化疗药物外渗及PICC维护.pptVIP

Nursing Round Preventing and Treating the Exosmosis Of Chemotherapy drugs Learning Target 一、Summary Chemotherapy, method of curing disease by using chemical synthesis medicine,is currently one of the main means of treating tumors and certain autoimmune diseases . It can inhibit tumor cell growth and development effectively, but also to some extent can bring the local toxic reaction to organism. 二、Classification of Exosmosis drugs Blister Drugs Local Tissue Damage Caused by Blister Drugs 二、Classification of Exosmosis drugs Stimulant Drugs 二、Classification of Exosmosis drugs Non-blistering Drugs 三、The Cause of Exosmosis 三、The Cause of Exosmosis 1、Pharmacal factors Stimulation Concentration Osmotic Pressure pH 三、The Cause of Exosmosis 三、The Cause of Exosmosis 3、Iatrogenic factors （1）Choice of transfusion instrument. （2）Assessment is insufficient . （3）Without careful observation. （4）Nursing staff lack experience of treating exosmosis. 四、 The Prevention of Exosmosis Operate by trained nurse specialism 四、 The Prevention of Exosmosis Choice of transfusion tools 四、 The Prevention of Exosmosis Choose veins reasonably 四、 The Prevention of Exosmosis Establish intravenous access 四、 The Prevention of Exosmosis Do well in health education Once found or suspected exudation, deal according to exosmosis 五、The Treatment of Exosmosis 五、The Treatment of Exosmosis 五、The Treatment of Exosmosis 五、The Treatment of Exosmosis 参考书目 1、周际昌.实用肿瘤内科学.北京：人民卫生 出版社 2、徐波.肿瘤护理学.北京：人民卫生出版社 3、王建荣.输液治疗护理实践指南与实施细 则.北京：人民军医出版社 复习思考题 1、掌握药物外渗的处理流程。 2、临床上常用的化疗药物外渗之后，哪些 需要冷敷，哪些需要热敷？ Company Logo LOGO * In-patient Ward of Radiation Oncology Department Ren Wei Summary The Treatment of Exosmosis The Classification of Exosmosis drugs The Cause of Exosmosis The Prevention of Exosmosis Phlebitis caused by chemotherapy drugs Local Tissue Necrosis Caused by Epirubicin No obvious blistering or s