Peripheral IV chungchanga hriat tur awmte

Damdawi inah i kal tawh ngai em? Chutiang a nih chuan thil pakhat i hmachhawn ngei ngei tur chu i kutah cannula dah hi a ni. Colloquial terms-ah chuan "kut chhunga needle" a ni. Thil tam takah hman a ni a, saline pek te, antibiotics pek te, thisen pek te... Chuvangin hei hi damdawi lam chuan peripheral IV kan tih chu a ni. Hei hi a takah chuan thil awmze nei tak a ni. Khawvel hmun hrang hranga damdawi ina admit zinga 80% vel chuan hetiang hian IV an dah a ngai a ni. Chuvangin vawiin hian heng zawng zawng hi han sawi ila.

A awlsam zawngin, Peripheral IV chu eng nge ni?

Peripheral IV chu plastic tube te tak te, flexible tak, i vein pakhatah dah a ni. Keini doctor te hian hei hi catheter kan ti a . Vein-ah needle te tak te hmangin an dah lut thin. Vawikhat chu needle chu vein chhungah a awm tawh a, needle chu lakchhuah a ni a, vein chhunga plastic tube te tak te chauh a awm ta a ni. Chu chu i kut chungah plaster hmanga tape-a dah tube chu a ni.

Hei hi "peripheral" an ti a, a chhan chu kan taksa lairil (chest) atanga hla tak, kut leh kea awm vein-te hnena pek a nih vang a ni. Hei hi khawvela intravenous treatment hman tlanglawn ber a ni.

Hei hi hming dang engemaw zatin an ko bawk:

• Peripheral IV catheter hmanga siam a ni
• Peripheral venous catheter hmanga siam a ni
• Peripheral IV line a ni

Engvangin nge Peripheral IV kan dah a ngaih?

Doctor emaw nurse emaw chuan chhan lian tlemte avangin IV a pe ang che. Chuta tang chuan thisen a la lut thei a, i thisenah direct-a enkawlna pawh a pe thei bawk. Hei hian damdawi chu a hip lut nghal vat thei a, i dam thuai thei bawk.

IV hmanna tur dinhmun lian ber berte chu:

• IV fluid pe rawh: Hei hi saline kan tih chu a ni. Dehydration ang chi dinhmunah, chu chu taksaa tui tlem a awm loh hunah taksa tana tui pe rang turin hman a ni.
• Damdawi pek: Damdawi hnathawh thuai ngai, a bik takin antibiotics te hi thisen kal tlanga pek thin a ni. Hetiang hian natna tidamtu leh damdawi bik dang pek theih a ni.
• Thisen pek: Miin thisen a mamawh chuan he IV line hmang hian thisen pek a ni.
• Liquid nutrition pe: Hetiang method hi damlote hnena ei leh in ei thei lo emaw, intestines kaltlanga ei tur la thei lote hnena direct-a nutrition pekna atan hman a ni. Hei hi total parenteral nutrition (TPN) kan ti a ni.

IV dahna hmun tam ber chu kut hnunglam, elbow chhung lam, a chang chuan ke te hi a ni. Nausen te tak teah chuan lu chhunga thisen zam te te hi a chang chuan hmuh a awlsam zawk avangin an hmang thin.

IV chi dang leh Peripheral IV te hi eng nge an danglamna?

PICC line leh Central line tih ang chi thumal hi i hre tawh ngei ang. Hengte hi Peripheral IV nen chuan a danglam deuh hlek a ni. Eng nge a danglamna hi han thlir ila.

A awlsam zawngin, peripheral IV hi a awlsam ber, a him ber leh dah awlsam ber a ni. A hrehawm lo deuh bawk.

IV dahna process hi engtin nge a awm?

Okay, tunah chuan i kut ah cannula dah a nih chuan eng nge thleng tih kan en ang. Tuman pricked hi an duh lo a, mahse a kalphung hriat chuan i hlauhthawnna chu tlem a tiziaawm ang.

1. Inbuatsaihna

A hmasain nurse emaw doctor emaw chuan mi tha i nih leh nih loh hriat chian nan i hming leh thil chipchiar dangte a zawt ang che. Needle i hlauh chuan hrilh rawh. Anni hian chawlh hahdam turin an pui ang che. Tichuan, i kut chu thil nuam tak, pillow ang chi chungah nghah turin an ti ang che.

2. Vein zawn chhuah

A dawt leh tur chu vein tha tak zawn hi a ni. Nurse chuan an kut a sil ang a, kutkawr a bun ang a, i kut a enfiah ang. Vein dinglam, chhung lam hawi lo, branch nei lo, a lian deuh deuh an zawng ang.

• A kut chunglam ah rubber band ( tourniquet ) an vuah i hmu tawh ngei ang. Hei hi thisen kalna thisen a khat tur leh chiang zawka lang thei tura tih a ni.
• Tichuan kut inthlak turin an ti che a.
• I kut zungtang hmangin vein chu palpate la, a tha em tih leh a kal kual em tih en rawh.
• A chang chuan vein hmuh a harsat chuan vein-finder device bik hman theih a ni.

