Hoʻokomo ʻia peripherally catheter waena - hoʻokomo

ʻO kahi catheter kikowaena i hoʻopili ʻia (PICC) kahi lōʻihi lōʻihi a lahilahi e hele i loko o kou kino ma o kahi aa i kou lima luna. Hele ka hopena o kēia catheter i kahi aa nui kokoke i kou puʻuwai. Ua hoʻoholo kāu mea mālama ola e pono ʻoe i kahi PICC. Hōʻike ka ʻikepili ma lalo iā ʻoe i ka mea e manaʻo ai ke hoʻokomo ʻia ka PICC.

Kōkua ka PICC i ka lawe ʻana i nā meaola a me nā lāʻau i loko o kou kino. Hoʻohana ʻia ia e huki i ke koko ke pono ʻoe e hōʻoia i ke koko.

Hoʻohana ʻia kahi PICC ke pono ʻoe i ka lapaʻau intravenous (IV) ma kahi o kahi lōʻihi o ka manawa a i ʻole inā huki ke koko i hana ʻia ma ke ʻano maʻamau ua paʻakikī.

Hana ʻia ke kaʻina hana hoʻokomo PICC i ke keʻena radiology (x-ray) a i ʻole ma kahi moe o kou haukapila. ʻO nā ala e hoʻokomo ai:

• Moe ʻoe i kou kua.
• Hoʻopili ʻia kahi pāʻani (strap) a puni kou lima kokoke i kou poʻohiwi.
• Hoʻohana ʻia nā kiʻi ultrasound e koho i ke aa a alakaʻi i ka nila i kou aa. Nānā ʻo Ultrasound i loko o kou kino me kahi hāmeʻa i hoʻoneʻe ʻia ma luna o kou ʻili. ʻAʻole ʻeha.
• Hoʻomaʻemaʻe ʻia kahi e hoʻokomo ʻia ai ka nila.
• Loaʻa iā ʻoe kahi kī o ka lāʻau e hoʻopōpō i kou ʻili. E ʻū paha kēia no kahi manawa.
• Hoʻokomo ʻia kahi nila, a laila ka uea alakaʻi a me ka catheter. Hoʻoneʻe ʻia ka uea alakaʻi a me ka catheter ma o kou aa i kahi kūpono.
• I loko o kēia kaʻina hana, hoʻonui ʻia ka nui o ka pūnaewele kuʻikuʻi me kahi scalpel. Hoʻokahi a ʻelua paha mau humuhumu e pani iā ​​ia ma hope. ʻAʻole ʻeha kēia.

Pili ka catheter i hoʻokomo ʻia i kahi catheter ʻē aʻe e noho ma waho o kou kino. E loaʻa iā ʻoe nā lāʻau a me nā wai ʻē aʻe ma o kēia catheter.

He mea maʻamau ka loaʻa ʻana o kahi ʻeha a ʻū paha a puni ka pūnaewele no 2 a i ʻole 3 mau pule ma hope o ke kau ʻana o ka catheter ma kahi. E mālie. Mai huki i kekahi mea me kēlā lima a hana i ka hana ikaika ma kahi o 2 mau pule.

Lawe i kou mahana i ka manawa like i kēlā me kēia lā a kākau i lalo. Kāhea i kāu mea hāʻawi inā loaʻa ʻoe i ke kuni.

He maikaʻi ia e lawe i nā ua a me nā ʻauʻau i kekahi mau lā ma hope o ka hoʻonoho ʻia ʻana o kāu catheter. E noi i kāu mea hāʻawi i ka lōʻihi o ke kali. Ke holoi a ʻauʻau paha ʻoe, e hōʻoia i ka paʻa o nā ʻaʻahu a e maloʻo mau kāu kahua catheter. Mai hoʻokuʻu i ka pūnaewele catheter e hele i lalo o ka wai inā e pulu ana ʻoe i loko o kahi pahu wai.

E aʻo aku kāu kahu iā ʻoe pehea e mālama pono ai i kāu catheter i mea e holo pono ai ia mea a kōkua iā ʻoe e pale iā ʻoe iho mai ka maʻi. Hoʻopili kēia i ka pīpī ʻana i ka catheter, ka hoʻololi ʻana i ka lole, a me ka hāʻawi ʻana iā ʻoe iho i nā lāʻau.

Ma hope o kekahi hana, maʻalahi ka mālama ʻana i kāu catheter. ʻOi aku ka maikaʻi loa o ke kōkua ʻana o kahi hoa aloha, ʻohana, kahu, a kahu hānai paha iā ʻoe.

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

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Kahe, ka ʻulaʻula, a i ʻole ka pehu ʻana ma ka pūnaewele catheter
• Puʻupuʻu
• Fiva a i ʻole haʻalulu
• Hanu manawa paʻakikī
• ʻO ka hemo ʻana mai ka catheter, a i ʻole, ʻoki ʻia a haki ʻia paha ka catheter
• ʻO ka ʻeha a ʻū paha ma kahi o ka pūnaewele catheter, a i kou ʻāʻī, alo, umauma, a lima paha
• E pilikia i ka pīpī ʻana i kāu catheter a i ʻole ka hoʻololi ʻana i kou ʻaʻahu

Kāhea pū i kāu mea hāʻawi inā kāu catheter:

• Ke hele mai nei i waho o kou lima
• Kapu ʻia

PICC - hoʻokomo

ʻO Herring W. Ke hoʻomaopopo nei i ka hoʻonohonoho pono ʻana o nā laina a me nā paipu a me nā pilikia e hiki ai iā lākou: radiology mālama koʻikoʻi. I loko o: Herring W, ed. Ke aʻo ʻana i ka Radiology: ʻIke ʻana i ke kumu. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 10.

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Nā kikowaena pili i ke aʻa kino. 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; 2016: chap 29.

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