Ngā mea e hiahia ana koe kia mōhio mō te Peripheral IV

Kua tae atu koe ki tētahi hōhipera? Mena koinā, ko tētahi mea e tino pāngia ana koe ko te whakauru i tētahi cannula ki roto i tō ringa. I roto i ngā kupu o te ao, he "ngira i roto i te ringa." He maha ngā mea e whakamahia ana, tae atu ki te hoatu tote, te hoatu paturopi, te hoatu toto... Nō reira, koinei te mea e kiia nei e tātou i roto i te rongoā he IV peripheral . He mea tino noa tēnei. Tata ki te 80% o ngā tūroro e whakaurua ana ki ngā hōhipera huri noa i te ao me whakauru he IV pēnei. Nō reira, me kōrero tātou mō ēnei mea katoa i tēnei rā.

He aha te Peripheral IV?

Ko te IV ā-taha he ngongo kirihou angiangi, ngāwari hoki e whakaurua ana ki roto i tētahi o ō uaua. Ka kiia tēnei e mātou e ngā tākuta he catheter . Ka whakaurua ki roto i te uaua mā te whakamahi i tētahi ngira iti. Kia uru te ngira ki roto i te uaua, ka tangohia te ngira, ka waiho ko te ngongo kirihou angiangi anake i roto i te uaua. Koinei te ngongo ka herea ki tō ringa me te pāreti.

Ka kiia tēnei ko te "peripheral" nā te mea ka tukuna ki ngā uaua e tawhiti ana i te pokapū o tō tātou tinana (uma), pērā i ngā mea kei roto i ngā ringa me ngā waewae. Koinei te tikanga maimoatanga uaua e whakamahia whānuitia ana i te ao.

He maha atu anō ngā ingoa e huaina ana mō tēnei:

• Te kātene IV ā-taha
• Te kātene uaua ā-taha
• Raina IV ā-taha

He aha me tāuta ai he Peripheral IV?

Ka tukuna koe e te tākuta, e te nēhi rānei ki roto i te IV mō ētahi take matua. Mā tēnei ka taea te tango toto mā roto, ā, ka taea hoki te hoatu tika i ngā maimoatanga ki roto i ō toto. Mā tēnei ka tere te mimiti o te rongoā, ā, ka tere ake tō ora.

Ko ngā āhuatanga matua e whakamahia ai te IV ko:

• Hoatu he wai ki roto i te tinana: Koinei te mea e kīia nei ko te tote. Ka whakamahia hei whakarato tere i ngā wai ki te tinana i roto i ngā āhuatanga pēnei i te matewai, arā, ina kore e ranea te wai i roto i te tinana.
• Hoatu rongoā: Ko ngā rongoā e hiahia ana kia tere te mahi, inā koa ko ngā paturopi, ka hoatu mā roto i te uaua. Ka taea te hoatu i ngā rongoā mamae me ētahi atu rongoā motuhake i tēnei ara.
• Ngā whakawhiti toto: Ina hiahia te tangata ki te toto, ka tukuna te toto mā tēnei raina IV.
• Hoatu he kai wai: Ka whakamahia tēnei tikanga hei hoatu tika i te kai ki roto i te uaua ki ngā tūroro kāore e taea te kai ā-waha, te mimiti rānei i te kai mā roto i ngā whekau. Ka kiia tēnei he kai parenteral katoa (TPN) .

Ko te tuara o te ringa, te taha roto o te tuke, me te waewae i ētahi wā ko ngā wāhi e tino whakamahia ana mō te werohanga IV. Mō ngā pēpi nohinohi, ka whakamahia ngā uaua iti o te mahunga i ētahi wā, nā te mea he māmā ake te kimi.

He aha te rerekētanga i waenga i ētahi atu momo IV me ngā IV Peripheral?

Kua rongo pea koe i ngā kupu pēnei i te raina PICC me te raina Central. He rerekē ēnei i te Peripheral IV. Me titiro tātou ki te rerekētanga.

Ki te kī māmā noa iho, ko te IV peripheral te mea māmā rawa, te mea haumaru rawa, me te mea ngāwari hoki ki te whakauru. He iti ake hoki te mamae.

Me pēhea te tukanga o te whakauru i te IV?

Āe, kia kite tātou i te aha ka puta ina werohia he cannula ki roto i tō ringa. Kāore tetahi e pai ki te werohia, engari mā te mōhio ki te tukanga ka āwhina i te whakamama i tō mataku.

1. Te Whakarite

Tuatahi, ka pātai atu te nēhi, te tākuta rānei ki a koe mō tō ingoa me ētahi atu taipitopito hei whakarite he tangata pai koe. Ki te wehi koe i ngā ngira, kōrerotia atu ki a rātou. Mā rātou koe e āwhina kia marino. Kātahi ka tono atu kia takoto tō ringa ki runga i tētahi mea whakamarie, pērā i te urunga.

2. Te kimi i tētahi uaua

Ko te mahi e whai ake nei ko te kimi i tētahi uaua pai. Ka horoi te nēhi i ōna ringa, ka mau karapu, ka tirotiro i tō ringa. Ka rapua e ia tētahi uaua tika kāore e anga whakaroto, kāore e peka, ā, he nui ake.

