Ukuqalisa
I-intravenous (iv) ama-cantela catherzibaluleke kakhuluAmadivayisi wezokwelaphaKusetshenziswe ezilungiselelweni ezahlukahlukene zezempilo ukuhambisa uketshezi, umuthi, nemikhiqizo yegazi ngqo egazini lesiguli. Lo mbhalo uhlose ukuhlinzeka ngokuqonda okujulile kweIV Canokuta Caketers, kufaka phakathi umsebenzi wazo, osayizi, izinhlobo, nezinye izici ezifanele.
Umsebenzi we-IV cannoula catheter
I-caneter ye-cannatule ye-IV iyi-tube emincane, eguquguqukayo efakwe emthanjeni wesiguli, ihlinzeka ngokufinyelela kuhlelo lokujikeleza. Umsebenzi oyinhloko we-caneter ye-Cannatule caneter ukuletha uketshezi olubalulekile, ama-electrolyte, umuthi, noma ukondleka esigulini, ukuqinisekisa ukumunwa okusheshayo nangokufanele egazini. Le ndlela yokuphatha inikezela ngezindlela eziqondile nezinokwethenjelwa zokugcina ibhalansi ye-fluid, faka umthamo wegazi olahlekile, bese uletha imithi ebucayi yesikhathi.
Usayizi we-IV Cancaula Caketers
Ama-Catheter Canker e-IV atholakala ngosayizi abahlukahlukene, okuvame ukukhonjwa ngenombolo yegeji. Igeji imelela ububanzi be-catheter inaliti; Inombolo encane ye-gauge, elikhudlwana ububanzi. Usayizi osetshenziswa kaningi wama-IV Canote Catheters afaka:
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3. I-22 Gauge: Kucatshangelwa ukuthi ilungele iziguli zezingane neze-geriatric noma lezo ezinemithambo entekenteke, njengoba zidala ukungaphatheki kahle ngesikhathi sokufakwa.
I-4 26 I-Gauge (noma ngaphezulu): Lezi zinqwaba ze-cannulas ze-Ultra zisetshenziselwa izimo ezikhethekile, njengokuphatha imithi ethile noma iziguli ezinemithambo ebucayi kakhulu.
Izinhlobo zama-caneters we-IV cannaula
1. I-Peripheral IV Cannula: uhlobo oluvame kakhulu, olufakwe emthanjeni we-peripheral, ngokuvamile engalweni noma esandleni. Zenzelwe ukusetshenziswa kwesikhashana esifushane futhi kufanelekile iziguli ezidinga ukufinyelela okungajwayelekile noma kokuphakathi kwezikhathi ezithile.
2 I-CVCS isetshenziselwa ukwelashwa isikhathi eside, isampula yegazi elijwayelekile, kanye nokuphathwa kwemithi okucasulayo.
3. I-catheter ye-midline: inketho ephakathi phakathi kwama-catheters aphakathi nendawo kanye nama-central catheters, amakhekhe aphakathi nendawo afakwa engalweni engenhla futhi efakwe ngomthambo, uvame ukunqanyulwa ezungeze isifunda. Zilungele iziguli ezidinga ukwelashwa isikhathi eside kepha azidingi ukufinyelela emithanjeni emikhulu emikhulu.
4. I-Peripharaly Ifake I-catheter ephakathi nendawo (i-PICC) Ama-Piccs ajwayele ukusetshenziselwa iziguli ezidinga ukwelashwa okwengeziwe kwe-intravenous noma kulabo abanokufinyelela okulinganiselwe kwe-peripheral vein vein.
Inqubo yokufaka
Ukufaka i-cather cather cannate ye-IV kufanele kwenziwe ngabaqeqeshiwe bezempilo abaqeqeshiwe ukunciphisa izinkinga futhi kuqinisekiswe ukubekwa okufanele. Inqubo ngokuvamile ibandakanya lezi zinyathelo ezilandelayo:
1. Ukuhlolwa kwesineke: Umhlinzeki wezokunakekelwa kwezempilo uhlola umlando wezokwelapha wesiguli, isimo sethambo ', nanoma yiziphi izici ezingaba nomthelela kwinqubo yokufaka.
2. Ukukhethwa kwesiza: Isayithi elifanele leveli kanye nokufaka okukhethiwe kususelwa esimweni sesiguli, izidingo zokwelapha, nokutholakala kwethambo.
3. Ukulungiselela: indawo ekhethiwe ihlanzwa ngesisombululo se-antiseptic, futhi umhlinzeki wezokunakekelwa kwempilo ugqoka amagilavu ayinyumba.
4. Ukufaka: Ukuvela okuncane kwenziwa esikhunjeni, futhi i-catheter ifakwa ngokucophelela nge-incision emthanjeni.
I-5. Ukuphepha: Lapho i-catheter isendaweni, ivikelekile esikhunjeni sisebenzisa ukugqoka okunamathela noma amadivayisi wokuphepha.
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Izinkinga Nezindlela Zokuqapha
Ngenkathi amakhekhe ama-Cannaule ngokuvamile aphephile, kukhona izinkinga ezingaba khona ukuthi ochwepheshe bezokunakekelwa kwempilo okufanele bazibukele, kufaka phakathi:
1. Ukuvuthwa kwe-inftage
2. I-PHLEbitis: Ukuvuvukala komthambo, okubangela izinhlungu, ubomvu kanye nokuvuvukala ngendlela yethambo.
I-3. Ukutheleleka: Uma amasu afanele we-adeptic awalandelwa ngesikhathi sokufakwa noma ukunakekelwa, isiza se-catheter singatheleleka.
4. I-Occlusion: I-catheter ingavinjwa ngenxa yokuqhekeka kwegazi noma ukugcwala okungafanele.
Ukunciphisa izinkinga, abahlinzeki bezokunakekelwa kwempilo banamathela ezinhlakalweni eziqinile zokufakwa kwe-catheter, ukunakekelwa kwesayithi, kanye nokunakekelwa. Iziguli zikhuthazwe ukuthi zibike ngokushesha noma yiziphi izimpawu zokungakhululeki, izinhlungu, noma ukubomvu endaweni yokufaka ukuze kuqinisekiswe ukungenelela okufika ngesikhathi.
Ukugcina
AmaKangwa Catheters e-IV adlala indima ebalulekile ekunakekelweni kwezempilo kwanamuhla, okuvumela ukulethwa okuphephile nokusebenzayo koketshezi nemithi ngqo egazini lesiguli. Ngosayizi ahlukahlukene nezinhlobo ezitholakalayo, laba bane bavumelana nezidingo ezahlukahlukene zemitholampilo, kusuka ekufinyeleleni okukodwa okufushane kwezindlela zokuphumula zesikhathi eside kulungiswa isikhathi eside ngemigqa emiphakathi. Ngokunamathela emikhubeni engcono kakhulu ngesikhathi sokufakwa kanye nokugcinwa, ochwepheshe bezokunakekelwa kwempilo bangakhulisa imiphumela yeziguli futhi banciphise izinkinga ezihambisana nokusetshenziswa kwe-Catheter, ukuqinisekisa ukwelashwa okuphephile nokusebenzayo kweziguli zabo.
Isikhathi Sokuposa: Jul-31-2023