Common sense of central venous intubation nursing
Release time:
2023-08-10
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Self-care knowledge of patients with central venous catheterization
1. Prevent catheter from falling off
2, should wear loose low collar or collarless clothes
3, pay attention to wear clothes, take off clothes, turn around the movement range is not too large, do not move too hard, to prevent pulling, touch the catheter or pull out the catheter.
4. Once the catheter falls off, immediately press the wound to stop bleeding for at least 15 minutes. If there is discomfort or bleeding, go to the hospital as soon as possible.
Prevent catheter blockage
1. Be careful not to do physical work
2. Keep stool unobstructed
3. Take the supine position or the opposite lateral position of the tube when sleeping
4, as little as possible to bend over to prevent blood flow back
5, with the doctor's prescription, take anticoagulant drugs on time, reduce the incidence of catheter blockage
Prevent wound infection
1, wash your hair, wipe the body is not wet dressing
Try to avoid sweating in the summer.
3. Once the dressing is wet, disinfect and replace the dressing in time
4. Change the dressing during each dialysis
5. Avoid catheter displacement
Common sense of nursing before operation of arteriovenous fistula
1. Protect the blood vessels and skin of the surgical limbs in advance
2, generally choose to work less side of the limb surgery
3, avoid drawing blood, transfusion, blood pressure, etc. in the limb
4, it is best to start to do fist-making exercise two weeks before the operation, which is beneficial to promote vascular filling.
Common sense of care after arteriovenous fistula surgery
1. After returning to the ward after operation, the limb on the surgical side should be raised when lying in bed.
2. When standing or sitting, the arms should be too high when the chest
3. Keep the elbow joint greater than 90 degrees, conducive to blood patency, reduce edema
4. Found that the wound bleeding or swelling, pain in a timely manner to tell the doctor
5. Keep the wound clean and dry
6. Postoperative self-examination of whether the fistula is unobstructed, and dynamic comparison of tremor intensity and vascular murmur size
patency: can touch tremor and hear vascular murmur
Blockage: blood vessels are striped, no tremor, no murmur, to see a doctor in time, report to the doctor.
7. Wear clothes with loose cuffs, do not oppress limbs with fistula, and do not lift heavy objects in limbs with internal fistula.
8. Can not draw blood, infusion, injection and blood pressure in the limb of the fistula side.
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