Hoʻokomo ʻia peripherally catheter waena - flushing

Loaʻa iā ʻoe kahi catheter kikowaena i hoʻopili ʻia (PICC). ʻO kēia kahi paipu e hele i loko o kahi aa i kou lima. 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.

Pono ʻoe e holoi i ka catheter ma hope o kēlā me kēia hoʻohana. Kāhea ʻia kēia he flushing. Kōkua ka holoi ʻana i ka catheter maʻemaʻe. Pale pū ia ke kahe o ke koko mai ka pale ʻana i ka catheter.

E hāhai i nā ʻōlelo aʻoaʻo a kāu lawelawe mālama ola i ka holoi ʻana i kāu catheter. Hiki paha i kekahi lālā o ka ʻohana, hoaaloha, a mea mālama paha ke kōkua iā ʻoe me ka pīpī. E hoʻohana i kēia pepa e kōkua e hoʻomanaʻo iā ʻoe i nā kaupae.

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.

No ka holoi ʻana i kāu catheter, pono ʻoe:

• Kāwele pepa maʻemaʻe
• Saline syringes (maopopo), a malia heparin syringes (melemele)
• Holoi ka wai ʻona a i ʻole chlorhexidine
• Nā mīkina lima Sterile
• Pahu ipu (pahu kūikawā no nā syringes i hoʻohana ʻia a me nā nila)

Ma mua o ka hoʻomaka ʻana, e nānā i nā lepili ma nā ʻōʻā paʻakai, nā nīnane heparin, a i ʻole nā ​​nīʻau lāʻau. E hōʻoia i ka ikaika a me ka mahele lāʻau pololei. E hōʻoia i ka lā pau. Inā ʻaʻole i hoʻopiha ʻia ke kōkō nui, huki i ka nui kūpono.

E pīpī ʻoe i kāu catheter i kahi ala maʻamau (maʻemaʻe loa). E kōkua kēia iā ʻoe e pale aku i ka maʻi. E hāhai i kēia mau kulekele:

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 hemo.
5. Wehe i ka pāpale ma ka syringe paʻakai a hoʻonoho i ka pāpale ma ke kāwele pepa. Mai hoʻokuʻu i ka hopena i hoʻopaʻa ʻole ʻia o ka syringe e hoʻopā i ke kāwele pepa a i kekahi mea ʻē aʻe.
6. Wehe i ka mea paʻa ma ka wēlau o ka catheter a holoi i ka hopena o ka catheter me kahi holoi waiʻona.
7. Hoʻopili i ka syringe saline i ka catheter e hoʻopili iā ia.
8. E hoʻokomo mālie i ka paʻakai i loko o ka catheter e kaomi mālie ʻana i ka plunger. Hana iki, a laila kū, a laila hana hou. E hoʻokomo i nā paʻakai a pau i loko o ka catheter. Mai hoʻoikaika iā ia. Kāhea i kāu mea hāʻawi inā ʻaʻole holo.
9. Ke pau ʻoe, wehe i ka syringe a hoʻokomo i kāu pahu sharps.
10. E hoʻomaʻemaʻe hou i ka hopena o kāu catheter me kahi kāwele hou.
11. Kau i ka mea hoʻopaʻa i ka catheter inā pau ʻoe.
12. Wehe i nā mīkina lima a holoi i kou mau lima.

E noi i kāu mea hāʻawi inā pono ʻoe e pīpī i kāu catheter me ka heparin. He lāʻau lapaʻau ʻo Heparin e kōkua ai i ka pale ʻana i ke koko koko.

E hāhai i kēia mau kaʻina hana:

1. Hoʻopili i ka syringe heparin i kāu catheter, e like me ke ʻano o ka hoʻopili ʻana i ka syringe saline.
2. Holo mālie i ka hoʻopili ʻana i kahi manawa liʻiliʻi, e like me kāu hana i ka paʻakai.
3. Wehe i ke syringe heparin mai kāu catheter. E hoʻokomo i loko o kāu pahu sharps.
4. E hoʻomaʻemaʻe i ka hopena o kāu catheter me kahi holoi waiʻona hou.
5. E hoʻihoʻi i ka mea paʻa i ka catheter.

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

E noi i kāu mea hāʻawi ke hiki iā ʻoe ke ʻauʻau a ʻauʻau paha. 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.

Kāhea i kāu mea hāʻawi inā ʻoe:

• Ke pilikia nei ʻoe i ka pīpī ʻana i kāu catheter
• Loaʻa ke kahe ʻana o ke koko, ʻulaʻula a pehu paha ma ka pūnaewele
• E hoʻomohala i ka pehu ma ka lima ma lalo o ka catheter
• 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 kāu mea hāʻawi inā kāu catheter:

• Ke hele nei i waho o kou aa
• Kapu ʻia

PICC - pāheʻe

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. Peripherally inserted catheter kikowaena (PICC). I: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Nā mākau hanai maʻi lapaʻau: Nā Pono i nā Manaʻo Pale. 9th ed. Nu Ioka, NY: Pearson; 2017: chap 29.6.

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