Objective:To explore reasons and countermeasures of soup residues at the end of intravenous infusion. Methods:The commonly used 250 ml ( in bags) of 0. 9% NS and 2 g of cefotiam for postoperative patients in my department were selected from January to May 2016. The control group and the ex-perimental group were set up with 50 cases in each one. 18AA-V200 ml of Compound Amino Acid (in bottles) and 50ml of Alanyl-Glutamine injection were selected. The control group and the experimental group were set up with 50 cases in each one as well. Both groups of patients were in horizontal posi-tion after the infusion, with all infusion supports being set at the height of 100 cm. The control group was treated with needle extraction or tube sealing until upper soups in Murphy' s dropper stopped dripping. The experimental group was given improved puncture needle infusion devices with bottle stoppers. Both were operated in terms of given standard procedures. At the end of the infusion, 5ml syringes were used in both groups to extract soup residues in infusion bottles ( bags) , which then were placed in measuring glasses and extracted for measurement. Results:Residues in soup bags and syringes of the experimental group were both fewer than those of the control group (P<0. 01). Conclusion:Improved puncture devices with infusion bottle stoppers can be used to reduce residues in bags. The standard operation procedures can also be adopted to reduce residues in syringes. The integration can reduce the total residues of drugs, wastes of soups and give full play to medicinal efficacy.%目的:探讨静脉输液终末药液残留的原因及对策.方法:选择2016年1~5月我科住院患者术后常用的0.9%盐水250 ml(袋装)+头孢替安2 g,设对照组和试验组各50例;复方氨基酸(瓶装)18AA-V200 ml+丙氨酰谷氨酰胺注射液50 ml,设对照组和试验组各50例.两组患者输液结束时均采取平卧位,输液架高度均设置为100 cm.对照组待茂菲式滴管内上方液体不再下滴时拔针或封管,试验组采用改良的输液器瓶塞穿刺针输液器,按照设定的标准流程进行操作.输液末两组均用5 ml注射器抽取输液瓶(袋)内残余液体测量,输液器内残余药量放入量杯内抽取测量.结果:试验组药液袋(瓶)内残余量、输液器残余量均少于对照组(P<0.01).结论:使用改良的输液器瓶塞穿刺器可以减少输液袋内残余药量,规范操作流程,减少输液器内残余药量,两者结合可减少药物的总残留量,充分发挥药物疗效,减少了药液的浪费.
展开▼
