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静脉输液气泡和静脉炎的预防和护理管理

     

摘要

In the venous transfusion course, the fluid temperature before transfusion lower than indoor temperature, drug feature, transfusion operation technique and drug preparation are the main causes of emergency of bubble, and the nurses should master the drug-dispensing and exhaust technique and skill, avoid the excessive temperature differential of fluid, en-hance the patrol and effectively prevent the emergency of bubble, in order to prevent the occurrence of phlebitis, the nurses should strictly carry out the nursing operation regulations, accurately choose the venous transfusion site and needle head, own the excellent nursing skill, master the infusion velocity, concentration and osmotic pressure of drugs, avoid limbs pressed, accurately flush pipe and seal pipe and own noble occupational morality, once the phlebitis occurs, we should adopt the cold compress, microwave treatment method, wet compress , partial closure and bitter salt wet packing and hy-drocolloid paste combined with bitter salt wet packing to treat the phlebitis, at the same time, we should do a good job in the active mental nursing, relieve the pains of patients and improve the nursing quality and nursing satisfactory degree.%在静脉输液过程中,输液前药液温度低于室温、药物特性、输液操作手法与药物配制是气泡产生的主要原因,护士应掌握配药和排气技术和技巧,避免液体温差过大,加强巡视,有效预防气泡的产生。为预防静脉炎的发生,护士应严格执行护理操作规程,正确选择静脉输液部位和针头,具有高超的护理技能,掌握药物的输注速度、浓度、渗透压,避免肢体受压,正确冲管和封管,具备高尚的职业道德。一旦发生静脉炎,应采取冷敷法、微波治疗法、湿热敷法、局部封闭加硫酸镁湿敷法、水胶体粘贴+硫酸镁湿热敷联合治疗静脉炎法,同时做好积极的心理护理,减轻患者痛苦,提高护理质量和护理满意度。

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