留置针公休座谈

静脉留置针内容主要YourtexthereAddyourtexthereYourtexthereYourtexthereAddyourtexthere01静脉留置针的定义及种类03静脉留置针的并发症02

静脉留置针的应用与维护什么是留置针？

又称为静脉套管针，它是由不锈钢针芯，软的外套管及塑料针座组成。穿刺时将外套管和针芯一齐刺入血管中，当套管送入血管后，抽出针芯，仅将柔软的外套管留在血管中进行输液的一种输液工具。静脉留置针的结构AddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyour留置针型号的选择AddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthere01此处输入标题TextyourmainideahereTextyourmainideahere02此处输入标题TextyourmainideahereTextyourmainideahere使用留置针的好处1、操作简单，减轻患者由于反复穿刺而造成的痛苦2、保护血管，减少液体的外渗，同时保证合理用药时间，为输血和输液提供方便3、保留了一条开放的静脉通路，便于抢救工作，而且很大程度上减轻了护理人员的工作量4、适合于长期输液患者，老年人患者及无自主意识的患者，特别是危重患者，可随时打开静脉通路及早用药，提高抢救成功率1、关节处不宜选择的穿刺部位6、不可在同一部位反复穿刺2、静脉已变硬者3、有渗漏，静脉炎，感染及血肿4、有静脉曲张及影响循环的部位5、手术同侧肢体及患侧肢体静脉7、处特殊医嘱及病情需要，否则应尽量避免在下肢进行穿刺留置针的固定AddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthere静脉留置针的并发症AddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthere静脉炎导管堵塞局部渗漏静脉炎症状：穿刺部位沿静脉通路出现血管红、肿、热、痛。触诊时静脉发硬，呈条索状，无弹性。严重者局部针眼处可挤出脓性分泌物，可伴有发热等全身症状

处理：1、立即拔出套管针，停止输液2、抬高患肢休息，严禁按摩患处3、局部给予50%硫酸镁湿敷或外涂喜辽妥软膏，土豆片湿敷01症状：触痛、肿胀，皮肤紧绷，发亮，穿刺处渗液

处理：1、药物外渗时应立即停药，断开输液器，保留穿刺输液的头皮针头，用输液器连接头皮针将药物回抽，减少药液在局部组织的渗出量，降低渗出液对组织的损害，抬高患肢，避免剧烈运动

02：药液对组织刺激小，容易吸收的，可以用热敷或者用95%的酒精持续湿敷，50%硫酸镁湿敷，肿胀很快消退，用热敷促进扩散吸收。

导管堵塞AddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthere静脉留置针留置期间的注意事项1、有任何不适请及时告诉护士。留置针留置时间一般以3-5天为宜2、留置针不慎脱出，应立即用无菌敷料按压穿刺点3、穿刺部位保持清洁，干燥，当贴膜潮湿、卷边、脱落时应立即到诊所请护士予以更换。0103、

3、更衣时应尽量不要将导管拔出，穿衣时，可先穿穿刺部位侧衣袖，再穿另一侧衣袖，脱衣时顺序相反，先脱健侧衣袖，再脱穿刺部位衣袖。不宜洗澡。

1、可以适当运动，但避免穿刺部位肢体过度剧烈运动，宜多饮水保持血管充盈。留置针固定好后，勿撕拉贴膜或胶布，勿旋动封闭接头，防止脱落

2、避免沾水，尽量保持干燥，睡眠时注意不要压迫穿刺血管留置针的日常护理AddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthere感谢您的观看AddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthereYourtexthereAddyourtexthereAddyourtexthereAddyourtexthereAddyourtexthere感谢您的观看Addy