Ukuqonda i-IV Canula Chetheter: Imisebenzi, ubukhulu, kunye neentlobo

Intshayelelo

I-intravenous (iv) i-cacheusters ye-cannulazibalulekileizixhobo zonyangoisetyenziswe kwiiseto ezahlukeneyo zempilo ukuze zilawule ulwelo, amayeza, kunye neemveliso zegazi ngqo kwigazi legazi lesigulana. Eli nqaku lijolise ekunikezeleni ukuqonda okunzulu kweIv canulas, kubandakanya umsebenzi wabo, ubungakanani, iintlobo, kunye nezinye izinto ezifanelekileyo.

Umsebenzi we-IV Carnula Casher

I-IV Cannula Chesheter yi-tube encinci, eguquguqukayo ifakwe kwi-vein yesigulana, ibonelela ngokufikelela kwinkqubo yokujikeleza kwegazi. Umsebenzi ophambili we-IV ye-IV ye-IV yokuhambisa ulwelo olufanelekileyo, amayeza, amayeza, okanye isondlo kwisigulana, ukuqinisekisa ukufunxa okukhawulezayo kwegazi. Le ndlela yolawulo ibonelela ngeendlela ezithe ngqo nezinokuthenjwa ukugcina ibhalansi ye-fluid, faka ivolumu yegazi elahlekileyo, kwaye unike amayeza abuthathaka ixesha.

Ubungakanani bee-IV Cacheusts

I-IV Canula Cashers ifumaneka kubungakanani ohlukeneyo, ngokwesiqhelo zichongwe linani le-gauge. Igeji imele ububanzi benaliti ye-catheter; Inombolo encinci ye-gauge, enkulu yobubanzi. Ubungakanani obuqhelekileyo obusetyenzisiweyo kwii-IV Candeusters zibandakanya:

1. I-14 ukuya kwi-24 i-gauge: I-caulas enkulu (i-14g) isetyenziselwa ukungcola okukhawulezayo kolwelo okanye iimveliso zegazi, ngelixa ubungakanani obuncinci (i-24g) zilungele amayeza aphezulu okuhamba.

2. 18 ukuya kwi-20 igeji: Ezi zezona ndawo zisetyenziswa kakhulu kwiisethingi zesibhedlele, ukuphetha kuluhlu olubanzi lwezigulana nakwiimeko zekliniki.

I-3.

I-4. I-GAuge (okanye ngaphezulu): Ezi zityholo ze-ultra ezincinci zihlala zisetyenziselwa iimeko ezikhethekileyo, njengokulawula amayeza athile okanye izigulana ezinendawo ethe tyaba kakhulu.

Iindidi ze-IV cacheusters

I-1. I-IV Punnula: Olona hlobo luxhaphakileyo, lufakwe kwithambo le-peripheral, ngesiqhelo ngasenga okanye kwisandla. Ziyilelwe ukusetyenziswa kwexesha elifutshane kwaye zilungele izigulana ezifuna ukufikelela ngokungathamsha okanye ukufikelela.

2. I-Catheter ye-Catheter ephakathi (i-CVC): Aba basheki babekwe kwimithambo emikhulu ye-vena, njenge-vena cava ephezulu okanye i-gugin yangaphakathi. I-CVCs isetyenziselwa unyango lwexesha elide, isampulu yegazi rhoqo, kunye nolawulo lwamayeza acaphukisayo.

I-3. I-Chemtine Catheter: Inketho ephakathi phakathi kwe-Peipheral kwaye ifakwe kwi-Cahesters ye-Pentrals, i-Midline ifakwe kwingalo ephezulu kwaye ikhutshelwe ngaphandle kwendawo ye-Axillary. Zilungele izigulana ezifuna unyango lwexesha elide kodwa azifuni ukufikelela kwimithambo emikhulu ephakathi.

I-4. I-Caheter ePhathekayo esekwe kwi-Caheter (i-picc): I-Caheter ende efakwe kwi-vein ye-peripheral (ihlala ikwingalo) kwaye iqhubekile de iphumle kwi-phumela enkulu. I-CICCS zihlala zisetyenziselwa izigulana ezifuna unyango lwe-intravenous eyandisiweyo okanye abo bangena ncam ye-peripheral vein.

