picc置管護(hù)理課件

P|CC置管患者的護(hù)理P|CC置管患者的護(hù)理1PCC的全稱經(jīng)外周靜脈穿刺置入中心靜頸外靜脈頸內(nèi)靜脈脈導(dǎo)管(Peripherallyinserted鎖骨下靜脈centeralcatheter)。經(jīng)上肢貴右頭臂靜脈腋靜脈上腔靜脈要靜脈、肘正中靜脈、頭靜頭靜脈左頭臂靜脈、肱靜脈、頸外靜脈穿刺貴要靜脈插管,導(dǎo)管尖端位于上腔靜脈的中下段。PCC的全稱2患者PCC情況置管目的保護(hù)外周靜脈,預(yù)防化學(xué)性靜脈炎和藥物滲漏性損傷。P|CC適應(yīng)證須長(zhǎng)期靜脈輸液的病人Hospite刺激外周靜脈藥物的輸入,刺激性或毒性藥、高滲藥液治療,如化療、強(qiáng)酸、強(qiáng)堿藥物;8胃腸外營(yíng)養(yǎng)(TPN)外周靜脈血管條件差或缺乏外周靜脈通路,難以維持靜脈輸液者;長(zhǎng)期需要間歇靜脈治療者危重患者或早產(chǎn)兒?；颊逷CC情況3PICC置管絕對(duì)禁忌證上腔靜脈綜合征(上腔靜脈完全堵塞);確診或疑似導(dǎo)管相關(guān)性血流感染、菌血癥或膿毒血癥;感染性心內(nèi)膜炎確診或疑似患者對(duì)器材的材質(zhì)告PICC置管絕對(duì)禁忌證4PICC置管相對(duì)禁忌證丶上腔靜脈綜合征(靜脈管腔部分壓迫)者;嚴(yán)重的出凝血功能異常;乳腺癌患側(cè)肢體;置管部位擬行放療預(yù)置管部位有放射治療史、血管外科手術(shù)史血栓栓塞史■丶預(yù)置管部位不能完成穿刺或固定;置管部位或全身皮膚感染目前發(fā)生血栓性靜脈炎患者無(wú)禁忌癥安裝起搏器拄拐杖。PICC置管相對(duì)禁忌證5picc置管護(hù)理課件6picc置管護(hù)理課件7picc置管護(hù)理課件8picc置管護(hù)理課件9picc置管護(hù)理課件10picc置管護(hù)理課件11picc置管護(hù)理課件12picc置管護(hù)理課件13picc置管護(hù)理課件14picc置管護(hù)理課件15picc置管護(hù)理課件16picc置管護(hù)理課件17picc置管護(hù)理課件18picc置管護(hù)理課件19picc置管護(hù)理課件20picc置管護(hù)理課件21picc置管護(hù)理課件22picc置管護(hù)理課件23picc置管護(hù)理課件24picc置管護(hù)理課件25picc置管護(hù)理課件26picc置管護(hù)理課件27picc置管護(hù)理課件28picc置管護(hù)理課件29picc置管護(hù)理課件30picc置管護(hù)理課件31picc置管護(hù)理課件32picc置管護(hù)理課件33picc置管護(hù)理課件34picc置管護(hù)理課件35picc置管護(hù)理課件36picc置管護(hù)理課件37P|CC置管患者的護(hù)理P|CC置管患者的護(hù)理38PCC的全稱經(jīng)外周靜脈穿刺置入中心靜頸外靜脈頸內(nèi)靜脈脈導(dǎo)管(Peripherallyinserted鎖骨下靜脈centeralcatheter)。經(jīng)上肢貴右頭臂靜脈腋靜脈上腔靜脈要靜脈、肘正中靜脈、頭靜頭靜脈左頭臂靜脈、肱靜脈、頸外靜脈穿刺貴要靜脈插管,導(dǎo)管尖端位于上腔靜脈的中下段。PCC的全稱39患者PCC情況置管目的保護(hù)外周靜脈,預(yù)防化學(xué)性靜脈炎和藥物滲漏性損傷。P|CC適應(yīng)證須長(zhǎng)期靜脈輸液的病人Hospite刺激外周靜脈藥物的輸入,刺激性或毒性藥、高滲藥液治療,如化療、強(qiáng)酸、強(qiáng)堿藥物;8胃腸外營(yíng)養(yǎng)(TPN)外周靜脈血管條件差或缺乏外周靜脈通路,難以維持靜脈輸液者;長(zhǎng)期需要間歇靜脈治療者危重患者或早產(chǎn)兒?；颊逷CC情況40PICC置管絕對(duì)禁忌證上腔靜脈綜合征(上腔靜脈完全堵塞);確診或疑似導(dǎo)管相關(guān)性血流感染、菌血癥或膿毒血癥;感染性心內(nèi)膜炎確診或疑似患者對(duì)器材的材質(zhì)告PICC置管絕對(duì)禁忌證41PICC置管相對(duì)禁忌證丶上腔靜脈綜合征(靜脈管腔部分壓迫)者;嚴(yán)重的出凝血功能異常;乳腺癌患側(cè)肢體;置管部位擬行放療預(yù)置管部位有放射治療史、血管外科手術(shù)史血栓栓塞史■丶預(yù)置管部位不能完成穿刺或固定;置管部位或全身皮膚感染目前發(fā)生血栓性靜脈炎患者無(wú)禁忌癥安裝起搏器拄拐杖。PICC置管相對(duì)禁忌證42picc置管護(hù)理課件43picc置管護(hù)理課件44picc置管護(hù)理課件45picc置管護(hù)理課件46picc置管護(hù)理課件47picc置管護(hù)理課件48picc置管護(hù)理課件49picc置管護(hù)理課件50picc置管護(hù)理課件51picc置管護(hù)理課件52picc置管護(hù)理課件53picc置管護(hù)理課件54picc置管護(hù)理課件55picc置管護(hù)理課件56picc置管護(hù)理課件57picc置管護(hù)理課件58picc置管護(hù)理課件59picc置管護(hù)理課件60picc置管護(hù)理課件61picc置管護(hù)理課件62picc置管護(hù)理課件63picc置管護(hù)理課件64picc置管護(hù)理課件65picc置管護(hù)理課件66picc