ʻO ka catheter venous waena - ka loli lole

Loaʻa iā ʻoe kahi catheter venous kikowaena. ʻO kēia kahi paipu e hele i loko o kahi aa i kou umauma a hoʻopau i kou puʻuwai. Kōkua ia i ka lawe ʻana i ka meaola a i ʻole ka lāʻau i loko o kou kino. Hoʻohana ʻia ia e lawe i ke koko ke pono ʻoe e hōʻoia i ke koko.

ʻO nā kapa komo nā mea hoʻoweliweli kūikawā e ālai i nā g germ a mālama i kāu pūnaewele catheter me ka hoʻomaʻemaʻe ʻole. Hōʻike kēia ʻatikala pehea e hoʻololi ai i kou ʻaʻahu.

Hoʻohana ʻia nā catheters venous Central ke makemake ka poʻe i ka lāʻau lapaʻau ma kahi lōʻihi.

• Pono ʻoe i nā lāʻau antibiotic a i ʻole nā ​​lāʻau ʻē aʻe i mau pule i mau mahina.
• Pono ʻoe i kahi meaʻai hou aʻe no ka mea ʻaʻole holo pono kāu ʻōpū.
• Ke loaʻa nei paha iā ʻoe ka maʻi dialysis.
• Ke loaʻa nei paha iā ʻoe nā lāʻau ʻaʻai.

Pono ʻoe e hoʻololi pinepine i kou ʻaʻahu ʻana, i komo ʻole nā ​​mikrob i loko o kāu catheter a hōʻeha iā ʻoe. E hāhai i nā ʻōlelo aʻoaʻo a kāu lawelawe mālama ola no ka hoʻololi ʻana i kou ʻaʻahu. E hoʻohana i kēia pepa e kōkua e hoʻomanaʻo iā ʻoe i nā kaupae.

Pono ʻoe e hoʻololi i ke kapa komo ma kahi o hoʻokahi manawa i ka pule. Pono ʻoe e hoʻololi hou inā lilo ia a maloʻo a pulu a lepo paha. Ma hope o kekahi hana, e maʻalahi ia. Hiki i kahi hoaaloha, ʻohana lālā, mea mālama, a i ʻole kauka paha e kōkua iā ʻoe.

E haʻi aku kāu mea hāʻawi iā ʻoe ke hiki ke ʻauʻau a ʻauʻau paha ma hope o ke kaha ʻana. Ke hana ʻoe, e hōʻoia i ka paʻa o nā lole a e maloʻo ana kāu pūnaewele catheter. Mai hoʻokuʻu i ka pūnaewele catheter e hele i lalo o ka wai inā e pulu ana ʻoe i ka pahu wai.

E hāʻawi kāu mea hāʻawi iā ʻoe i palapala no nā lako e pono ai. Hiki iā ʻoe ke kūʻai i kēia ma ka hale kūʻai lako lāʻau. He mea kōkua ke ʻike i ka inoa o kāu catheter a me ka ʻoihana i hana ai. Kākau i kēia ʻike i lalo a mālama mau ia.

Ke kau ʻia kāu catheter ma kahi, e hāʻawi ka kahu iā ʻoe i kahi lepili e haʻi iā ʻoe i ka hana o ka catheter. Mālama i kēia no ke kūʻai aku ʻoe i kāu lako.

E hoʻololi i kou ʻaʻahu, pono ʻoe i:

• Nā mīkina lima Sterile
• Hoʻopau hoʻomaʻemaʻe
• ʻO ka huahuakai kūikawā
• ʻO kahi pākuʻi kūikawā, i kapa ʻia ʻo Biopatch
• ʻO kahi bandage pale ākea, e like me Tegaderm a i ʻole Covaderm

E hoʻololiʻoe i kouʻaʻahu ma ke ala maikaʻi (maʻemaʻe loa). E hāhai i kēia mau kaʻina hana:

