Hoʻolauna
Hoʻopaʻa ʻia i loko o ke koko (IV) cannula cathetershe mea pononā mea lapaʻauhoʻohana ʻia i loko o nā ʻano mālama ola kino e hāʻawi pololei i nā wai, nā lāʻau lapaʻau, a me nā huahana koko i loko o ke kahe koko o ka mea maʻi. Ke manaʻo nei kēia ʻatikala e hāʻawi i kahi ʻike hohonu oIV cannula catheters, me kā lākou hana, ka nui, nā ʻano, a me nā mea pili ʻē aʻe.
Hana o IV Cannula Catheter
ʻO ka IV cannula catheter he paipu lahilahi a maʻalahi i hoʻokomo ʻia i loko o ka vein o ka mea maʻi, e hāʻawi ana i ke komo ʻana i ka ʻōnaehana kaʻa. ʻO ka hana nui o ka IV cannula catheter ʻo ia ka hāʻawi ʻana i nā wai koʻikoʻi, nā electrolytes, nā lāʻau lapaʻau, a i ʻole ka meaʻai i ka mea maʻi, e hōʻoia ana i ka wikiwiki a me ka maikaʻi o ka lawe ʻana i ke kahe koko. Hāʻawi kēia ʻano lawelawe i kahi ala pololei a hilinaʻi e mālama ai i ke koena o ka wai, hoʻololi i ka nui o ke koko i nalowale, a hāʻawi i nā lāʻau lapaʻau manawa.
Ka nui o ka IV Cannula Catheters
Loaʻa nā catheters cannula IV ma nā ʻano nui, i ʻike maʻamau ʻia e kahi helu ana. Hōʻike ke ana i ke anawaena o ka nila catheter; ʻo ka liʻiliʻi o ka helu ana, ʻoi aku ka nui o ke anawaena. ʻO nā nui maʻamau i hoʻohana ʻia no ka IV cannula catheters penei:
1. 14 a 24 Gauge: Hoʻohana ʻia nā cannulas ʻoi aku ka nui (14G) no ka hoʻokomo wikiwiki ʻana i nā wai a i ʻole nā hua koko, ʻoiai nā liʻiliʻi liʻiliʻi (24G) kūpono no ka lawelawe ʻana i nā lāʻau lapaʻau a me nā hoʻonā ʻaʻole koi i nā kahe kahe kiʻekiʻe.
2. 18 a hiki i ka 20 Gauge: ʻO kēia nā ʻano nui i hoʻohana pinepine ʻia i nā hoʻonohonoho haukapila maʻamau, e mālama ana i kahi ākea o nā maʻi a me nā hiʻohiʻona lapaʻau.
3. 22 Gauge: Manaʻo ʻia he kūpono no nā maʻi pediatric a me nā maʻi geriatric a i ʻole ka poʻe me nā aʻa palupalu, no ka mea he mea liʻiliʻi lākou i ka wā e hoʻokomo ai.
4. 26 Gauge (a ʻoi aku paha): Hoʻohana maʻamau kēia mau cannulas ultra-thin no nā kūlana kūikawā, e like me ka lawelawe ʻana i kekahi mau lāʻau lapaʻau a i ʻole no nā poʻe maʻi me nā veins palupalu loa.
Nā ʻano o ka IV Cannula Catheters
1. Peripheral IV Cannula: ʻO ke ʻano maʻamau, hoʻokomo ʻia i loko o kahi vein peripheral, maʻamau i ka lima a i ʻole ka lima. Hoʻolālā ʻia lākou no ka hoʻohana pōkole a kūpono i nā poʻe maʻi e koi ana i ke komo pinepine ʻole a i ʻole.
2. Central Venous Catheter (CVC): Hoʻokomo ʻia kēia mau catheters i loko o nā ʻaʻa waena nui, e like me ka vena cava kiʻekiʻe a i ʻole ke aʻa jugular kūloko. Hoʻohana ʻia nā CVC no ka lāʻau lapaʻau lōʻihi, hoʻomaʻamaʻa koko pinepine, a me ka lawelawe ʻana i nā lāʻau hoʻonāukiuki.
3. Midline Catheter: He koho waena ma waena o nā catheters peripheral a me waena, hoʻokomo ʻia nā catheters midline i ka lima o luna a hoʻopaʻa ʻia i loko o ka vein, e hoʻopau pinepine ʻia a puni ka ʻāpana axillary. He kūpono ia no nā poʻe maʻi e koi ana i ka lāʻau lapaʻau lōʻihi akā ʻaʻole pono ke komo i nā veins kikowaena nui.
4. Hoʻokomo ʻia ʻo Peripherally Central Catheter (PICC): ʻO kahi catheter lōʻihi i hoʻokomo ʻia ma kahi vein peripheral (maʻa mau i ka lima) a holomua a hiki i ka hoʻomaha ʻana o ka piko i loko o kahi vein waena nui. Hoʻohana pinepine ʻia nā PICC no nā poʻe maʻi e koi ana i ka lāʻau intravenous lōʻihi a i ʻole no ka poʻe me ka liʻiliʻi o ke komo ʻana i nā vein peripheral.
