Pediatric intravenous catheter indwelling and analysis of common cause failure.doc

 PAGE \* MERGEFORMAT 7 Pediatric intravenous catheter indwelling and analysis of common cause failure [Keywords:] Pediatric Nursing intravenous catheter failure After intravenous catheter is indwelling peripheral vein and into the superficial vein in a way, as a replacement needle scalp, because it can efficiently maintain the venous patency, reduce the pain and repeated venous puncture damage caused to reduce the nursing staff labor intensity, have been family members and care workers in children of all ages. but children with hyperactivity, easy cooperation, blood thinner, more curved and other reasons, the indwelling catheter for more failure than in adults, is the failure of which retained analysis of the causes. 1 failure 1.1 detached 1.1.1 factors in children (1) smaller blood vessels, too short, bend, or near the joints at the puncture site when the casing into the small, children activities casing easily slide from the blood vessels; (2) children activities more catheter accidentally pull out; (3) children cry hi noisy, sweating, applicator easy to fall off. 1.1.2 operator factors (1) the head is not fully prepared prior to puncture the skin, the hair on the cover applicator, not direct contact with children with skin, catheter fixation is not strong loosening; (2) After the success of the head puncture, slope due to the puncture site, needle handle at the vacant, paste directly under pressure, so that the needle handle with the hose is not a flat, prone to cause needle discount spondylolisthesis; (3) disinfectant to patching paste is dry, resulting in a fixed instability; (4) the replacement of improper operation when the applicator. 1.2 plugging (1) infusion is completed or after the infusion of high concentration liquid washing pipe is not timely; (2) sealed tube method is not correct; (3) patients with high blood viscosity; (4) when the children cry noisy high blood pressure, back into the catheter to form clots. 1.3 local sw