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強(qiáng)行沖洗導(dǎo)管。 – The nurse should aspirate the catheter for positive blood return to confirm patency prior to administration of medications and solutions. 給藥和輸液前,護(hù)士應(yīng)抽回血以確認(rèn)導(dǎo)管是否通暢。 ? A Assess導(dǎo)管功能評(píng)估 ? C Clear 沖管:將導(dǎo)管內(nèi)殘留的藥液和血液沖入血管 ? L– Lock 封管 ACL導(dǎo)管維護(hù)最佳實(shí)踐標(biāo)準(zhǔn) Purposes of Catheter Flushing 導(dǎo)管沖管的目的 ? Infusion Nursing Standards of Practice, Infusion Nurses Society 美國(guó) INS指南 – To promote and maintain catheter patency 維持通暢 – To prevent contact between inpatible medications and solutions 避免藥物間反應(yīng) ? Many medications are inpatible 很多藥物間都有配伍禁忌 ? Contact in the catheter lumen causes drug precipitate that occludes the lumen 藥物沉淀在導(dǎo)管內(nèi)形成堵塞 沒(méi)有足夠沖管會(huì)造成: ? 并發(fā)癥 –管腔阻塞 ?血液凝結(jié) ?藥物沉積 Flush Solution Containers 沖管液容器的選擇 ? Single dose containers are preferred – Single dose vials, . 10 mL vial of preservativefree