1. E holoi i kou mau lima no 30 kekona me ke kopa a me ka wai. E holoi ma waena o kou mau manamana lima a ma lalo o kou mau kui. Wehe i nā mea hoʻonani a pau mai kou mau manamana lima ma mua o ka holoi ʻana.
2. Hoʻomaloʻo me kahi kāwele pepa maʻemaʻe.
3. E hoʻonohonoho i kāu lako ma kahi maemae ma kahi kāwele pepa hou.
4. E kau i nā mīkina lima maʻemaʻe.
5. E wehe mālie i ka lole kahiko a me Biopatch. E hoʻolei i ka lole kahiko a me nā mīkina lima.
6. E hoʻokomo i kahi paʻa lima hou o nā mīkina lima sterile.
7. E nānā i kou ʻili no ka ʻulaʻula, ka pehu ʻana, a i ʻole ke kahe ʻana a i ʻole ke kahawai ʻē aʻe a puni ka catheter.
8. E hoʻomaʻemaʻe i ka ʻili me ka ʻōpala a me ka hopena hoʻomaʻemaʻe. E maloʻo ka lewa ma hope o ka hoʻomaʻemaʻe.
9. E kau i kahi Biopatch hou ma luna o kahi e komo ai ka catheter i kou ʻili. E hoʻomau i ka ʻaoʻao a piʻi ka hopena i ka hoʻokaʻawale.
10. Peel i ke kākoʻo mai ka bandage plastic clear (Tegaderm a i ʻole Covaderm) a kau ma luna o ka catheter.
11. Kākau i ka lā āu i hoʻololi ai i kou ʻaʻahu.
12. Wehe i nā mīkina lima a holoi i kou mau lima.

E hoʻopaʻa i nā mea paʻa āpau ma kāu catheter i nā manawa āpau. He mea maikaʻi e hoʻololi i nā pāpale ma ka hopena o kāu catheter (i kapa ʻia ʻo "claves") ke hoʻololi ʻoe i kou ʻaʻahu. E haʻi aku kāu mea hāʻawi iā ʻoe pehea e hana ai i kēia.

Kāhea i kāu mea hāʻawi inā ʻoe:

• Ke pilikia nei i ka hoʻololi ʻana i kou kapa
• Loaʻa ke kahe ʻana o ke koko, ʻulaʻula a pehu paha ma ka pūnaewele
• Hoʻolaha kūkala, a ʻokiʻoki a haki paha ka catheter
• Loaʻa kaʻeha ma kahi o ka pūnaewele a i kou ʻāʻī, alo, umauma, a lima paha
• Loaʻa nā hōʻailona o ka maʻi (fever, chills)
• Pōkole o ka hanu
• Pīhoihoi

Kāhea pū i ka mea hāʻawi inā kāu catheter:

• Ke hele nei i waho o kou aa
• ʻIke ʻia ka poloka ʻia, a i ʻole hiki ʻole iā ʻoe ke kīpī iā ia

Mea komo i loko o ka venous - hoʻololi i ka lole; CVAD - hoʻololi i ka lole

Smith SF, Duell DJ, Martin BC, Aebersold ML, Gonzalez L. Nā kikowaena komo vascular. I: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold ML, eds. Nā mākau hanai maʻi lapaʻau: Nā Pono i nā Manaʻo Pale. 9th ed. Nu Ioka, NY: Pearson; 2017: chap 29.

• Hoʻoneʻe iwi iwi

• Ma hope o chemotherapy - hoʻokuʻu
• Kahe i ka wā o ka maʻi maʻi maʻi
• Hoʻoneʻe iwi iwi - hoʻokuʻu
• Catheter venous waena - flushing
• Hoʻokomo ʻia peripherally catheter waena - flushing
• ʻAno hana Sterile
• Mālama ʻeha ʻeha - wehe

• ʻO Chemotherapy Kanesa
• Mālama koʻikoʻi
• Dialysis
• Kākoʻo Nutritional