Whakauruhia
He tohunga ngaio a Shanghai TeamStand Corporationkaiwhakarato taputapu hauorame te kaihanga. He maha ngā hua kounga teitei e tukuna ana e rātou, tae atu kicannula ā-uaua,ngira huinga uaua kiri tumuaki,ngira kohikohi toto,ngā werowero whakakorekore, mengā tauranga whakauruI roto i tēnei tuhinga, ka arotahi mātou ki te IV Cannula. Ka matapakihia e mātou ngā momo, ngā āhuatanga, me ngā rahi e wātea ana i te mākete i ēnei rā.
Ngā momo o te Cannula IV
He taputapu hauora nui ngā IV Cannulas e whakamahia ana mō te maimoatanga uaua, te whakawhiti toto, me te tuku rongoā. He rerekē ngā momo hei whakatutuki i ngā hiahia motuhake o te tūroro. Ko te mea tino noaNgā momo o ngā cannulas IVwhakauru:
1. Cannula IV ā-Pāpāho
Ko te cannula IV Peripheral te momo e whakamahia whānuitia ana i roto i ngā hōhipera me ngā whare hauora. Ka whakaurua ki roto i ngā uaua iti o te taha, i roto i ngā ringaringa, i ngā ringaringa rānei. He pai tēnei momo mō ngā maimoatanga poto, pērā i te whakaora wai, te rongoā paturopi, te whakahaere mamae rānei. He ngāwari te whakauru me te tango, he mea pai mō te whakamahinga ohorere me te whakamahinga noa.
Ngā Āhuatanga Matua:
- He poto te roa (kei raro iho i te 3 inihi te roa)
- He wā poto noa iho te whakamahinga (he iti iho i te wiki te roa)
- Kei te wātea i roto i ngā rahi ine rerekē
- He mea whakamahi noa i roto i te tiaki tūroro me te tiaki tūroro
Ka whakaurua he cannula Central Line IV ki roto i tētahi uaua nui, i te nuinga o te wā i roto i te kaki (te uaua jugular o roto), i te uma (te uaua subclavian), i te uma rānei (te uaua femoral). Ka mutu te pito o te catheter ki te vena cava superior e tata ana ki te ngākau. Ka whakamahia ngā raina pokapū mō te maimoatanga roa, inā koa ka hiahiatia he wai nui, he chemotherapy, he kai parenteral katoa rānei (TPN).
Ngā Āhuatanga Matua:
- Te whakamahinga mō te wā roa (wiki ki ngā marama)
- Ka taea te whakahaere i ngā rongoā whakapataritari, whakapūpū rānei
- Whakamahia mō te aroturuki i te pēhanga o te uaua pokapū
- Me whai tikanga parakore me te aratohu whakaahua
3. Pūnaha Tātari IV Katia
A Pūnaha kati kati IV, e mōhiotia ana ko te cannula IV haumaru, he mea hanga me te ngongo toronga kua piri mua me ngā hononga kore ngira hei whakaiti i te tūponotanga o te mate me ngā whara wero ngira. Ka whakaratohia he pūnaha kati mai i te whakaurunga ki te whakahaere wai, hei āwhina i te pupuri i te koretake me te whakaiti i te poke.
Ngā Āhuatanga Matua:
- Ka whakaiti i te tūponotanga o te toto me te mate pāwera
- Te tiaki ngira whakauru
- Ka whakarei ake i te haumaru mō ngā kaimahi hauora
- He pai mō ngā whare he teitei ngā paerewa whakahaere mate urutā
Ko te Midline catheter he momo taputapu IV ā-taha e whakaurua ana ki roto i tētahi uaua i te ringa o runga, ā, e anga whakamua ana kia takoto te pito ki raro i te pakihiwi (kāore e tae ki ngā uaua o waenganui). He pai mō te rongoā wā-waenga—te nuinga o te wā mai i te kotahi ki te whā wiki—ā, he maha ngā wā ka whakamahia ina hiahiatia he urunga IV auau engari kāore e hiahiatia he aho pokapū.
Ngā Āhuatanga Matua:
- Kei waenga i te 3 ki te 8 inihi te roa
- Kua whakaurua ki roto i ngā uaua whānui (hei tauira, basilic, cephalic rānei)
- He iti ake te mōrearea o ngā raruraru i ngā raina pokapū
- Whakamahia mō ngā paturopi, te whakamakuku wai, me ētahi rongoā
Ngā āhuatanga o ngā cannulas intravenous
He maha ngā āhuatanga kua hangaia mō ngā cannulas intravenous hei whakarite i te whakamarie me te haumaru o te tūroro i te wā e rongoatia ana ki te uaua. Ko ētahi o ngā āhuatanga matua ko:
1. Rauemi katita: He mea hanga ngā cannulas uaua-ā-roto ki ngā rauemi pēnei i te polyurethane, te silicone rānei. He hototahi ēnei rauemi ki te koiora, ā, ka whakaiti i te tūponotanga o te thrombosis, te mate rānei.
