Cov txheej txheem:
Video: Koj yuav tshem tawm txoj kab nruab nrab cov leeg ntshav li cas?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Jugular, Subclavian lossis PICC
- Lub taub hau qis.
- Siv DRY gauze tshaj qhov chaw ntxig thiab maj mam sim thim qhov raj 2.5 cm los ntsuas kom yooj yim ntawm tshem tawm .
- Hais kom tus neeg mob ua pa tuav lub sijhawm tshem tawm los yog tshem tawm thaum kawg ntawm kev tshoov siab yog tias mechanically ventilated.
Hais txog qhov no, thaum twg yuav tsum tau tshem kab kab nruab nrab?
Thaum koj tus neeg mob tsis xav tau a nruab nrab venous raj (CVC) lossis nws qhov kev ncaj ncees raug cuam tshuam, nws yuav tsum yog tshem tawm.
Ib tug kuj yuav nug, dab tsi yog lub hauv paus venous kab siv rau? A central venous raj , kuj hu a txoj kab nruab nrab , yog lub raj ntev, nyias, hloov tau siv rau muab tshuaj, kua dej, cov khoom noj, lossis cov khoom ntshav hauv lub sijhawm ntev, feem ntau ob peb lub lis piam lossis ntau dua. A raj feem ntau tso rau ntawm caj npab lossis hauv siab dhau ntawm daim tawv nqaij mus rau hauv cov hlab ntshav loj.
Ib yam li ntawd, tib neeg nug, cov kws saib xyuas neeg mob puas tuaj yeem tshem tawm cov kab hauv nruab nrab?
RNs hauv CCTC tuaj yeem tshem tawm ib ntus nruab nrab venous access devices suav nrog: PICC, Internal Jugular (IJ), Subclavanian (SC) thiab Femoral. Cov neeg saib mob tej zaum yuav tshem tawm hemodialysis cathers ib ntus, tab sis yuav tsum paub txog qhov loj catheter loj ua rau muaj kev pheej hmoo rau ob qho tib si los ntshav thiab huab cua embolism.
Puas yog kab hauv plawv nkag mus rau hauv plawv?
Nruab Nrab venous kab : Ib lub raj (raj) uas kis tau dhau ib vein rau kawg hauv lub thoracic (lub hauv siab) feem ntawm lub vena cava (cov hlab ntsha loj rov qab ntshav mus rau lub plawv ) los yog hauv txoj cai atrium ntawm plawv . Cov nruab nrab venous kab tej zaum yuav muab tso rau lub sijhawm luv lossis ntev.
Pom zoo:
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