骨髓腔内注射装置操作完整讲解程序.pptVIP

* * If you need a blood sample for lab analysis – we recommend drawing blood directly from the EZ-Connect? with a syringe. Be certain to adequately flush the tubing after the sample is obtained. Prior to any drug or fluid administration be certain to Syringe flush the EZ-IO? catheter with 10 ml of fluid. NOTE: THERE IS A DISTINCT DIFFERENCE BETWEEN THE “SYRINGE FLUSH OR BOLUS” DESCRIBED ABOVE AND FLUID “GIVEN OR PUSHED WITH AN ADMINISTRATION SET OR IV TUBING”. This difference relates specifically to: The pressures generated by the syringe – clearing the “pathway for treatment” (which is necessary because of the anatomy and nature of the IO space) Versus the relatively slow, low pressure “supportive administration” of fluids given over time. “NO FLUSH = NO FLOW” Failure to “syringe flush” may result in a limited or no flow IO situation. * If the patient is awake slowly administer appropriate dose of 2% (preservative free) Lidocaine IO prior to the initial bolus. IO fluid administration causes pain for conscious patients and is related to intramedullary pressure. Lidocaine has proven to be effective for the treatment of intramedullary pain. (Utilizing a Lidocaine pre-filled syringe simplifies this process – but must be approved by protocol) Insure that you protect the patient and the sterile connection point on the catheter hub! * To complete our program let’s look at removal process and then conclude with an actual insertion. * Let’s review adult IO site selection and skin preparation. (7 slides) * Here we can identify the major structures of the upper and lower leg as well as the three EZ-IO? landmarks, the Tibia (anterior or most forward lower leg bone), Patella (knee cap) and Tibial tuberosity (bump or raised area on the anterior aspect or front of the tibia) Once the site has been identified and confirmed, clean the location according to local protocol. Can you identify the landmarks on yourself or someone else? Helpful reminders: “If you wan