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知道吗?留置针活塞的夹闭位置会影响留置效果!

2017-11-30 吴泽芳 中国护理管理

经实践发现:留置针活塞的夹闭部位不同,将直接影响留置针的留置效果。

经实践发现:留置针活塞的夹闭部位不同,将直接影响留置针的留置效果。静脉留置针又称套管针,作为头皮针的换代产品,以其操作简单,套管柔软、套管在静脉内留置时间长且不易穿破血管等特点被广泛应用于临床。 其具有穿刺次数少,减少血管损伤,减轻患者痛苦,减轻护士工作量,提高护理工作效率的优点,特别是在危重患者的抢救治疗中,便于随病情变化随时用药。但是,最近在护士长带领护士们床旁交班的过程中,一个简单的举动,引发了患者对于责任护士的怀疑。情景再现护士长在听护士交接班的过程中,走近患者,查看留置套管针的情况——是否有渗血、渗液;是否有静脉炎;固定是否符合规定;有无标明留置时间等。护士长发现,患者的活塞夹闭部位比较靠上,于是打开,将其靠近留置针侧,重新夹闭。这一举动,引起患者的怀疑。患者问护士长“是不是你们护士夹闭的位置不对?上一个留置针才留置了两天,管内总有回血,最终输液不畅,拔除了”。护士长耐心解释了引起留置针输液不畅的可能原因,这才取得患者的理解与信任。过后,我们针对这个问题进行了查证:夹闭位置真的对留置针留置时间的长短有影响吗?笔者经查阅相关文献,还真的找到了答案。有相关研究显示:在输液完毕封管

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  1. [GetPortalCommentsPageByObjectIdResponse(id=951742, encodeId=6bc0951e4244, content=很好感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4685379051, createdName=ms1000002046670003, createdTime=Sun Mar 28 08:12:04 CST 2021, time=2021-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1670094, encodeId=ec5c16e0094fb, content=<a href='/topic/show?id=809ce0322c0' target=_blank style='color:#2F92EE;'>#留置#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70322, encryptionId=809ce0322c0, topicName=留置)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=532e26580241, createdName=xuyong532, createdTime=Fri Jun 29 10:15:00 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266084, encodeId=3269266084d5, content=谢谢.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Sat Dec 02 06:37:32 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540650, encodeId=71831540650f1, content=<a href='/topic/show?id=6019e03279f' target=_blank style='color:#2F92EE;'>#留置针#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70327, encryptionId=6019e03279f, topicName=留置针)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cafc13278755, createdName=chshh81, createdTime=Fri Dec 01 16:15:00 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265567, encodeId=210726556e24, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Thu Nov 30 08:50:26 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265559, encodeId=758f265559a6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Nov 30 08:42:41 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265485, encodeId=f5d12654850f, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Thu Nov 30 05:51:39 CST 2017, time=2017-11-30, status=1, ipAttribution=)]
    2021-03-28 ms1000002046670003

    很好感谢

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=951742, encodeId=6bc0951e4244, content=很好感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4685379051, createdName=ms1000002046670003, createdTime=Sun Mar 28 08:12:04 CST 2021, time=2021-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1670094, encodeId=ec5c16e0094fb, content=<a href='/topic/show?id=809ce0322c0' target=_blank style='color:#2F92EE;'>#留置#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70322, encryptionId=809ce0322c0, topicName=留置)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=532e26580241, createdName=xuyong532, createdTime=Fri Jun 29 10:15:00 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266084, encodeId=3269266084d5, content=谢谢.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Sat Dec 02 06:37:32 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540650, encodeId=71831540650f1, content=<a href='/topic/show?id=6019e03279f' target=_blank style='color:#2F92EE;'>#留置针#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70327, encryptionId=6019e03279f, topicName=留置针)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cafc13278755, createdName=chshh81, createdTime=Fri Dec 01 16:15:00 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265567, encodeId=210726556e24, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Thu Nov 30 08:50:26 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265559, encodeId=758f265559a6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Nov 30 08:42:41 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265485, encodeId=f5d12654850f, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Thu Nov 30 05:51:39 CST 2017, time=2017-11-30, status=1, ipAttribution=)]
    2018-06-29 xuyong532
  3. [GetPortalCommentsPageByObjectIdResponse(id=951742, encodeId=6bc0951e4244, content=很好感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4685379051, createdName=ms1000002046670003, createdTime=Sun Mar 28 08:12:04 CST 2021, time=2021-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1670094, encodeId=ec5c16e0094fb, content=<a href='/topic/show?id=809ce0322c0' target=_blank style='color:#2F92EE;'>#留置#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70322, encryptionId=809ce0322c0, topicName=留置)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=532e26580241, createdName=xuyong532, createdTime=Fri Jun 29 10:15:00 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266084, encodeId=3269266084d5, content=谢谢.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Sat Dec 02 06:37:32 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540650, encodeId=71831540650f1, content=<a href='/topic/show?id=6019e03279f' target=_blank style='color:#2F92EE;'>#留置针#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70327, encryptionId=6019e03279f, topicName=留置针)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cafc13278755, createdName=chshh81, createdTime=Fri Dec 01 16:15:00 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265567, encodeId=210726556e24, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Thu Nov 30 08:50:26 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265559, encodeId=758f265559a6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Nov 30 08:42:41 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265485, encodeId=f5d12654850f, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Thu Nov 30 05:51:39 CST 2017, time=2017-11-30, status=1, ipAttribution=)]
    2017-12-02 Drhzm308

