juicy couture Pediatric intravenous catheter probl

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Pediatric intravenous catheter problems in the clinical use of

Fat sweat, so that loss of adhesive affixed led trocar prolapse. 2.3 trocar obstruction in 9 cases in this group, four generations of nurses in the use of indwelling catheter due to blood vessels too small or too slippery,[link widoczny dla zalogowanych], not sure, back when you get a needle feed tube, take a look at sending, management time caused by sending too long, combined with the blood of the hypercoagulable state in children, leading to successful puncture trocar was found blocking the blood has been returned. 14 were sealed tube for smaller babies who for fear of pushing the needle too much liquid on the children of heparin adverse Erzhi injection needle insufficient sealing solution, resulting in obstruction of blood back to the casing; another 6 cases due to improper sealing tube technology tube obstruction. 2.4 The risk in this group of local swelling and leakage J1.14 cases were catheter for 3 to 5 days after a partial leakage, swelling was not obvious, and the return of blood is better, but children with more complaints of local pain, some with a slower infusion. Analysis that may be related to decreased vascular wall elasticity, fragility, and certain drugs caused increased permeability of blood vessel walls. 2.5 Concurrent phlebitis along the vein in this group of children the direction of redness, pain, swelling, fever, the occurrence of drug stimulation,[link widoczny dla zalogowanych], mechanical stimulation catheters, sterile operating properly, the impact of repeated puncture,[link widoczny dla zalogowanych], and many other reasons the temperature of the liquid related. 3.1 3 methods and strategies for intravenous catheter needle puncture technique at first difficult, demanding sterile. Therefore, nurses should be familiar with common vein. Former nurse in the mental operation should remain calm, rational choice thick, straight, resilient blood vessels, such as the back of the hand vein, radial side of the superficial veins, superficial temporal veins. Avoid bending, small blood vessels. For the thick filling of blood vessels, in return see the blood vessels after the re-entry should be along a little, and then sending one casing. Three generations of straight catheter in the hospital has fallen into disuse. Intima of a fourth generation type Ⅱ catheter operation, see the return of blood after the application of a fixed needle core index and middle fingers, with thumb gently pushed directly to human vascular stent. Anyone to coat the tube should be slow gentle movements, so as not to puncture blood vessels. After the success of 3.2 indwelling catheter should be uniform and reasonable fixed 3M stickers pasted on both sides of the wing needle, heparin cap part and care should be strengthened to avoid avulsion; agitated and restless children for the need to strengthen care, especially in the blue box newborns are not wearing clothes, used gauze wrapped his hand into a fist and slightly fixed, it will not be caught off crying in the catheter; for oil sweat more children, in addition to more extended tape fixed, the necessary used a small circular bandage wrapped along the catheter head, so as not to fall off. 3.3 nurses for every condition in children should know, for blood viscosity caused by the disease concentrated in children in a hypercoagulable state should try to choose a straight thick superficial blood vessels, such as blood vessels in children is very bad , we should not use catheter. For children under the age of 3 commonly used diluted heparin 5 ~ lOU / ml or saline 3 ~ 5ml sealed tube, on the one hand does not affect the clotting mechanism of children, on the one hand the amount of injected more sealing solution to ensure the success of a sealed tube. 3.4 has been swelling in children should be controlled drip rate,[link widoczny dla zalogowanych], strengthen the observation, if it was accompanied by pain and swelling trocar should be removed, Taigaohuanzhi or head, to promote local absorption. It is worth noting: the casing head when the indwelling needle injection should be slow, so as to avoid some of rupture of small blood vessels smaller. 3.5 To avoid phlebitis, aseptic principles must be strictly enforced. Puncture site should be thoroughly disinfected, even the scalp vein must also be iodine, alcohol disinfection to ensure thorough disinfection and sterilization. Enter a strong irritant drugs, pay attention to compatibility of the concentration at the infusion rate and temperature, warm attention to the puncture site. Try to avoid joint puncture and firmly fixed to reduce the mechanical stimulation. If it is found along the veins to appear red, swollen, hot, pain, or white-like branches, should stop the infusion, removal of trocar. 50% of topical magnesium sulfate wet compress. Generally by wet packing, 24h in the basic symptoms can disappear. 4 Discussion intravenous catheter needle can reduce the suffering of many children, protect blood vessels. Nurses can also reduce the repeated puncture of the psychological pressure, improve work efficiency, and therefore widely used in clinical practice. The above-mentioned problems in the clinical application of intravenous catheter with a direct impact on the success rate and prevention of complications. Therefore, the application of the intravenous catheter in addition to the operational level to improve the nurses, we must also strengthen the sterile concept of responsibility of nurses to develop the ability to deal with problems of nurses. In addition, children and parents should make explanations and to obtain the cooperation so that the use of catheter reasonable protection. Trocar in order to further improve the success rate of retention and reduce complications.
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