Kaʻina hana hoʻokomo
Pono e hana ʻia ka hoʻokomo ʻana o kahi catheter cannula IV e nā limahana mālama olakino i hoʻomaʻamaʻa ʻia e hōʻemi i nā pilikia a hōʻoia i ka hoʻokomo pono ʻana. ʻO ke kaʻina hana maʻamau e pili ana i kēia mau ʻanuʻu:
1. Ka Loiloi o ka ma'i: Ho'oponopono ka mea mālama ola i ka mo'olelo olakino o ka mea ma'i, ke 'ano o nā a'a, a me nā mea e pili ana i ke ka'ina ho'okomo.
2. Koho Paena: Ua koho ʻia ka vein kūpono a me ka pūnaewele hoʻokomo ma muli o ke kūlana o ka mea maʻi, nā koi o ka lāʻau lapaʻau, a me ka hiki ke loaʻa i ka vein.
3. Hoʻomākaukau: Hoʻomaʻemaʻe ʻia ka wahi i koho ʻia me ka hopena antiseptic, a hoʻohana ka mea mālama ola i nā mīkina lima maʻemaʻe.
4. Hoʻokomo: Hana ʻia kahi ʻoki liʻiliʻi i ka ʻili, a hoʻokomo pono ʻia ka catheter ma o ka ʻoki ʻana i loko o ka vein.
5. Hoʻopaʻa ʻia: Ke hoʻokomo ʻia ka catheter, hoʻopaʻa ʻia i ka ʻili me ka hoʻohana ʻana i nā lole paʻa a i ʻole nā mea paʻa.
6. Hoʻomaʻamaʻa a me ka Priming: Hoʻopili ʻia ka catheter me ka saline a i ʻole heparinized solution e hōʻoia i ka patensi a pale i ka hoʻokumu ʻana o clot.
7. Ma hope o ka hoʻokomo ʻana: Nānā ʻia ka pūnaewele no nā hōʻailona o ka maʻi a i ʻole nā pilikia, a ua hoʻololi ʻia ka lole catheter inā pono.
Nā pilikia a me ka mālama ʻana
ʻOiai ka palekana o ka IV cannula catheters, aia kekahi mau pilikia e pono e nānā ʻia e nā limahana mālama ola, e like me:
1. Infiltration: Leaka ʻana o nā wai a i ʻole nā lāʻau lapaʻau i loko o nā ʻiʻo a puni ma kahi o ka vein, e alakaʻi ana i ka pehu, ʻeha, a me ka pōʻino o ke kino.
2. Phlebitis: ʻO ka ʻā ʻana o ke aʻa, ka ʻeha, ka ʻulaʻula, a me ka pehu ma ke ala o ke aʻa.
3. Ka ma'i ma'i: Inā 'a'ole hahai 'ia nā hana aseptic kūpono i ka wā o ka ho'okomo 'ana a i 'ole ka mālama 'ana, hiki i ka ma'i o ka catheter site.
4. Occlusion: Hiki ke ālai ʻia ka catheter ma muli o ke kahe koko a i ʻole ka hoʻoheheʻe ʻia ʻana.
No ka hōʻemi ʻana i nā hoʻopiʻi, mālama nā mea mālama olakino i nā protocol koʻikoʻi no ka hoʻokomo ʻana i ka catheter, mālama pūnaewele, a me ka mālama ʻana. Paipai ʻia ka poʻe maʻi e hōʻike koke i nā hōʻailona o ka ʻeha, ʻeha, a ʻulaʻula paha ma ka wahi hoʻokomo e hōʻoia i ka manawa kūpono.
Ka hopena
He kuleana koʻikoʻi ka IV cannula catheters i ka mālama ola kino hou, e ʻae ana i ka lawe pono ʻana i nā wai a me nā lāʻau lapaʻau i loko o ke kahe koko o ka mea maʻi. Me nā ʻano nui a me nā ʻano like ʻole i loaʻa, hiki ke hoʻololi ʻia kēia mau catheters i nā pono lapaʻau like ʻole, mai ke komo ʻana i ka peripheral no ka wā pōkole a hiki i nā lāʻau lapaʻau lōʻihi me nā laina waena. Ma ka mālama ʻana i nā hana maikaʻi loa i ka wā o ka hoʻokomo ʻana a me ka mālama ʻana, hiki i nā limahana mālama ola ke hoʻopaʻa i nā hopena maʻi a hōʻemi i nā pilikia e pili ana i ka hoʻohana ʻana i ka catheter IV, e hōʻoia i ka mālama palekana a me ka maikaʻi no kā lākou mau maʻi.
Ka manawa hoʻouna: Iulai-31-2023