Lapaʻau IV ma ka home

E hoʻi koke ana ʻoe a ʻo kāu keiki paha mai ka haukapila. Ua kauoha aku ka mea mālama ola i nā lāʻau a i ʻole nā ​​lāʻau ʻē aʻe e pono ai ʻoe a me kāu keiki e lawe ma ka home.

IV (intravenous) ke ʻano o ka hāʻawi ʻana i nā lāʻau a i ʻole nā ​​wai i loko o kahi nila a i ʻole Tube (catheter) e hele i loko o kahi aa. ʻO ka paipu a catheter paha kekahi o kēia mau mea:

• Catheter kikowaena venous
• Catheter venous waena - awa
• Hoʻokomo ʻia i ka catheter kikowaena
• Normal IV (hoʻokomo ʻia i loko o ke aa ma lalo pono o kou ʻili)

ʻO ka mālama ʻana i ka home IV kahi ala naʻu e loaʻa ai kāu keiki i ka lāʻau IV me ka ʻole ma ka haukapila a hele paha i kahi haukapila.

Hiki paha iā ʻoe ke makemake i nā lāʻau kiʻekiʻena o nā lāʻau ʻalopika a i ʻole nā ​​lāʻau ʻaloʻoloka hiki ʻole ke lawe ʻia e ka waha.

• Ua hoʻomaka paha ʻoe i nā antibiotic IV i ka haukapila āu e pono ai e hoʻomau i ka loaʻa ʻana no kekahi manawa ma hope o kou haʻalele ʻana i ka haukapila.
• ʻO kahi laʻana, hiki ke mālama ʻia i nā maʻi i nā akemāmā, iwi, lolo, a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino i kēia ala.

Nā mālama IV ʻē aʻe i loaʻa iā ʻoe ma hope o kou haʻalele ʻana i ka haukapila e komo pū me:

• Hoʻomaʻo no nā hemahema hormone
• Nā lāʻau no ke kahe nui o ka maʻi chemotherapy a i ʻole ka hāpai ʻana
• ʻO ka analgesia kāohi hoʻomanawanui (PCA) no ka ʻeha (ʻo kēia ka lāʻau IV e hāʻawi nā mea maʻi iā lākou iho)
• Chemotherapy e mālama i ka maʻi ʻaʻai

Pono ʻoe a i ʻole paha paha i kāu keiki i ka hānai makua (TPN) ma hope o ka noho ʻana o kahi haukapila. ʻO TPN kahi ʻano meaʻai i hāʻawi ʻia ma o ka aa.

Pono ʻoe a i ʻole paha i kāu keiki i kahi wai hou ma o IV.

ʻO ka pinepine, e hiki mai nā kahu mālama mālama home i kou home e hāʻawi iā ʻoe i ka lāʻau. I kekahi manawa, hiki i kahi lālā o ka ʻohana, kahi hoaaloha, a iā ʻoe iho paha ke hāʻawi i ka lāʻau IV.

E nānā ke kahu i ka holo pono ʻana o ka IV a ʻaʻohe hōʻailona o ka maʻi. A laila e hāʻawi ka kahu i ka lāʻau a i ʻole ka wai ʻē aʻe. E hāʻawi ʻia i kekahi o nā ala penei:

• ʻO kahi bolus wikiwiki, ʻo ia ka hāʻawi wikiwiki ʻia ʻana o ka lāʻau, i ka manawa hoʻokahi.
• ʻO kahi infusion lohi, ʻo ia ka hāʻawi lohi i ka lāʻau i loko o kahi manawa lōʻihi.

Ma hope o kou loaʻa ʻana i kāu lāʻau, e kali ke kahu hānai inā loaʻa iā ʻoe kahi hopena maikaʻi ʻole. Inā maikaʻi ʻoe, e haʻalele ka kahu wahine i kou home.

Pono e hoʻolei ʻia nā nila kuʻina i loko o kahi pahu kui (sharps). Hiki i ka paipu IV, nā ʻeke, nā mīkina lima, a me nā lako pono kīnā ʻole ke hele i loko o kahi ʻeke ea a hoʻokomo ʻia i ka ʻōpala.

E nānā no kēia mau pilikia:

• He puka ma ka ʻili kahi o ka IV. Hiki i ka lāʻau lapaʻau a wai ʻole paha ke hele i loko o nā mea a puni ka aa. Hiki i kēia ke hana ʻino i ka ʻili a i ʻole nā ​​iʻa.
• ʻO ka pehu ʻana o ka aa. Hiki i kēia ke alakaʻi i kahi kīʻaha koko (i kapa ʻia ʻo thrombophlebitis).

Hiki i kēia mau pilikia nunui ke hana i nā pilikia hanu a i ʻole ka puʻuwai.

• Komo kahi huʻa o ka ea i loko o ke aa a hele i ka puʻuwai a i ʻole nā ​​māmā (i kapa ʻia he embolism ea).
• Kahi maʻi ʻaʻa a ʻano ʻē aʻe i ka lāʻau.

ʻO ka hapanui o nā manawa, loaʻa nā kahu mālama mālama home 24 hola i ka lā. Inā loaʻa kahi pilikia me ka IV, hiki iā ʻoe ke kelepona i kāu keʻena mālama olakino home no ke kōkua.

Inā puka ka IV mai ke aa koko:

• ʻO ka mea mua, kau i ka pihi ma luna o ka wehe ma kahi o ka IV a hiki i ke kū ʻana o ke kahe.
• A laila kāhea koke aku i ke keʻena mālama ola home a i ʻole ke kauka i kēia manawa.

Kāhea i kāu kahu mālama ola inā ʻoe a ʻo kāu keiki paha kahi hōʻailona o ka maʻi, e like me:

• ʻO ka ʻulaʻula, ka pehu ʻana a i ʻole ka palapū ʻana ma ka pūnaewele kahi e komo ai ka nila i ke aa
• ʻEha
• Kahena
• Fever o 100.5 ° F (38 ° C) a ʻoi aku paha

Kāhea i kāu helu pilikia kūloko, e like me 911, koke inā ʻoe:

• Nā pilikia hanu
• ʻO ka wikiwiki o ka puʻuwai
• Puʻupuʻu
• ʻEha ʻeha

ʻO ka lāʻau antibiotic intravenous home; Catheter venous waena - home; Catheter venous peripheral - home; Awa - home; Laina PICC - home; Hoʻomaʻo infusion - home; Mālama olakino home - lapaʻau IV

ʻO Chu CS, ʻo Rubin SC. Nā loina o ka chemotherapy. I: DiSaia PJ, Creasman WT, Mannel RS, McMeekin DS, Mutch DG, eds. ʻO ka Oncology Gynecologic Clinical. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 17.

Gula HS, LaSalvia MT. ʻO ka mālama maʻi antimicrobial parenteral waho. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 53.

Pong AL, Bradley JS. ʻO ka lāʻau antimicrobial intravenous puka waho no nā maʻi koʻikoʻi. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 238.

• Nā Lapaʻau