priprema materijala i bolesnika za aplikaciju infuzije
TRANSCRIPT
-
:
1. 1
2. 2
2.1. 2
2.2. 3 4
Priprema leka / infuzionog rastvora 6 2.3. 7
2.4 9 2.5 11
3. 12
4. 13
-
1
1.
. ,
.
.
- , ,
, ,
, ,
,
( ), .
, ,
. ,
. ,
, . ,
.
-
2
2.
.
.
, ,
.
, ,
, . ,
, .
.
. (0,9% NaCl) 1891..
, ,
,
, .
2.1.
.
/ (within a vein). :
* , ,
( , , , ),
* ,
* ,
, ,
* ,
*
.
-
3
2.2.
.
:
* ,
* ,
* ( ), * e,
* ,
* ,
* ,
* ,
* ,
* (, ), * ,
* ,
* ,
* .
. .
:
, , , .
, .
, . -
.
.
.
( ). .
8,5 10/ .
-
4
( ) . 55/.
: ( ), +40/, , .
.
:
NaCl 8 8 KCl 0,2 0,2
CaCl2 0,2 0,2 NaHCO3 0,1 0,1 MgCl2 0,1
NaH2PO4 0,05
1.
2.
,
( , ...) ( , , ...).
( ), . ,
, .
, .
-
5
, ,
, - .
.
. , ,
.
.
.
.
(. standard wire gauge), ; , .
1 (1 inch = 25,4 ) 13 24. , . 1,2 18 (geid). , .
16 ( ), 18 20 ( ) 22 ( ). 12 14 ,
. "" " ".
60% , 70%
.
3 5 . .
.
(11,4mm) .
-
6
* , ,
*
*
*
*
*
*
*
Priprema leka / infuzionog rastvora 1. :
*
.
* .
* ,
0.9% NaCl. *
.
*
.
/
22 33 20 57 18 80 17 125 16 180 14 270
-
7
2.
* , ,
( ), 1/3.
*
* - ,
.
* .
*
.
* .
* .
2.3.
.
.
-
( ). , , ( ).
:
, .
,
. , ,
. 10
,
. ,
v.cubitalis , . .
-
8
, 45%, ,
.
.
,
.
.
( ) ,
( 75-76% ) .
.
, , ,
, , .
24
3.
-
9
2.4
:
1.
2.
3.
4. .
,
. , ,
chlorhexidina 70%- 2%- chlorhexidin - glukonata 30 .
4 - 5 . , 30 . ,
.
.
,
. , , .
,
.
.
. :
* () * ,
"" .
,
.
:
- .
, ,
.
-
10
- ,
.
.
3. ..
4. ..
5. - chevron
-
11
2.5
:
.
.
.
( , ..) .
-
, , ,
, .
. , , ,
.
( , , , , ) ( , ) .
-
12
3.
.
(NaCl) 1891. .
.
.
.
:
1. ;
2. , ;
3. ; 4.
5. . 6. , ; 7. ( )
.
-
13
4.
Wilkinson R., Nurses' concerns about IV therapy and devices. Nursing Standard 1996:10:35:35-37
Marlet J., Dougherty L., Manual of Clinical Nursing Procedures - Fifth Edition 2000:618-621, Blackwell Science, Oxford.
Quick Reference Guide 5: Venepuncture. Nursing Standard 1999:13:36 CDC Morbidity and Mortality Weekly Report Aug 2002: Guidelines for the Prevention of Intravascular Catheter-Related Infections
Hadaway L., Millam D., On the Road To Successful I.V. Starts. Nursing2007 2007:37:8:1-14
The Royal Marsden Hospital Manual of Clinical Nursing Procedures - Sixth Edition 2004:745-746 Blackwell Science, Oxford.
Stoios N., Prevention of extravasation in intravenous therapy: a review of the research evidence. Nuritinga: an electronic journal of nursing 1999:2 Dougherty L. (2000), Changing tack on therapy. Nursing Standard:14:30 ., : , , , 1989, , .