新生儿PICC维护特点的.pptVIP

新生儿PICC维护特点 穿刺困难； 血管选择范围小； 免疫力差，易感染； 置管后维护难度大； 不能自控,无表达能力； 需要密切观察﹗ Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. PICC维护 置管后24小时内：减少置管测肢体的屈伸活动及用力活动穿刺后第一个24小时更换敷料更换敷贴及肝素帽1~2次/周凡是有取下接头的操作，就必须更换接头 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 观察：穿刺静脉走形有无红肿、条索感、有无发热等感染症状。导管外露长度，测量上臂围，并记录禁止输血用高浓度、刺激性等特殊药物的前后均必须冲管 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.  加药：注意药物配伍禁忌推药：前后均要用生理盐水冲管冲管：1次/6小时封管：肝素液浓度1~10u/ml严禁用10ml以下注射器 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. PICC 常见并发症及护理 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 导管异位 表现： 阻力感无法送管，导管蛇样弯曲，回抽回血困难 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 原因： 体位不当，穿刺血管选择不当，测量长度不准确，血管走行异常、痉挛、硬化 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 预防和处理: 选择最佳血管,准确的测量 调整体位,使上肢与躯体垂直,稍作停 顿后再行送管,遇阻力时勿强行推入 哭闹时给予安慰奶嘴或镇静剂,安静状态易于送管;注意保暖 导管鞘在导管送到预留长度后再退出 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 导管堵塞发生率高 症状： 给药、冲管时感觉阻力 输注困难，注射泵阻塞报警 输液速度减慢或停止 无法抽到回血 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 原因:  未用生理盐水冲管或封管 未正压封管 未及时更换药液 各种原因出现返血 药物配伍禁忌沉淀 导管尖端贴到静脉壁 导管打折 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 处理： 检查导管是否打折 用10ml注射器缓慢回抽,切不可暴力推注 确认导管尖端位置 溶栓 酌情拔管 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profi