Experience venipuncture in critically ill patients.docVIP

 PAGE \* MERGEFORMAT 11 Experience venipuncture in critically ill patients 【Key Words】 vein puncture; critically ill patients; the success rate of Venous puncture is a nurse must be familiar with skills. Under normal circumstances vein puncture, sharply is not difficult, but for critically ill patients with venous puncture needle on the need to have a certain skill to complete. Critically ill patients with organ and tissue function of the body gradually weakened, long-term malnutrition, caused by filling blood vessels, especially the venous system of poor skin relaxation, the slow return of blood, coagulation rapidly, combined with the long-term medication, skin edema, to bring about certain difficulties in venipuncture , so that intravenous infusion can not be carried out smoothly. Optional intravenous catheter needle, but some patients are reluctant to accept this method, so nurses to patients during venipuncture must be patient and careful selection vessels, careful observation, familiar with venous anatomy for different situations in various ways. First of all truss tourniquet, will urge the patient make a fist loosely and often repeatedly, beat the injection site, the thumb pressing vein 2-4 times, for deep and slippery and ambiguous Look at his left index finger and middle finger vein can be fixed to the vein above the right hand needle along the the top of the needle into the vein. This can improve the success rate of vein puncture in order to reduce the suffering of patients [1-2]. Depending on the choice of different diseases, blood vessels, for shock, trauma, blood loss, poor microcirculation in patients with, for the venipuncture successful, must pay attention to the protection of vein. Venous puncture, injection or infusion should be started from the peripheral small blood vessels and gradually upward migration and the alternate use of blood vessels, not in the same location repeatedly into the needle, try not