PICC外周中心静脉导管临床护理课件.pptVIP

* * Wide range of application: all patients with intravenous infusion for more than 2 weeks and suitable peripheral venous conditions are likely to choose to use PICC. 1. Department of anesthesiology 2.ICU 3. orthopedics 4. Neurology 5. Neurosurgery 6. Emergency Department 7. Oncology 8. Hematology 9. pediatrics 11. Infection ward * * 1. Select the puncture point and vein of PICC:Adults: The PIC catheter is usually inserted into the main, median, or cephalic veins.Children: PIC catheters are usually inserted into the main, cephalic, scalp or saphenous veins. To choose the most appropriate vein according to the childs size and development degree. * * Modified method: No sternal Angle was used to locate the scale from the puncture point to the ipsilateral sternoclavicular joint. No more retracting ruler vertical measurement. Instead, it was measured in a single horizontal line to the lateral sternal end of the clavicle of the contralateral sternoclavicular joint, in a zigzagging pattern from the measurement point to the end. * * 2) Keep the tear sheath still and pull out the puncture needle.Note: The puncture needle cannot be re-inserted into the sheath after removal to reduce the chance of intrathecal thromboembolism.3) Check for pulsing blood outflow and verify that there is no puncture into the artery.Note: The color of the outgoing blood is not the most reliable indicator of puncture into the vein. * * 4. Placement of PICC catheter1) Hold the distal end of the antibacterial sheath and push the PICC catheter into the tearable sheath. Automatic separation of protection arbitrage and conduit with advance operation.2) If resistance is encountered in the process of propulsion, the flushing edge behind the catheter can be pushed backward.3) Stop intubation 5 cm before the predetermined length of intubation is reached. * * 4) The sheath can be torn by retreating until it exits the puncture site.5) Hold the puller on both sides of the sheath and pull it apart until t