about picc plugging of nursing（对picc护理的堵塞）.docVIP

About PICC plugging of Nursing [Abstract] Objective To investigate the nursing PICC plugging Methods 6 cases of catheter blockage and the use of thrombolytic care intervention. Results 6 cases of catheter blockage and then pass all the Conclusion of the catheter through the right red sealed tube, infusion speed observed to prevent blood reflux, good health education of patients discharged with the tube can significantly reduce the incidence of catheter blockage. [Keywords] PICC plugging Nursing Peripherally inserted central venous catheter (referred to as PICC, is through the antecubital vein into the light, head-end to the superior vena cava under 1 / 3 of the deep venous catheter techniques [1], has been widely used in clinical practice. PICC widely used in clinical applications, complications also increases. our department opened in 2005 to carry out this technology has been successfully catheter 233 cases, there have been six cases of catheter blockage, and then through the use of thrombolysis, now Care points and methods are described below: 1 Data 1.1 General Information February 2005 - May 2011 PICC catheter inserted in our department 233 cases during the emergence of six cases of catheter blockage, age 20 to 76 years old, all male cancer patients. 1.2 Materials 1 case the United States produced three-cavity Bard valve catheters, and 5 produced by the U.S. BD PICC catheter silicone material. 2 Methods 2.1 determine whether the catheter tube blockage discount the first observation, it can be seen in vitro blood clots within the catheter, the ability to be able to get back to the blood, with or without injection of liquid resistance, with 10ml disposable syringe with a 50 ~ 100U/ml heparin saline 5ml repeated aspiration, injection force is strictly prohibited. 2.2 Configuring the urokinase urokinase brine (25 million U added to the 50 ~ 100ml saline, configured 10000 ~ 5000U/ml urokinase saline. 2.3 items for a sterile towe