Hoʻolauna
He loea ʻo Shanghai TeamStand Corporationmea hoʻolako lāʻau lapaʻaua me ka mea hana. Hāʻawi lākou i nā ʻano huahana kiʻekiʻe, ʻo ia hoʻicannula komo,ili poʻo vein set needle,nā nila hōʻiliʻili koko,nā syringe hoʻopau, anā awa implantable. Ma kēia ʻatikala, e nānā pono mākou i ka IV Cannula. E kūkākūkā mākou i nā ʻano like ʻole, nā hiʻohiʻona, a me nā nui i loaʻa ma ka mākeke i kēia lā.
Nā ʻano o ka IV Cannula
ʻO IV Cannulas nā lāʻau lapaʻau koʻikoʻi i hoʻohana ʻia no ka mālama ʻana i ke koko, ke kahe koko, a me ka hoʻokele lāʻau. Hele mai lākou i nā ʻano like ʻole e kūpono i nā pono o ka maʻi. ʻO ka mea maʻamaunā ʻano o IV Cannulaskomo:
1. Kanuula IV
ʻO ka peripheral IV cannula ka ʻano maʻamau i hoʻohana ʻia i nā haukapila a me nā keʻena keʻena. Hoʻokomo ʻia i loko o nā aʻa liʻiliʻi liʻiliʻi, ma nā lima a i ʻole nā lima. He kūpono kēia ʻano no nā lāʻau lapaʻau pōkole, e like me ka hoʻōla hou ʻana i ka wai, nā lāʻau antibiotic, a i ʻole ka mālama ʻana i ka ʻeha. He mea maʻalahi ia e hoʻokomo a wehe, no laila kūpono ia no ka hoʻohana pilikia a me ka hoʻohana maʻamau.
Nā mea nui:
- Pōkole lōʻihi (maʻamau ma lalo o 3 iniha)
- Hoʻohana ʻia no ka loaʻa pōkole (maʻamau ma lalo o hoʻokahi pule)
- Loaʻa i nā ʻano nui like ʻole
- Hoʻohana maʻamau i ka mālama maʻi waho a me ka mālama maʻi
Hoʻokomo ʻia kahi cannula Central Line IV i loko o kahi vein nui, maʻamau ma ka ʻāʻī (internal jugular vein), ka umauma (subclavian vein), a i ʻole ka ʻāʻī (femoral vein). Hoʻopau ka piko o ka catheter i ka vena cava kiʻekiʻe ma kahi kokoke i ka puʻuwai. Hoʻohana ʻia nā laina kikowaena no ka mālama ʻana i ka wā lōʻihi, ʻoi aku ka nui o ka wai nui, ka chemotherapy, a i ʻole ka nui o ka meaʻai makua (TPN).
Nā mea nui:
- Hoʻohana lōʻihi (mau pule i nā mahina)
- Hāʻawi i ka hoʻohana ʻana i nā lāʻau irritant a vesicant paha
- Hoʻohana ʻia no ka nānā ʻana i ke kaomi venous waena
- Pono ka ʻenehana sterile a me ke alakaʻi kiʻi
3. Paʻa IV Catheter System
A Paʻa ʻia ka ʻōnaehana catheter IV, i ʻike ʻia he cannula palekana IV, ua hoʻolālā ʻia me kahi paipu hoʻonui i hoʻopili mua ʻia a me nā mea hoʻohui pono ʻole e hōʻemi i ka pilikia o ka maʻi a me nā ʻeha needlestick. Hāʻawi ia i kahi ʻōnaehana pani mai ka hoʻokomo ʻana i ka hoʻokele wai, e kōkua ana i ka mālama ʻana i ka sterility a me ka hōʻemi ʻana i ka pala.
Nā mea nui:
- Hoʻemi i ka ʻike koko a me nā pilikia maʻi
- Hoʻopaʻa i ka nila i hoʻohui ʻia
- Hoʻonui i ka palekana no nā limahana mālama ola
- He kūpono no nā keʻena me nā kūlana hoʻomalu maʻi kiʻekiʻe
ʻO ka catheter Midline he ʻano o ka mea peripheral IV i hoʻokomo ʻia i loko o kahi vein ma ka lima kiʻekiʻe a kiʻekiʻe no laila e moe ka piko ma lalo o ka poʻohiwi (ʻaʻole hiki i nā veins waena). He kūpono ia no ka lāʻau lapaʻau waena-maʻamau mai hoʻokahi a ʻehā pule-a hoʻohana pinepine ʻia i ka wā e pono ai ke komo IV pinepine akā ʻaʻole koi ʻia kahi laina waena.
Nā mea nui:
- Loaʻa ka lōʻihi mai 3 a 8 iniha
- Hoʻokomo ʻia i loko o nā veins peripheral nui (e laʻa, basilic a i ʻole cephalic)
- ʻOi aku ka liʻiliʻi o ka pilikia ma mua o nā laina waena
- Hoʻohana ʻia no nā lāʻau antibiotic, hydration, a me kekahi mau lāʻau lapaʻau
Nā hiʻohiʻona o nā cannulas intravenous
Hoʻolālā ʻia nā cannulas intravenous me nā hiʻohiʻona he nui e hōʻoia i ka hōʻoluʻolu a me ka palekana o ka mea maʻi i ka wā o ka mālama intravenous. Aia kekahi mau hiʻohiʻona nui:
1. ʻO nā mea catheter: Hana ʻia nā cannulas intravenous i nā mea e like me ka polyurethane a i ʻole silicone. He biocompatible kēia mau mea a hoʻemi i ka pilikia o ka thrombosis a i ʻole ka maʻi.