3. Cannula dah luh

Vein tha tak hmuh a nih veleh topical anesthetic hmangin a hmun chu a numb thei bawk. Hei hi naupang tê tê tân a ṭangkai bîk hle. Chutih lai chuan rubber band chu lakchhuah a ni a, anesthetic hman theih nan minute 30 vel a ngai a ni.

Tichuan, a hmun chu antiseptic hmangin uluk takin an tifai a, rubber band chu an tikhauh leh thin.

Tunah hi a pawimawh ber a ni. Nurse chuan i kut vun chu a kut pakhatin a hrual nghet ang. Vein chu a che thei lo. A kut lehlamah chuan needle leh plastic tube (cannula) chu a chhehvelah an chelh ang. "Needle chu dah tur a ni," an ti ang che, tichuan, needle chu vun kaltlangin leh vein chhungah angle thuk lo takah an thun lut ang.

Needle chu vein chhunga a luh chuan thisen tlemte chu cannula hnung lamah a chhuak a. Chu chu a thawk tha tihna a ni. Then , needle chu zawi zawiin an chhuah chuan plastic tube chu vein chhungah tlem a nawr lut leh a. A tawpah chuan needle chu a la chhuak vek a, rubber band chu an la chhuak ta a ni.

4. Securing tih hi a ni

Tunah chuan, vein chhunga awm chhun chu chu plastic tube te tak te chu a ni. A hmun chu uluk taka tihfai a ni a, transparent dressing hmanga khuh a ni. Tichuan, cannula chu a che thei lo turin vunah tape-in ​​an vuah a. A tawp berah chuan cannula dah ni leh hun chu dressing-ah hian ziah a ni.

Tichuan, a ṭul chuan thisen test nan thisen engemaw zat lak a ni a, saline line kaltlangin saline flush thawnin line chu a thawk tha em tih enfiah a ni.

Hetiang zawng zawng hi awlsam taka vein hmuh theih a nih chuan minute khat aia rei lo a ni.

Hei hian eng hlauhawmna leh harsatna nge a neih?

Peripheral IV dah hi thil him tak ni mahse, a chang chuan harsatna tenau te a awm thei bawk. Mahse, hengte hi a tlem hle.

• Kaichhawng:Cannula insertion site kaltlangin thisenah hrik a lut thei a, chuvang chuan a hmun fai taka vawn a pawimawh hle.
• Thisen chhuak emaw Hematoma: Puncture na hmun atang hian thisen tlem a chhuak thei a, vun hnuaiah thisen a khawlkhawm a, a sen a ni thei bawk.
• Thrombosis: Cannula chhehvel vein chhungah thisen zam a lo awm thei.
• Phlebitis: Vein a infect a, a sen a, a na thei bawk.
• Blown vein: Needle hian vein chhungah a kal a, a puncture chuan damdawi emaw saline emaw chu vein atang hian a leak chhuak a, tissue chhungah a luang lut thei a, chu chuan a hmun chu a ti hring chhuak thei a ni.
• Nerve emaw arteries emaw chhiatna: Hei hi a tlem hle.

Mi zawng zawngin awlsam takin IV an la thei ang em?

No. A chang chuan a vawi khatnaah cannula hi dah theih a ni lo. Research atanga a lan dan chuan case 65% atanga 86% inkar chu a vawi khatnaah a hlawhtling thin. Mahse, 8% leh 23% inkarah chuan dah luh a harsa mai thei.

IV dah a harsat chhan hrang hrang a awm thei:

• History: Tun hmaa IV lak harsatna i neih tawh chuan.
• Dehydration: Taksain tui a tlakchham chuan thisen kalna kawng (veins) te a lo te a, hmuh a harsa thin.
• Vein awm dan: Mi thenkhat vein hi mitin hmuh theih loh a ni a, a nih loh leh a thim hle bawk.
• Vun rawng: A chang chuan vun dum nei te thisen zam hmuh a harsa deuh thei.
• A chhan dang: Ruihhlo hman, surgery avanga hliam, damdawi lam dinhmun, zunthlum, cancer, taksa rihna tlahniam emaw tihpun emaw, chemotherapy te avang hian vein hmuh a harsa thei hle.

Tin, data atanga a lan dan chuan mipa aiin hmeichhia tan IV lak a harsa deuh mai thei bawk.

IV pakhat chu eng chen nge a awm theih ang?

A tlangpuiin hospital policy ang chuan peripheral IV cannula pakhat chu darkar 72 atanga 96 chhung a hmunah dah a ni a, chu chu ni 3-4 vel a ni. Chu aia rei enkawl ngai a nih chuan cannula hlui chu lakchhuah a ni a, hmun tharah cannula thar dah a ni a, chu chuan hri kai theihna a ti tlem a ni.