【正文】
管通暢是必須的 ! ? All catheters should yield a brisk blood return prior to infusion of each dose of medication. 所有的導管在輸液前都會有一些回血 ? Lack of blood return means a nonfunctioning catheter 無回血意味著導管功能下降 – Related to how or where the catheter was placed 與導管留置的過程和部位等因素相關 Catheter Lumen Occlusion 導管腔內(nèi)堵塞 ? Causes原因 – Thrombotic 血栓性 – Drug precipitate 藥物沉淀 – Mechanical 機械性 ? Proper flushing and locking catheters will either prevent or identify these problems正確沖封管能預防此類問題 Precipitate Causes 藥物沉淀因素 ? Contact between two or more inpatible drugs or fluids 兩種或多種不相容藥物 /液體 – Alteration in drug pH 藥物 PH值變化 ? Precipitate forms inside catheter lumen 管內(nèi)沉淀形成 ? Lipid sludge from fat emulsion 脂肪乳沉積 ? Waxy coating on internal catheter walls 管壁內(nèi)蠟狀沉淀 Catheter Flushing導管沖封管 Standards and Guidelines標準和指南 ? INS Standard 56