Central venous catheter care routine, deep venous catheter care

The dressing should be kept clean, and the dressing should be changed twice a week normally, and the dressing should be changed in time if it is wet, loose or sweaty. Before and after the infusion with the Califco connector, the tube should be flushed with normal saline pulse, the heparin saline should be pumped out before the infusion with the heparin cap, and the tube should be sealed with heparin saline after the infusion. Central venous catheters are usually left in place for three months, and extubation should be considered if high fever persists or recurs and other causes are ruled out.

Patients who need long-term infusion and the vascular condition allows can consider indwelling through the peripheral venous central venous catheter, that is, PICC, this kind of tube can be left in place for one year, and the longest I have seen has been left for two years, but it was removed for fear of infection.

What are the nursing diagnoses of deep venous catheterization after upper gastrointestinal bleeding?

In order to prolong the use of the PICC tube, please do the following maintenance after you are discharged from the hospital:

Keep the puncture site clean and dry.

Change the dressing 1-2 times a week, the area is greater than 10cm *10cm, when changing the dressing, use iodophor to the center to the periphery, round and thoroughly disinfect more than three times, and must be applied after drying.

Seal the tube after each dressing change, twice a week, to ensure that the pipeline is unobstructed, pay attention to positive pressure pulse tube sealing, (limit the use of syringes above 10ml).

Sealing method: After thoroughly sterilizing the joint, use a syringe of more than 10ml to draw 10ml of normal saline and slowly push it, and then use a syringe of more than 10ml to extract 10ml of heparin sodium dilution, and slowly push it (positive pressure pulse type). If the bolus is not smooth, do not violently bolus, please return to the hospital in time.

Preparation method of heparin sodium dilution: 2 sticks of heparin (2500 units) were added to 250ml of normal saline.

When bathing, wrap the limbs of the PICC catheterization with plastic wrap more than three times, the area is as large as possible, and the upper and lower seals can be taken before bathing, but not bathing, and must be dried and dressing changed after bathing.

It is recommended that you return to our hospital to change dressings as much as possible, if you cannot return to our hospital, you must be operated by a professional from another hospital.

If you feel unwell during the catheterization at home, such as fever, redness, swelling, heat, pain and so on in the upper arm on the puncture side, please return to the hospital in time for treatment.

During the period of catheterization, avoid heavy lifting of the limb on the operative side, strenuous exercise, etc., to prevent the occurrence of mechanical injury phlebitis.

During the period of catheterization, if the patient has high blood lipids or platelet count, it is recommended to increase the number of tube seals.

First of all, keep the area around the catheter clean and dry, cover it with plastic wrap several times when bathing, and go to the hospital regularly to change the film, in case of bleeding and other special circumstances, please go to the hospital in time to deal with it.