Inkqubo yokufakelwa

Ukufakwa kwe-IV ye-IV ye-IV ye-IV kufuneka iqhutywa ngabasebenzi abaqeqeshiweyo kwezonyango ukunciphisa iingxaki kunye nokuqinisekisa ukwenziwa okufanelekileyo. Inkqubo iquka ngokubanzi la manyathelo alandelayo:

1. Uvavanyo lwezigulana: UMboneleli wezeMpilo uvavanya imbali yezonyango yesigulana, imeko yethambo, kunye nazo naziphi na izinto ezinokuba nefuthe kwinkqubo yokufakelwa.

2. Ukukhetha indawo: Indawo efanelekileyo yokufakelwa kwethambo kunye nendawo yokufakelwa ikhethiwe ngokusekwe kwimeko yesigulana, iimfuno zonyango, kunye nokufikeleleka kwengubo.

3. Ukulungiselela: Indawo ekhethiweyo icocwe kunye nesisombululo se-antiseptic, kwaye umboneleli wezempilo unxiba iigloves ezihlambuluke.

4. UKUFAKWA: I-ICOTIVE: Isikhuselo esincinci senziwe kulusu, kwaye i-catheter ifakwe ngononophelo ngenxa yokungena kwithambo.

5. Ikhuselekile: Nje ukuba i-catheter ikwindawo, ikhuselwe kulusu isebenzisa izixhobo zokunxiba okanye izixhobo zokhuseleko.

I-6. Ukugungxula kunye nokuPhambili: I-Caheter ityhutyha isisombululo se-saline okanye i-hemparin ukuqinisekisa ubusete kunye nokuthintela ukwakhiwa kwe-clot.

I-7. Ukuphembelela emva kwexesha: Indawo ijongwa ngayo nayiphi na imiqondiso yosulelo okanye iingxaki, kwaye ukunxiba i-catheter itshintshwe njengoko kufuneka.

Iingxaki kunye nezilumkiso

Ngelixa i-IV ye-Cannula ikhuselekile ngokubanzi, kukho iingxaki ezinokubakho ezinokubangela iingcali zempilo, kubandakanya:

I-1. Ukungeniswa: ukuvuza kolwelo okanye amayeza kwizicubu ezijikelezileyo endaweni yethambo, ekhokelela ekudumbe, iintlungu, kunye nomonakalo wezicubu.

2. I-Phlebitis: Ukuvuvukala kweVein, kubangela iintlungu, ukubomvu nokudumba ecaleni kwendlela yethambo.

I-3. Usulelo: Ukuba iindlela ezifanelekileyo ze-ASEptic azilandelwanga ngexesha lokufakelwa okanye ukhathalelo, indawo ye-Catheter inokusuleleka.

4. Occlusion: The catheter can become blocked due to blood clots or improper flushing.

Ukunciphisa iingxaki, ababoneleli bezempilo abalandelelanayo kwiiprotocols ezingqinisisiweyo zokufakwa kwe-Chetheter, ukhathalelo lwesiza, kunye nolondolozo. Izigulana ziyakhuthazeka ukuba zinike ingxelo ngokukhawuleza naziphi na iimpawu zokungonwabi, iintlungu, okanye ukubomvu kwindawo yokufakelwa ukuqinisekisa ungenelelo ngexesha elifanelekileyo.

Ukuqukumbela

I-IV Cannula Cheshers idlala indima ebalulekileyo kwimpilo yanamhlanje, ivumela ukuhanjiswa okukhuselekileyo nangokufanelekileyo kolwelo kunye namayeza egazi ngqo kwigazi legazi lesigulana. Ngobukhulu obahlukeneyo kunye neentlobo ezikhoyo, aba baphathelayo banxibelelene kwiimfuno zeklinikhi ezahlukeneyo, ukusuka kwi-Peidiheral yexesha elifutshane kwi-Pierapies yexesha elide. Ngokuthomathela phambili kwezona ndlela zibalaseleyo ngexesha lokufakwa kunye nolondolozo, iingcali zempilo zinokusenza iziphumo zezigulana kwaye zinciphise iingxaki ezinxulumene nokusetyenziswa kwe-IV, ukuqinisekisa unyango olukhuselekileyo nolusebenzayo lwabaguli babo.