Taw qhia
Intravenous (IV) cannula cathetersyog indispensablekhoom siv kho mobsiv rau hauv ntau qhov chaw kho mob los tswj cov kua dej, tshuaj, thiab cov khoom siv ntshav ncaj qha rau hauv tus neeg mob cov hlab ntsha.Kab lus no aims los muab kev nkag siab tob txogIV cannula catheters, suav nrog lawv txoj haujlwm, qhov ntau thiab tsawg, hom, thiab lwm yam cuam tshuam.
Muaj nuj nqi ntawm IV Cannula Catheter
Ib qho IV cannula catheter yog ib lub raj nyias, hloov tau yooj yim tso rau hauv tus neeg mob cov leeg, muab kev nkag mus rau cov hlab ntsha.Lub luag haujlwm tseem ceeb ntawm IV cannula catheter yog xa cov kua dej tseem ceeb, electrolytes, tshuaj, lossis khoom noj khoom haus rau tus neeg mob, ua kom muaj kev nqus sai thiab zoo rau hauv cov hlab ntsha.Txoj kev tswj hwm no muab txoj hauv kev ncaj qha thiab txhim khu kev qha kom tswj tau cov kua dej sib npaug, hloov cov ntshav poob, thiab xa cov tshuaj raws sijhawm.
Qhov ntau thiab tsawg ntawm IV Cannula Catheters
IV cannula catheters muaj nyob rau hauv ntau qhov ntau thiab tsawg, feem ntau txheeb xyuas los ntawm tus lej ntsuas.Lub ntsuas ntsuas nruab nrab ntawm txoj kab uas hla ntawm rab koob catheter;qhov me me ntawm qhov ntsuas tus lej, qhov loj ntawm txoj kab uas hla.Feem ntau siv qhov ntau thiab tsawg rau IV cannula catheters suav nrog:
1. 14 mus rau 24 Gauge: Cov cannulas loj dua (14G) yog siv rau cov kua dej sai lossis cov khoom siv ntshav, thaum qhov me me (24G) yog qhov tsim nyog rau kev tswj cov tshuaj thiab cov kev daws teeb meem uas tsis tas yuav muaj cov dej ntws siab.
2. 18 mus rau 20 Gauge: Cov no yog cov feem ntau siv ntau thiab tsawg nyob rau hauv lub tsev kho mob chaw, catering rau ntau yam ntawm cov neeg mob thiab kev kho mob scenarios.
3. 22 Gauge: suav tias yog qhov zoo tshaj plaws rau cov menyuam yaus thiab cov neeg laus laus lossis cov neeg uas muaj cov hlab ntsha tawg, vim lawv ua rau muaj qhov tsis xis nyob me ntsis thaum lub sijhawm tso.
4. 26 Gauge (los yog siab dua): Cov cannulas ultra-thin feem ntau yog siv rau cov xwm txheej tshwj xeeb, xws li siv qee yam tshuaj los yog rau cov neeg mob uas muaj cov leeg nqaij mos heev.
Hom IV Cannula Catheters
1. Peripheral IV Cannula: Feem ntau hom, tso rau hauv cov hlab ntsha peripheral, feem ntau ntawm caj npab lossis tes.Lawv tau tsim los siv rau lub sijhawm luv luv thiab tsim nyog rau cov neeg mob uas xav tau kev nkag mus tsis tu ncua lossis tsis sib xws.
2. Central Venous Catheter (CVC): Cov catheters no tau muab tso rau hauv cov hlab ntsha loj hauv nruab nrab, xws li cov vena cava zoo tshaj lossis cov hlab ntsha sab hauv.CVCs yog siv rau kev kho mob mus sij hawm ntev, nquag kuaj ntshav, thiab kev tswj xyuas cov tshuaj tsis haum.
3. Midline Catheter: Ib qho kev xaiv nruab nrab ntawm peripheral thiab central catheters, midline catheters yog muab tso rau hauv sab caj npab thiab threaded los ntawm txoj hlab ntsha, feem ntau xaus nyob ib ncig ntawm lub axillary cheeb tsam.Lawv tsim nyog rau cov neeg mob uas xav tau kev kho mob ntev dua tab sis tsis tas yuav nkag mus rau cov hlab ntsha loj hauv nruab nrab.
4. Peripherally Inserted Central Catheter (PICC): Ib lub catheter ntev tso los ntawm cov hlab ntsha peripheral (feem ntau nyob rau hauv caj npab) thiab nce mus txog rau thaum lub taub nyob rau hauv lub hauv paus loj dua.PICCs feem ntau yog siv rau cov neeg mob uas xav tau kev kho cov hlab ntsha txuas ntxiv los yog rau cov neeg uas muaj kev nkag mus rau cov leeg tsis muaj zog.
