Laina venous waena - pēpē

ʻO kahi laina venous kikowaena kahi lōʻihi, palupalu, palaka ea i hoʻokomo ʻia i loko o kahi aa nui i ka umauma.

No ke aha e hoʻohana ʻia ai kahi laina kikowaena waena?

Hoʻokomo pinepine ʻia kahi laina venous kikowaena i ka wā ʻaʻole hiki i kahi pēpē ke kiʻi i kahi catheter kikowaena hoʻokomo (PICC) a i ʻole catheter waena waena (MCC). Hiki ke hoʻohana ʻia kahi laina venous kikowaena e hāʻawi i nā meaola a i ʻole nā ​​lāʻau i kahi pēpē. Hoʻokomo wale ʻia ia i ka manawa e pono ai nā pēpē i nā meaola a i ʻole nā ​​lāʻau no ka manawa lōʻihi.

Pehea e kau ai kahi laina kikowaena waena?

Hoʻokomo ʻia ka laina venous waena ma ka haukapila. E mālama ka mea mālama ola:

• Hāʻawi i ka pēpē maʻi ʻeha.
• E hoʻomaʻemaʻe i ka ʻili ma ka umauma me kahi hopena germ-pepehi (antiseptic).
• E hana i kahi ʻoki liʻiliʻi i ka umauma.
• E hoʻokomo i loko o kahi hoʻowali keleawe liʻiliʻi e hana i kahi alapiʻi liʻiliʻi ma lalo o ka ʻili.
• E hoʻokomo i ka catheter ma o kēia ana, ma lalo o ka ʻili, i loko o kahi aa.
• E hoʻokuʻi i ka catheter a kokoke i ka piko o ka puʻuwai.
• Lawe i kahi kālaki x e hōʻoia i ka pololei o ka laina venous kikowaena.

He aha nā pilikia o kahi laina kikowaena waena?

Nā pilikia me:

• Aia kekahi mea liʻiliʻi no ka maʻi. ʻO ka lōʻihi o ka laina venous waena, ʻo ka nui o ka makaʻu.
• Hiki i nā kahe koko ke hana i nā uaua e alakaʻi ana i ka puʻuwai.
• Hiki i nā catheters ke hoʻopau i ka paia o ke kīʻaha koko.
• Hiki i ka wai IV a i ʻole ka lāʻau ke laha i nā ʻāpana ʻē aʻe o ke kino. He kakaikahi kēia, akā hiki i kēia ke kumu i ke kahe nui, nā pilikia hanu, a me nā pilikia me ka puʻuwai.

Inā loaʻa i kēia pēpē kekahi o kēia mau pilikia, lawe ʻia paha ka laina venous kikowaena. E kamaʻilio me kāu mea hāʻawi i kāu pēpē e pili ana i nā pilikia o ka laina venous kikowaena.

CVL - pēpē; ʻO ka catheter waena - nā pēpē - kau ʻia i ka lāʻau

• Catheter kikowaena venous

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. 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. Hoʻohou ʻia ʻOkakopa 2017. Loaʻa iā Kepakemapa 26, 2019.

ʻO Denne SC. ʻO ka meaʻai pilikino makua no ka neonate kūlana kiʻekiʻe. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 69.

Pasala S, Storm EA, Stroud MH, a me al. Loaʻa i nā vascular Pediatric a me nā kenekulia. I: Fuhrman BP, Zimmerman JJ, eds. Mālama Nui ʻo Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2017: chap 19.

ʻO Santillanes G, Claudius I. Hiki i nā vaskular a me nā ʻenehana laʻana koko. I: Roberts J, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 19.