Kupu Whakataki
Ngā katitere cannula ā-roto (IV)he mea tino nuingā taputapu hauorae whakamahia ana i roto i ngā momo ratonga hauora hei tuku tika i ngā wai, ngā rongoā, me ngā hua toto ki roto i te toto o te tūroro. Ko te whāinga o tēnei tuhinga he whakarato i tētahi māramatanga hōhonu mōNgā katitere cannula IV, tae atu ki ō rātou mahi, ngā rahi, ngā momo, me ētahi atu āhuatanga e pā ana.
Te Mahi a te Catheter Cannula IV
He ngongo angiangi, ngāwari te catheter IV cannula e whakaurua ana ki roto i te uaua o te tūroro, hei whakarato urunga ki te pūnaha tohanga toto. Ko te mahi matua o te catheter IV cannula ko te tuku wai, electrolytes, rongoā, kai rānei ki te tūroro, kia tere ai te mimiti ki roto i te toto. Mā tēnei tikanga whakahaere ka taea te pupuri i te taurite wai, te whakakapi i te nui o te toto kua ngaro, me te tuku rongoā e aro ana ki te wā.
Ngā Rahi o ngā Catheters Cannula IV
Kei te wātea ngā katitere cannula IV i roto i ngā rahi rerekē, e tohuhia ana e te tau ine. Ko te ine te diameter o te ngira katitere; ko te iti o te tau ine, ko te nui ake o te diameter. Ko ngā rahi e whakamahia whānuitia ana mō ngā katitere cannula IV ko:
1. Ine 14 ki te 24: Ka whakamahia ngā cannulas nui ake (14G) mō te werohanga tere o ngā wai, o ngā hua toto rānei, ko ngā rahi iti ake ia (24G) e tika ana mō te tuku rongoā me ngā otinga kāore e hiahia kia tere te rere.
2. Ine 18 ki te 20: Koinei ngā rahi e whakamahia whānuitia ana i ngā hōhipera whānui, e whakatutuki ana i te whānuitanga o ngā tūroro me ngā āhuatanga haumanu.
3. Ine 22: He mea tino pai mō ngā tamariki me ngā kaumātua, mō te hunga rānei he uaua pakarukaru, nā te mea he iti noa te mamae e pā mai ana i te wā e whakaurua ana.
4. 26 Gauge (neke atu rānei): Ko ēnei cannulas tino angiangi ka whakamahia mō ngā āhuatanga motuhake, pēnei i te hoatutanga o ētahi rongoā, mō ngā tūroro rānei he tino ngoikore ō rātou uaua.
Ngā momo o ngā catheter IV Cannula
1. Cannula IV Peripheral: Ko te momo tino noa, ka whakaurua ki roto i te uaua peripheral, i te nuinga o te wā i roto i te ringa, i te ringaringa rānei. He mea hanga ēnei mō te whakamahinga poto, ā, he pai mō ngā tūroro e hiahia ana kia uru atu i roto i ngā wā poto, i ngā wā poto rānei.
2. Te Katitere Uaua Waenga (CVC): Ka whakanohoia ēnei katitere ki roto i ngā uaua nui o waenganui, pērā i te vena cava o runga, te uaua jugular o roto rānei. Ka whakamahia ngā CVC mō te rongoā roa, te tango toto pinepine, me te hoatu rongoā whakapataritari.
3. Te Kātene Waenganui: He kōwhiringa waenga i waenga i ngā kātene taha me ngā kātene pokapū, ka whakauruhia ngā kātene waenga ki roto i te ringa o runga ka mirohia mā roto i te uaua, ka mutu i te nuinga o te wā ki te rohe o te ketiak. He pai ēnei mō ngā tūroro e hiahia ana ki te rongoā roa engari kāore e hiahia ki te uru atu ki ngā uaua pokapū nui.
