture and Countermeasures described below. 1 difficult 1.1 patient factors 1.1.1 obese patients with subcutaneous edema of the subcutaneous fat, rich, or the accumulation of excess fluid, difficult to observe the naked eye to the vein. 1.1.2 loss of blood, loss of fluid of patients such as bleeding, diarrhea, feeding difficulties, lack of body fluids, intravascular pressure is not enough, small and superficial venous filling degree of puncture. 1.1.3 Cardiovascular disease in patients with cardiovascular increase with age, body tissues and organs function gradually diminishes, skin relaxation, most patients have different degrees of hardening of the arteries, stenosis, poor flexibility, fragility, if it is Long-term intravenous administration and cancer patients after chemotherapy, superficial veins were cord-like limbs filling almost difficult to find a good blood vessels. 1.2 Operating elements tie the tourniquet too long; patients with distal insufficiency; venous reflux disorder; veins not obvious; inappropriate choice of puncture site and blood vessels and venous puncture is too weak or too light, are prone to vein puncture failure. 1.3 nurses 1.3.1 The poor quality of some nurses in the