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PICCTeachingRoomCheckEnglishVersionPICCIntroductionPICCcatalysisprocessComplicationsandmanagementofPICCPracticeofPICCteachingwardrounds目錄CaseanalysisofPICCteachingwardrounds目錄01PICCIntroductionPICC:PeriphericallyInsertedCentralCatheterItisalong,thin,flexibletubethatisinsertedintoaveininthearmandthreadedthroughtheveinstotheheartItisusedtogivemedicine,fluids,ornutritiondirectlyintothebloodstreamPICCdefinitionThreetypesofPICCSinglevolumePICCDoublevolumePICCTriplevolumePICC01020304PICCtypePICCisindicatedforpatientswhoneedlongterminternalaccess,suchaschemotherapypatientsorpatientswhorequirefrequentblooddrawsOtherindicationsincludepatientswhorequireparentalnutritionorthosewhoneedfluidstobeadministeredinacontrolledmanPICCindications02PICCcatalysisprocessCheckpatient'scondition01EnsurethepatientissuitableforPICCcatalysisbasedontheirmedicalhistory,physicalexamination,andlaboratorytestsDeterminecatalystsize02DeterminetheappropriatesizeofthePICCcatalystbasedonthepatient'sage,weight,andheightInformpatients03Providepatientswithinformationabouttheprocedure,includingrisksandbenefits,andobservedinformedconsentAssesspatients03PreparepatientfortheprocedureEnsurethepatientisinacomfortableposition,commonlylyingontheirbackwiththeaffectedarmraised01PreparesteriledrapesandglovesEnsureallnecessarysterilesuppliesareavailablefortheprocedure02PreparecatalystandinsertiontoolsAssemblethePICCcatalystandinsertiontools,ensuringtheyarecleanandingoodconditionsPrepareitems

TubeplacementoperationApplysteriledrapesCoverthepatient'sbodywithsteriledrapestocreateasterilefieldaroundtheinsertionsiteInsertcatalystInsertthePICCcatalystintotheveinusingalkalinetechnologyandguideittothedesiredpositionSecurecatalystSecurethecatalysttothepatient'sskinwithsuturesortapetopreventmovementordetachmentMonitorpatientMonitorthepatient'svitalsignsandobserveforanyimmediateapplications,suchasblendingorpneumothoraxProvidepostprocedureinstructionsInstructthepatientonhowtocareforthecatalyst,includingkeepingitclean,avoidingcontactwithwater,andseekingimmediatemedicalattentionifthereareanyproblemsSchedulefollowupScheduleafollowupappointmenttoassessthecatalystsiteandensureitisfunctioningproperlyPostcatalysiscare03ComplicationsandmanagementofPICCCatheterrelatedinfectionsareacommoncomplicationofPICCuseTheseinfectionscanoccurattheinsertionsiteoralongthecatalystManagementofcatalystrelatedinfectionstypicallyinvolvingremovalsofthecatalystandtreatmentwithantibioticsAntibioticimportedcatsmaybeusedtoreducetheriskofinfectionCatheterrelatedinfectionsCatheterblockageisanothercommonapplicationofPICCuseItoccurswhenbloodclotsorotherdebisforminsidethecatalystManagementofcatalystblockagemayinvolvethrombotictherapyorcatalystexchangeFrequentflushingofthecatalystwithheparinsolutioncanhelppreventcatalystblockagesCatheterblockageCatheterdetachmentisararebutseriousapplicationofPICCuseItoccurswhenthecatalystbenefitsdiffusedfromtheveinManagementofcatalystdetachmenttypicallyinvolvesimmediateremovalofthecatalystandreinsertioninanewlocationCatalystsecuritydevicescanbeusedtopreventcatalystdetachmentCatheterdetachmentVSThrombosisistheformationofbloodclotsintheveinsItcanoccurasaresultoflongtermPICCuseorotherriskfactorsManagementofThrombosisMayInvolveAnticoagulantTherapyorRemovaloftheCatheterRegularexerciseandcompressionstockscanalsohelppreventthrombosisinpatientswithPICCsThrombosis04PracticeofPICCteachingwardroundsPrepareteachingmaterialsCollectandorganizeteachingmaterials,includingPICCrelatedknowledge,casestudies,andimagesDeterminethefocusoftheroundDeterminethefocusandgoalsofthewardround,andprepareaccordinglyInvolvingstudentsNotifystudentsinadvanceandresourcetheirparticipationinthewardroundPreparationbeforewardroundsIntroductionBrieflyintroducethepurposeandprocessofthewardroundPresentPICCrelatedcases,includingpatientinformation,diagnosis,treatmentplan,andPICCinsertionandcareConductpracticalteachingdemonstrationonPICCinsertionandcaretechnologiesAnswerstudents'questionsanddiscussionsanyissuesrelatedtoPICCinsertionandcareCasepresentationTeachingdemonstrationQ&AsessionWardroundsprocessFeedbackandevaluationProvidefeedbackandevaluationonstudents'participationandunderstandingofPICCrelatedknowledgeContinuousimprovementIdentifyareasforimprovementandsuggestwaystoenhancetheeffectivenessoffuturewardroundsSummaryofkeypointsSummarizethekeypointsandimportantinformationlearnedduringthewardroundSummaryafterwardrounds05CaseanalysisofPICCteachingwardroundsSummary:Thiscasefocusesonthetreatmentofcatalystrelatedinfections,whicharecommonapplicationsofPICCuseDetailsDiagnosis:Symptomsincludepaint,tenderness,andrednessatthecatalystsiteLabtestsmayshowelevatedwhitebloodcellcountsTreatment:Antibioticsaresubscribed,andthecatalystisusuallyremovedandreplacedFollowup:Regularchecksareessentialtoensuretheinfectionhasbeencompletelyeradicated0102030405Case1:TreatmentofcatalystrelatedinfectionsSummary:Thiscasedealswithcatalystblockage,whichcanleadtoinfectioncomplicationsandevencatalystfailureCase2:TreatmentofcatalystblockageDetailsDiagnosis:Symptomsincludeslowornonflowingfusion,increasedpressureinthecatalysthub,orinclusionofthecatalystwomenTreatment:ThrombolyticsoralteplatemaybeusedtodissolveanycloseformationIfunsuccessful,thecatalystmayneedtoberemovedandreplacedFollowup:Closemonitoringofcatalystfunctionandregularflushingwithhep

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