Cov txheej txheem ntxig
Kev tso rau ntawm IV cannula catheter yuav tsum tau ua los ntawm cov kws kho mob uas tau kawm kom txo qis cov teeb meem thiab xyuas kom muaj kev tso cai.Cov txheej txheem feem ntau suav nrog cov kauj ruam hauv qab no:
1. Kev Soj Ntsuam Tus Neeg Mob: Tus kws kho mob soj ntsuam tus neeg mob cov keeb kwm kho mob, cov leeg mob, thiab txhua yam uas yuav cuam tshuam rau txoj kev tso quav.
2. Kev Xaiv Qhov Chaw: Qhov chaw uas tsim nyog cov hlab ntsha thiab qhov chaw tso zis yog xaiv raws li tus neeg mob tus mob, qhov yuav tsum tau kho, thiab kev nkag mus rau cov hlab ntsha.
3. Kev Npaj: Qhov chaw xaiv raug ntxuav nrog tshuaj tua kab mob, thiab tus kws kho mob hnav hnab looj tes tsis muaj menyuam.
4. Insertion: Ib qho kev txiav me me yog ua rau ntawm daim tawv nqaij, thiab lub catheter tau ua tib zoo ntxig los ntawm qhov txiav mus rau hauv cov leeg.
5. Kev ruaj ntseg: Thaum lub catheter nyob rau hauv qhov chaw, nws yog ruaj rau ntawm daim tawv nqaij siv cov ntaub nplaum los yog cov khoom ruaj ntseg.
6. Flushing thiab Priming: Lub catheter yog flushed nrog saline los yog heparinized tov los xyuas kom meej patency thiab tiv thaiv los ntshav.
7. Kev saib xyuas tom qab txhaj tshuaj: Lub chaw saib xyuas cov tsos mob ntawm tus kab mob lossis muaj teeb meem, thiab kev hnav khaub ncaws catheter raug hloov raws li xav tau.
Teeb meem thiab ceev faj
Thaum IV cannula catheters feem ntau muaj kev nyab xeeb, muaj cov teeb meem uas cov kws kho mob yuav tsum tau saib xyuas, suav nrog:
1. Infiltration: Cov kua dej los yog cov tshuaj nkag mus rau hauv cov ntaub so ntswg ib puag ncig es tsis txhob ntawm cov hlab ntsha, ua rau o, mob, thiab cov ntaub so ntswg puas.
2. Phlebitis: Kev mob ntawm cov hlab ntsha, ua rau mob, liab, thiab o ntawm txoj hlab ntsha txoj kev.
3. Kev kis kab mob: Yog tias tsis ua raws li cov txheej txheem aseptic kom raug thaum muab tso rau lossis saib xyuas, qhov chaw catheter yuav kis tau.
4. Occlusion: Lub catheter tuaj yeem raug thaiv vim cov ntshav txhaws lossis dej ntws tsis raug.
Txhawm rau txo qhov teeb meem, cov kws kho mob ua raws li cov txheej txheem nruj rau kev tso catheter, kev saib xyuas qhov chaw, thiab kev saib xyuas.Cov neeg mob raug txhawb kom ceeb toom sai li sai tau cov tsos mob ntawm qhov tsis xis nyob, mob, lossis liab ntawm qhov chaw ntxig kom paub meej tias muaj kev cuam tshuam raws sijhawm.
Xaus
IV cannula catheters ua lub luag haujlwm tseem ceeb hauv kev saib xyuas kev noj qab haus huv niaj hnub no, tso cai rau kev nyab xeeb thiab ua haujlwm tau zoo ntawm cov kua dej thiab tshuaj ncaj qha mus rau hauv tus neeg mob cov hlab ntsha.Nrog rau ntau qhov ntau thiab tsawg thiab hom muaj, cov catheters no hloov tau mus rau ntau yam kev xav tau kev kho mob, los ntawm kev siv lub sijhawm luv luv mus rau kev kho mob mus sij hawm ntev nrog cov kab hauv nruab nrab.Los ntawm kev ua raws li cov kev coj ua zoo tshaj plaws thaum muab tso rau thiab kev saib xyuas, cov kws kho mob tuaj yeem txhim kho cov txiaj ntsig ntawm tus neeg mob thiab txo cov teeb meem cuam tshuam nrog kev siv IV catheter, ua kom muaj kev nyab xeeb thiab zoo rau lawv cov neeg mob.
Post lub sij hawm: Lub Xya hli ntuj-31-2023