课件：PICC临床应用及常见并发症处理.ppt

在导管破损处上方将导管折叠固定，并立即去医院进行处理 立即去医院处理，冲洗导管，并酌情更换贴膜 立即拧紧接头（肝素帽/正压接头） 将导管折叠并加以固定（胶带或橡皮夹等）并立即去医院更换肝素 日常禁忌活动 1、提重物 * 日常禁忌活动 2、举重 3、哑 铃 4、引体向上 5、球类运动 日常禁忌活动 6、 跳 绳 7、柱 拐 8、游泳或 水中运动 9、泡 浴 * 日常禁忌活动 10、过度弯腰 11、打麻将 看管看肤看敷贴 脉冲正压要牢记 CT、核磁不用它 7 天维护不要忘 导管异常回医院 日常活动照进行 天天关心手上管 安全使用共开怀 谢谢聆听 后面内容直接删除就行 资料可以编辑修改使用 资料可以编辑修改使用 主要经营：网络软件设计、图文设计制作、发布广告等 公司秉着以优质的服务对待每一位客户，做到让客户满意！ 致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求 设计问题： 1，临床中遇见病人化疗药物外渗？ * * * Catheter fibrin or thrombus may serve as a nidus for microbial colonization of intravascular devices and catheter thrombosis appears to be one of the most important factors associated with infection of long term catheters immediately following catheter insertion the catheter surface is coated with plasma and proteins ( fibrin, fibronectin) this is referred to as the host biofilm some microorganisms have high adherence to this host biofilm and produce a biofilm of their own to further enhance their adherence (extracellular slime) this extracellular slime permits the exchange of nutrients but protects the bacteria from phafocytic cells, antibodies and antibiotics although antimicrobial therapy may eradicate disseminated pathogens, the organsims within the bilfim are protected and may cause re-infection monitoring of long term devices as in the AA program will alert the clinician to re-occurences * * What is your practice? Insertion site: ACF less colonized, less oily and less moist than chest or neck ACF placement moves the catheter away from endotracheal, nasal and oral secretions frequent association between catheter related thombosis and sepsis exists * * Conflicting literature on what is considered a dressing with high MVTR studies are not conclusive on this subject study available to support any dressing protocol you wish to follow treat as a wound!!! Erythema, drainage, skin condition * * Proper flushing techniques is imperative and one of the most critical factors in maintaining patency of devices catheter malp