Ka laina intravenous peripheral - nā pēpē

ʻO kahi laina intravenous peripheral intravenous line (PIV) kahi liʻiliʻi, pōkole, paipu palekiko, i kapa ʻia he catheter. Hoʻokomo kahi mea mālama ola i ka PIV ma o ka ʻili i loko o kahi aa i ka maʻi poʻo, ka lima, ka lima, a me ka wāwae. Kuhi kēia ʻatikala i nā PIV i nā pēpē.

NO KA MEA I PONO AI I KA HOA?

Hoʻohana kahi mea hāʻawi i ka PIV e hāʻawi i nā wai a i ʻole nā ​​lāʻau i kahi pēpē.

PEHEA KA PIV E NOHO AI?

E hāʻawi kāu mea hoʻolako:

• E hoʻomaʻemaʻe i ka ʻili.
• Hoʻopili i ka catheter liʻiliʻi me kahi nila ma ka hopena ma o ka ʻili i loko o ka aa.
• Ke kū nei ka PIV ma ke kūlana kūpono, lawe ʻia ka nila. Noho ka catheter i ka aa koko.
• Pili ka PIV i kahi ʻōmole palaki liʻiliʻi e hoʻopili i kahi ʻeke IV.

He aha nā pilikia o kahi PIV?

Hiki i nā PIV paʻakikī ke waiho i loko o kahi pēpē, e like me ke ʻano momona o ka pēpē, maʻi, a liʻiliʻi paha. I kekahi mau hihia, ʻaʻole hiki i ka mea hāʻawi ke waiho i kahi PIV. Inā kū kēia, pono ʻia kahi lāʻau ʻē aʻe.

Pau paha nā PIV i ka hana ma hope o kahi manawa pōkole wale nō. Inā kū kēia, e lawe ʻia ka PIV a hoʻokomo i kahi hou.

Inā heʻe PIV i waho o ka aa, hiki i ka wai mai ka IV ke hele i loko o ka ʻili ma kahi o ka aa. Ke kū kēia, manaʻo ʻia ka IV he "infiltrated." E hele a puehu ka pūnaewele IV a ʻulaʻula paha. I kekahi manawa, hiki i kahi infiltrate ke hoʻonāukiuki i ka ʻili a me nāʻiʻo. Hiki i ke pēpē ke hōʻā i kahi mea inā ke hoʻonāukiuki ka lāʻau i ka IV i ka ʻili. I kekahi mau hihia kūikawā, hiki i nā lāʻau i loko o ka ʻili ke hoʻēmi i ka makaʻu o ka ʻili lōʻihi o ka ʻili mai kahi infiltrate.

Ke makemake ka pēpē i nā wai IV a i ʻole ka lāʻau i loko o kahi manawa lōʻihi, hoʻohana ʻia ka catheter waena a i ʻole PICC. ʻO nā IV maʻamau wale nō ma hope o 1 a 3 mau lā ma mua o ka makemake e hoʻololi ʻia. Hiki i kahi midline a i ʻole PICC ke noho i loko no 2 a 3 mau wiki a ʻoi paha.

PIV - pēpē; Peripheral IV - nā pēpē; Ke laina peripheral - nā pēpē; Ka laina peripheral - neonatal

• Laina intravenous peripheral

Pūnaewele o ka Control and Disease website. Nā ʻōkuhi no ka pale ʻana i nā maʻi e pili ana i ka catravie intravascular, 2011. www.cdc.gov/infectioncontrol/guidelines/BSI/index.html. Loaʻa iā Kepakemapa 26, 2019.

Wahi a MM, Rais-Bahrami K. Kau palena kūwaho hoʻi o peripheral. I: MacDonald MG, Ramasethu J, Rais-Bahrami K, eds. Nā Atlas o nā Kaʻina Hana ma Neonatology. 5th lā. Philadelphia, PA: Wolters Kluwer / Lippincott Williams & Wilkins; 2012: chap 27.

ʻO Santillanes G, Claudius I. Hiki i nā vaskular a me nā ʻenehana laʻana koko. I loko o: Roberts J, ed. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2019: chap 19.