    谢谢.学习了

    0

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    2017-12-01 chshh81
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    2017-11-30 orangesking

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=951742, encodeId=6bc0951e4244, content=很好感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4685379051, createdName=ms1000002046670003, createdTime=Sun Mar 28 08:12:04 CST 2021, time=2021-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1670094, encodeId=ec5c16e0094fb, content=<a href='/topic/show?id=809ce0322c0' target=_blank style='color:#2F92EE;'>#留置#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70322, encryptionId=809ce0322c0, topicName=留置)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=532e26580241, createdName=xuyong532, createdTime=Fri Jun 29 10:15:00 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266084, encodeId=3269266084d5, content=谢谢.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Sat Dec 02 06:37:32 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540650, encodeId=71831540650f1, content=<a href='/topic/show?id=6019e03279f' target=_blank style='color:#2F92EE;'>#留置针#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70327, encryptionId=6019e03279f, topicName=留置针)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cafc13278755, createdName=chshh81, createdTime=Fri Dec 01 16:15:00 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265567, encodeId=210726556e24, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Thu Nov 30 08:50:26 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265559, encodeId=758f265559a6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Nov 30 08:42:41 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265485, encodeId=f5d12654850f, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Thu Nov 30 05:51:39 CST 2017, time=2017-11-30, status=1, ipAttribution=)]
    2017-11-30 中医痴

    不错的.学习了.谢谢分享!

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=951742, encodeId=6bc0951e4244, content=很好感谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d4685379051, createdName=ms1000002046670003, createdTime=Sun Mar 28 08:12:04 CST 2021, time=2021-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1670094, encodeId=ec5c16e0094fb, content=<a href='/topic/show?id=809ce0322c0' target=_blank style='color:#2F92EE;'>#留置#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70322, encryptionId=809ce0322c0, topicName=留置)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=532e26580241, createdName=xuyong532, createdTime=Fri Jun 29 10:15:00 CST 2018, time=2018-06-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=266084, encodeId=3269266084d5, content=谢谢.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ad4c106013, createdName=Drhzm308, createdTime=Sat Dec 02 06:37:32 CST 2017, time=2017-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540650, encodeId=71831540650f1, content=<a href='/topic/show?id=6019e03279f' target=_blank style='color:#2F92EE;'>#留置针#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70327, encryptionId=6019e03279f, topicName=留置针)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cafc13278755, createdName=chshh81, createdTime=Fri Dec 01 16:15:00 CST 2017, time=2017-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265567, encodeId=210726556e24, content=好, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0aa31415219, createdName=orangesking, createdTime=Thu Nov 30 08:50:26 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265559, encodeId=758f265559a6, content=不错的.学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Nov 30 08:42:41 CST 2017, time=2017-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=265485, encodeId=f5d12654850f, content=好好好好好好好好, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/29/bbc5cc0eed9b8d17623d2fd49dbdf19a.jpg, createdBy=79522135794, createdName=yjs木玉, createdTime=Thu Nov 30 05:51:39 CST 2017, time=2017-11-30, status=1, ipAttribution=)]
    2017-11-30 yjs木玉

    好好好好好好好好

    0

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