PICC导管维护及指导.ppt

* 普外三科：邓佳 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. PICC导管的维护 1 PICC导管的常见并发症 3 PICC导管的健康宣教 2 内 容 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. PICC导管的维护 1、更换敷料 2、更换肝素帽 3、冲洗导管 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 更换敷料 1、首次更换敷料的时间应在导管置入后24h。 2、每7天更换一次，敷料有松动或潮湿时随时更换。如果应用无菌纱布，常规每48h更换一次，纱布上覆盖透明膜的包扎应认为是纱布包扎，每48h更换一次。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 更换敷料的要点 1、撕贴膜时用手固定住穿刺点，从四周开始以“0”撕开，并要从下往上撕，以免将导管拔出。 2、以穿刺点为中心进行局部皮肤消毒，范围是穿刺点上下10cm，左右到手臂边缘，局部皮肤消毒三遍，第一遍顺时针，第二遍逆时针，第三遍顺时针，以防止汗毛下的区域消毒不彻底。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 沿导管方向由下向上揭去透明敷料 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 更换敷料的要点 3、暴露体外的导管，盘绕成流畅的s形 u形 l形固定，可有效防止导管移动。 4、穿刺点位于贴膜中心，贴膜下端贴至连接器的一半，整个外露导管必须覆盖在无菌贴膜下，要无张力黏贴。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 贴透明敷料 消毒液干后，PICC导管放置成“S”，不要压在原来的位置上。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 将透明敷贴撕开，放在以穿刺点为中心，先沿导管塑形（即不要把导管与皮肤压紧，导管要在皮肤上） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 然后再把敷贴向外抺平与皮肤贴紧，排尽贴膜下的空气。 一边压紧一边撕开边缘的纸。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 一边压紧一边撕开边缘的纸 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 用胶布交叉固定导管 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copy