about picc catheter care in cancer patients（对picc导管护理在癌症患者）.docVIP

About PICC catheter care in cancer patients PICC (peripherally inserted central catheter is defined by the peripheral vein (basilic vein, median cubital vein, cephalic vein catheterization, the catheter tip in the superior vena cava or subclavian vein method to be repeated several times for cancer chemotherapy patients, PICC 1970s as a means of intravenous nutrition was introduced into the market [1], PICC home whether it be to avoid repeated venipuncture due to mechanical phlebitis or extravasation of chemotherapeutic drugs and chemical phlebitis tissue necrosis. reduce the patient’s pain and improve quality of life. Clinical data Our department since April 2007 April 2011 PICC catheter insertion needle were 287 cases in which men, 176 were women, 111 cases, aged 22-74 years, mean age 59 years, catheter time of 28 days -320 days. 270 cases a catheter success, 11 successful evacuation tube obstruction due to puncture, change into the opposite side in 3 patients re-puncture catheter failure. 2 Care 2.1 prior to catheter care: catheter to explain to patients the purpose, benefits, operating procedures, with the main points and possible complications have indwelling PICC catheter allows the patients to their own experiences, issuing a written promotional materials, eliminating the ideological concerns of patients , pro-active with the puncture, and signed consent PICC catheter. 2.2 tube in nursing: to encourage patients to relax, keep warm during the catheter when the catheter into the shoulder, let the patient’s head turned to the puncture side, lower jaw by the shoulder to prevent catheter into the jugular vein. 2.3 catheter care: catheter within the first 24 hours after the dressing was changed, after the absence of exceptional circumstances dressing 2-3 times a week, if the applicator contamination at any time. Every week replace heparin or positive pressure connector cap once to observe the puncture when dressing the local availab