4. Te Katitere Waenga Kua Whakaurua ki te taha (PICC): He katitere roa kua whakaurua mā roto i tētahi uaua taha (i roto i te ringa te nuinga) ka nekehia kia tau te pito ki roto i tētahi uaua nui ake. He maha ngā wā ka whakamahia ngā PICC mō ngā tūroro e hiahia ana ki te rongoā ā-uaua mō te wā roa, mō te hunga rānei he iti noa te urunga ki ngā uaua taha.
Te Tukanga Whakauru
Me mahi te whakaurunga o te catheter cannula IV e ngā tohunga hauora kua whakangungua hei whakaiti i ngā raruraru me te whakarite kia tika te whakanoho. Ko te tikanga whānui ko ngā mahi e whai ake nei:
1. Aromatawai Tūroro: Ka arotakehia e te kaiwhakarato hauora te hītori hauora o te tūroro, te āhua o ngā uaua, me ngā āhuatanga katoa ka pā ki te tukanga whakauru.
2. Kōwhiringa Wāhi: Ka whiriwhiria te uaua me te wāhi whakauru e tika ana i runga i te āhua o te tūroro, ngā whakaritenga whakaora, me te urunga atu ki te uaua.
3. Te Whakarite: Ka horoia te wāhi kua tohua ki te wai patu paturopi, ā, ka mau karapu paru te kaiwhakarato hauora.
4. Tāurunga: Ka tapahia he iti ki te kiri, ā, ka ata whakaurua te catheter mā te tapahi ki roto i te uaua.
5. Te Whakamau: Kia mau te katitere, ka whakamaua ki te kiri mā te whakamahi i ngā takai piri, i ngā taputapu whakamau rānei.
6. Te Horoi me te Whakakī i te Wai: Ka horoia te katitere ki te tote, ki te wai heparin rānei hei whakarite i te urunga tika me te ārai i te hanganga toto totoka.
7. Te Tiaki i Muri i te Tāurunga: Ka aroturukitia te wāhi mō ngā tohu o te mate, ngā raruraru rānei, ā, ka whakawhitia te takai catheter ina hiahiatia.
Ngā raruraru me ngā whakatūpato
Ahakoa he haumaru te nuinga o ngā catheter IV cannula, tera pea ētahi raruraru me aro atu ngā tohunga hauora, tae atu ki:
1. Te urunga: Te turuturu o ngā wai, o ngā rongoā rānei ki roto i ngā kiko e karapoti ana, kaua ki roto i te uaua, ka pupuhi, ka mamae, ka kino pea ngā kiko.
2. Phlebitis: Te mumura o te uaua, ka mamae, ka whero, ka pupuhi hoki i te ara o te uaua.
3. Mate urutā: Ki te kore e whai i ngā tikanga ārai mate tika i te wā e whakaurua ana, e tiakina ana rānei, ka pangia pea te wāhi e tū ai te katitere.
4. Ārai: Ka āraia pea te katitere nā te toto kua pupuhi, nā te horoinga hē rānei.
Hei whakaiti i ngā raruraru, ka piri ngā kaiwhakarato hauora ki ngā tikanga tino pakari mō te whakaurunga o te catheter, te tiaki i te wāhi, me te tiaki. Ka akiakihia ngā tūroro kia ripoata wawe i ngā tohu o te kore whakamarie, te mamae, te whero rānei i te wāhi i whakauruhia ai kia tere ai te wawaotanga.
Whakamutunga
He mea nui te mahi a ngā katita IV cannula i roto i te hauora o ēnei rā, e āhei ai te tuku haumaru me te whai hua o ngā wai me ngā rongoā ki roto i te toto o te tūroro. He maha ngā rahi me ngā momo e wātea ana, ā, ka taea te urutau ki ngā hiahia haumanu rerekē, mai i te urunga poto ki waho ki ngā maimoatanga roa me ngā raina pokapū. Mā te piri ki ngā tikanga pai i te wā e whakauru ana me te tiaki, ka taea e ngā tohunga hauora te whakapai ake i ngā putanga o te tūroro me te whakaiti i ngā raruraru e pā ana ki te whakamahinga o te katita IV, kia pai ai te maimoatanga haumaru me te whai hua mō ā rātou tūroro.
Te wā tuku: Hurae-31-2023