• Kua kite pea koe i tētahi here rapa ( torniquet ) e herea ana ki te ringa o runga. Ka mahia tēnei hei whakakī i ngā uaua ki te toto, kia mārama ake ai te kitea.
• Kātahi ka mea atu rātou kia rūrū ringa koe.
• Pāwhiria te uaua ki ō matimati kia kite ai kei te pai tōna āhua, me te mea kei te nekeneke haere.
• I ētahi wā, ki te uaua te kimi i te uaua, ka taea te whakamahi i tētahi taputapu kimi uaua motuhake.

3. Te whakauru i te cannula

Kia kitea he uaua pai, ka taea te pania he rongoā whakangote hei whakangāwari i te wāhi. He tino whai hua tēnei mō ngā tamariki nohinohi. Ka tangohia te here rapa i taua wā, nā te mea e 30 meneti pea te roa ka whai hua te rongoā whakangote.

Kātahi ka horoia pai te wāhi ki te rongoā paturopi, ā, ka whakau anōtia te here rapa.

Ko te wāhanga tino nui tēnei. Ka kumea e te nēhi te kiri o tō ringa kia piri ki te ringa kotahi. Āraia te nekeneke o te uaua. Ki te ringa kē, ka pupuri rātou i te ngira me te ngongo kirihou (cannula) huri noa. Ka kī atu rātou ki a koe, "Ka werohia te ngira," ā, ka werohia te ngira mā roto i te kiri, ki roto i te uaua i te koki papaku rawa.

Ina uru te ngira ki roto i te uaua, ka puta mai he pata toto iti i muri i te cannula. Ko te tikanga kei te mahi tika. Kātahi , i te āta kumea o te ngira ki waho, ka panaia te ngongo kirihou ki roto i te uaua. Hei whakamutunga, ka tangohia katoatia te ngira, ā, ka tangohia te here rapa.

4. Te Whakapūmau

Nā, ko te mea anake e toe ana i roto i te uaua ko taua ngongo kirihou angiangi. Ka horoia pai te wāhi, ka hipokina ki te takai mārama. Kātahi ka herea te cannula ki te kiri kia kore ai e neke. Hei whakamutunga, ka tuhia te rā me te wā i whakaurua ai te cannula ki runga i te takai.

Kātahi, ki te mea e tika ana, ka tangohia he toto mō ngā whakamātautau toto, ā, ka tukuna he wai tote mā te raina tote hei tirotiro mēnā kei te pai te mahi a te raina.

Mena ka kitea ngāwari he uaua, ka iti iho i te meneti te roa o tēnei tukanga katoa.

He aha ngā mōrearea me ngā raruraru o tēnei?

Ahakoa he tino haumaru te whakatakoto i te IV ā-taha, ka puta pea ētahi raruraru iti i ētahi wā. Heoi, he tino onge ēnei.

• Mate urutā:Ka taea e ngā iroriki te tomo ki roto i te toto mā te wāhi i whakaurua ai te cannula, koia te mea nui kia noho ma te wāhi.
• Te Toto, te Hematoma rānei: Tērā pea he iti nei te toto e puta mai ana i te wāhi i werohia ai, ka kohia rānei te toto i raro i te kiri ka huri ki te kikorangi.
• Te toto totoka: Tērā pea ka puta he toto totoka i roto i te uaua e karapoti ana i te cannula.
• Phlebitis: Ka pangia te uaua, ā, ka whero, ka mamae pea.
• Uaua pupuhi: Ki te puta te ngira mā roto i te uaua ka pokaia, ka turuturu te rongoā, te tote rānei i roto i te uaua ka uru ki roto i te kiko, ka pupuhi te wāhi.
• Te kino ki ngā io, ki ngā uaua rānei: He tino onge tēnei.

Ka taea e te katoa te tiki ngāwari i tētahi werohanga IV?

Kāo. I ētahi wā, kāore e taea te whakauru i te cannula i te wā tuatahi. Kua whakaatuhia e ngā rangahau kei waenganui i te 65% me te 86% o ngā kēhi ka angitu i te nganatanga tuatahi. Heoi, i waenganui i te 8% me te 23% o ngā kēhi, tera pea he uaua ki te whakauru.

He maha ngā take e uaua ai te whakauru i te IV:

• Hītori: Mena kua pāngia koe e te uauatanga o te werohanga IV i mua.
• Te matewai: Ina kore he wai i te tinana, ka mimiti ngā uaua, ā, ka uaua te kimi.
• Te āhua o ngā uaua: Kāore e kitea ngā uaua o ētahi tāngata e te kanohi tahanga, he tino angiangi rānei.
• Tae kiri: I ētahi wā he uaua ki te kimi i ngā uaua o te hunga kiri mangu.
• Ētahi atu take: He uaua te kimi i ngā uaua nā ngā āhuatanga pēnei i te whakamahinga tarukino, ngā koha mai i te pokanga, ngā āhuatanga hauora pēnei i te mate huka, te mate pukupuku, te whakaheke, te whakanui rānei i te taumaha, me te chemotherapy.

E whakaatu ana hoki ngā raraunga he uaua ake pea te whakauru i te werohanga IV ki ngā wāhine i ngā tāne.

Kia pēhea te roa ka taea te waiho i te werohanga IV kotahi ki roto?

I te nuinga o te wā, e ai ki te kaupapa here a te hōhipera, ka waihohia he ipu werohanga kotahi mō ngā hāora 72 ki te 96, arā, tata ki te 3-4 rā. Mēnā e hiahiatia ana he maimoatanga mō te wā roa atu i tērā, ka tangohia te ipu tawhito, ā, ka whakaurua he ipu hou ki tētahi wāhi hou hei whakaiti i te tūponotanga o te mate.