2. Hoʻolālā ʻo Catheter tip: Hiki ke kuhikuhi a pōʻai paha ka piko o ka cannula. Hoʻohana ʻia ka piko ʻoi i ka wā e koi ʻia ai ka paʻi ʻana o ka paia moku, aʻo ka ʻaoʻao pōʻai kūpono no nā veins palupalu e hōʻemi ai i ka pilikia o nā pilikia pili i ka puncture.
3. ʻEheu a i ʻole ʻēheu ʻole: Hiki i nā cannulas IV ke hoʻopili i nā ʻēheu i ka hub no ka maʻalahi o ka mālama ʻana a me ka hoʻopaʻa ʻana i ka wā hoʻokomo.
4. Injection awa: Kekahi intravenous cannulas ua lako me ka injection awa. Hiki i kēia mau awa ke hoʻokomo i nā lāʻau lapaʻau me ka wehe ʻole ʻana i ka catheter.
| Code kala | HANA | OD (mm) | LOA | KA LĀKAI KĀWAI (ml/min) |
| Alani | 14G | 2.1 | 45 | 290 |
| Kahinahinahina | 16G | 1.7 | 45 | 176 |
| Keʻokeʻo | 17G | 1.5 | 45 | 130 |
| ʻOmaomao hohonu | 18G | 1.3 | 45 | 76 |
| ʻulaʻula | 20G | 1 | 33 | 54 |
| Polū Polū | 22G | 0.85 | 25 | 31 |
| Melemele | 24G | 0.7 | 19 | 14 |
| Violet | 26G | 0.6 | 19 | 13 |
16 Gauge: Hoʻohana nui ʻia kēia nui i ka ICU a i ʻole nā wahi hana. ʻO kēia nui nui e hiki ai ke hana i nā kaʻina hana like ʻole, e like me ka hoʻokele koko, ka hoʻokele wai wikiwiki, a pēlā aku.
18 Gauge: ʻO kēia nui hiki iā ʻoe ke hana i ka hapa nui o nā hana i hiki i ka anana 16, akā nui a ʻoi aku ka ʻeha i ka mea maʻi. ʻO kekahi o nā hoʻohana maʻamau, ʻo ia ka lawelawe ʻana i ke koko, ka hoʻokuke wikiwiki ʻana i nā wai, a me nā mea ʻē aʻe.
20 Gauge: Hiki iā ʻoe ke hoʻokuke i ke koko ma kēia nui inā ʻaʻole hiki iā ʻoe ke hoʻohana i kahi anana 18, akā e nānā mau i ka protocol o kāu mea hana. ʻOi aku ka maikaʻi o kēia nui no nā poʻe maʻi me nā veins liʻiliʻi.
22 Gauge: He mea maikaʻi kēia liʻiliʻi no ka wā ʻaʻole pono ka mea maʻi i ka IV lōʻihi a ʻaʻole maʻi koʻikoʻi. ʻAʻole hiki iā ʻoe ke hāʻawi i ke koko no ka liʻiliʻi, akā naʻe, ʻae kekahi mau kaʻina o ka haukapila no ka hoʻohana ʻana i ka 22 G inā pono.
24 Gauge: Hoʻohana ʻia kēia nui no nā pediatrics a hoʻohana ʻia ma ke ʻano he hopena hope loa ma ke ʻano he IV i ka heluna kanaka makua.
Ma ka Hoʻopau
He lāʻau lapaʻau koʻikoʻi ka Intravenous cannula i nā hana lapaʻau like ʻole. ʻO Shanghai TeamStand Corporation kahi mea hoʻolako lāʻau lapaʻau ʻoihana a mea hana, e hāʻawi ana i nā ʻano cannula intravenous kiʻekiʻe a me nā huahana ʻē aʻe. Ke koho ʻana i kahi cannula IV, pono e noʻonoʻo i nā ʻano like ʻole, nā hiʻohiʻona, a me nā nui i loaʻa. ʻO nā ʻano nui he peripheral venous cannulae, central venous catheters, a me ka midline catheters. Pono e noʻonoʻo ʻia nā hiʻohiʻona e like me ka catheter material, tip design, a me ke alo o nā ʻēheu a i ʻole nā awa injection. Hoʻohui ʻia, ʻokoʻa ka nui o kahi cannula intravenous (i hōʻike ʻia e ke ana mika) ma muli o ke ʻano hana lapaʻau kūikawā. ʻO ke koho ʻana i ka cannula intravenous kūpono no kēlā me kēia maʻi he mea koʻikoʻi e hōʻoia i ka palekana a me ka maikaʻi o ka lāʻau intravenous.
Ka manawa hoʻouna: Nov-01-2023