2. Te hoahoa o te pito o te katita: Ka taea te koi, te porowhita rānei te pito o te cannula. Ka whakamahia te pito koi ina hiahiatia he poka i te pakitara o te toto, ko te pito porowhita ia he pai mō ngā uaua ngawari hei whakaiti i te tūponotanga o ngā raruraru e pā ana ki te poka.
3. He Parirau, he Parirau Kore rānei: Ka taea te tāpiri parirau ki ngā cannulas IV ki te pokapū hei ngāwari ake te whakahaere me te mau i te wā e whakaurua ana.
4. Putanga werohanga: Kei ētahi cannulas uaua he putanga werohanga. Mā ēnei putanga ka taea te werohanga i ētahi atu rongoā me te kore e tangohia te catheter.
| Waehere Tae | Ine | Ō (mm) | ROA | TE RERE O TE RERE (ml/min) |
| Karaka | 14G | 2.1 | 45 | 290 |
| hina waenga | 16G | 1.7 | 45 | 176 |
| Mā | 17G | 1.5 | 45 | 130 |
| Kakariki Hōhonu | 18G | 1.3 | 45 | 76 |
| Māwhero | 20G | 1 | 33 | 54 |
| Kikorangi Hōhonu | 22G | 0.85 | 25 | 31 |
| Kōwhai | 24G | 0.7 | 19 | 14 |
| Waiōre | 26G | 0.6 | 19 | 13 |
Ine 16: Ko te nuinga o te wā ka whakamahia tēnei rahi i roto i ngā wāhi ICU, i ngā wāhi pokanga rānei. Mā tēnei rahi nui ka taea te whakahaere i ngā momo tikanga maha, pērā i te tuku toto, te tuku wai tere, me ērā atu mea.
Ine 18: Mā tēnei rahi ka taea e koe te mahi i te nuinga o ngā mahi ka taea e te ine 16, engari he nui, he mamae ake hoki ki te tūroro. Ko ētahi o ngā whakamahinga noa ko te tuku toto, te pana tere i ngā wai, me ētahi atu. Ka taea e koe te whakamahi i tēnei mō ngā Kawa CT PE, mō ētahi atu whakamātautau rānei e hiahia ana ki ngā rahi IV nui.
Ine 20: Tērā pea ka taea e koe te pana toto mā roto i tēnei rahi mēnā kāore e taea e koe te whakamahi i te ine 18, engari tirohia tonu te tikanga a tō kaituku mahi. He pai ake tēnei rahi mō ngā tūroro he iti ake ō rātou uaua.
Ine 22: He pai tēnei rahi iti mō te wā kāore e hiahiatia he werohanga IV mō te roa, ā, kāore hoki i te tino mate. Kāore e taea te tuku toto nā te iti, heoi, ka taea te whakamahi i te 22 karamu mēnā e tika ana i ētahi tikanga hōhipera.
24 Ine: Ka whakamahia tēnei rahi mō ngā tamariki, ā, ka whakamahia noa hei huarahi whakamutunga hei werohanga IV i roto i te taupori pakeke.
Hei Whakamutunga
He taputapu hauora tino nui te cannula intravenous i roto i ngā mahi haumanu maha. He kaiwhakarato me te kaihanga taputapu hauora ngaio a Shanghai TeamStand Corporation, e whakarato ana i te maha o ngā cannula intravenous kounga teitei me ētahi atu hua. I te wā e whiriwhiri ana i te cannula IV, he mea nui kia whakaarohia ngā momo, ngā āhuatanga, me ngā rahi rerekē e wātea ana. Ko ngā momo matua ko ngā cannula venous peripheral, ngā catheters venous central, me ngā catheters midline. Me whakaarohia ngā āhuatanga pēnei i te rauemi catheter, te hoahoa pito, me te aroaro o ngā parirau, o ngā putanga weronga rānei. Hei tāpiri, he rerekē te rahi o te cannula intravenous (e tohuhia ana e te ine mita) i runga i te wawaotanga hauora motuhake. He mea nui te whiriwhiri i te cannula intravenous tika mō ia tūroro kia pai ai te haumaru me te whai hua o te rongoā intravenous.
Wā tuku: Whiringa-ā-rangi-01-2023