To summarize the nursing experience of a patient with grade Ⅳ phlebitis caused by nicardipine injection pumped intravenously through peripheral venous indent needle after cerebral artery stenting for acute cerebral i...To summarize the nursing experience of a patient with grade Ⅳ phlebitis caused by nicardipine injection pumped intravenously through peripheral venous indent needle after cerebral artery stenting for acute cerebral infarction. The nursing experience was summarized from the causes analysis of phlebitis and the specification of nicardipine injection. After treatment of phlebitis and intravenous pumping of nicardipine injection again, the patient was discharged after 14 days in hospital.展开更多
Objective:To observe the intervention effect of clinical nursing pathway on patients receiving intravenous therapy via peripheral mid-long catheters.Methods:Ninety patients receiving intravenous therapy via mid-long c...Objective:To observe the intervention effect of clinical nursing pathway on patients receiving intravenous therapy via peripheral mid-long catheters.Methods:Ninety patients receiving intravenous therapy via mid-long catheters in the hospital from March 2024 to March 2025 were selected and randomly divided into a control group and an observation group,with 45 patients in each group.The control group received routine nursing intervention,while the observation group received clinical nursing pathway intervention.The nursing risk events,catheter indwelling time,and nursing satisfaction were evaluated in both groups.Results:The observation group had a shorter catheter indwelling time,fewer risk events during intravenous therapy(total incidence rate of 2.22%),and higher nursing satisfaction.Additionally,negative emotional feedback was reduced,and the SAS score(31.02±1.12)was lower in the observation group compared to the control group.There were significant differences between the two groups in all indicators(P<0.05).Conclusion:Applying the clinical nursing pathway during intravenous therapy via peripheral mid-long catheters can help ensure infusion safety,improve unstable emotional states,and promote high-quality service standards.展开更多
Objective: to investigate the expression of Umbilical vein catheterization in premature infants. The nursing effect of UVC was studied and analyzed. Methods: analysis in November 2020 to October 2021 income children w...Objective: to investigate the expression of Umbilical vein catheterization in premature infants. The nursing effect of UVC was studied and analyzed. Methods: analysis in November 2020 to October 2021 income children with neonatal intensive care unit in our data, aim for 88 cases of premature infants screening study standard implementation of contrast experiment, with income time difference can be divided into control group 29 cases, 59 cases of study group, and in its treatment, respectively, in the process of implementation of peripheral venous indwelling surgery nursing, UVC. The incidence of nosocomial infection and complications, weight gain and length of stay were used as evaluation indexes to analyze the nursing effect. Results: compared with the incidence of nosocomial infection, complications and length of stay, the level of indicators in the study group was lower than that in the control group, and the differences in indicators were statistically significant (P<0.05). Compared with the weight gain of children, the index level of the study group was higher than that of the control group, and the differences in the indexes were statistically significant (P<0.05). Conclusion: UVC nursing is a simple and safe nursing treatment technology. When applied in the treatment of premature infants, the weight gain of infants is more ideal, and the risk of infection and complications can be reduced while promoting their early discharge, which has further promotion and application value.展开更多
Objective: To replace the peripheral venous puncture for blood sampling with taking blood samples extracorporally from arterial line before predilution during RCA-CRRT performed. Methods: A new type of double-lumen fe...Objective: To replace the peripheral venous puncture for blood sampling with taking blood samples extracorporally from arterial line before predilution during RCA-CRRT performed. Methods: A new type of double-lumen femoral catheter was used instead of the current tubes. The new type of double-lumen tube had a greater distance from the inner venous ports to the inner arterial ports than current tubes. The minimum distance from the venous port to the arterial port was greatly lengthened. Replacement solution contained citrate, zero Ca<sup>2+</sup>, zero bicarbonate, low Na<sup>+</sup>. Blood samples were synchronously collected from the arterial line before the infusion of citrate replacement fluid and from the peripheral vein. The iCa concentration data of two groups were analyzed to observe the difference between iCa concentration levels in the arterial line and in peripheral vein;the anticoagulant effect of RCA and possible complications were observed, such as bleeding, clottings and hypocalcaemia. Results: 28 times of RCA-CRRT were performed on17 AKI and CRF patients with active bleeding or at the high risk of bleeding;336 blood samples were collected. Statistics showed that the difference of iCa concentration between arterial line group and the peripheral vein group was not significant (P = 0.9), there is a high degree of similarity between the iCa concentration of arterial line blood and the peripheral venous blood. None of the patients developed citrate toxicity or metabolic alkalosis. None induced bleeding, or bleeding aggravated. No obvious clotting occurred. Systemic calcium concentration was achieved in the ideal range. Conclusion: In clinical practice, the data of iCa concentration from arterial line can be used to replace that from peripheral vein when the new type of double-lumen femoral catheter is placed in femoral vein. RCA-CRRT therapy is safe and effective.展开更多
文摘To summarize the nursing experience of a patient with grade Ⅳ phlebitis caused by nicardipine injection pumped intravenously through peripheral venous indent needle after cerebral artery stenting for acute cerebral infarction. The nursing experience was summarized from the causes analysis of phlebitis and the specification of nicardipine injection. After treatment of phlebitis and intravenous pumping of nicardipine injection again, the patient was discharged after 14 days in hospital.
文摘Objective:To observe the intervention effect of clinical nursing pathway on patients receiving intravenous therapy via peripheral mid-long catheters.Methods:Ninety patients receiving intravenous therapy via mid-long catheters in the hospital from March 2024 to March 2025 were selected and randomly divided into a control group and an observation group,with 45 patients in each group.The control group received routine nursing intervention,while the observation group received clinical nursing pathway intervention.The nursing risk events,catheter indwelling time,and nursing satisfaction were evaluated in both groups.Results:The observation group had a shorter catheter indwelling time,fewer risk events during intravenous therapy(total incidence rate of 2.22%),and higher nursing satisfaction.Additionally,negative emotional feedback was reduced,and the SAS score(31.02±1.12)was lower in the observation group compared to the control group.There were significant differences between the two groups in all indicators(P<0.05).Conclusion:Applying the clinical nursing pathway during intravenous therapy via peripheral mid-long catheters can help ensure infusion safety,improve unstable emotional states,and promote high-quality service standards.
文摘Objective: to investigate the expression of Umbilical vein catheterization in premature infants. The nursing effect of UVC was studied and analyzed. Methods: analysis in November 2020 to October 2021 income children with neonatal intensive care unit in our data, aim for 88 cases of premature infants screening study standard implementation of contrast experiment, with income time difference can be divided into control group 29 cases, 59 cases of study group, and in its treatment, respectively, in the process of implementation of peripheral venous indwelling surgery nursing, UVC. The incidence of nosocomial infection and complications, weight gain and length of stay were used as evaluation indexes to analyze the nursing effect. Results: compared with the incidence of nosocomial infection, complications and length of stay, the level of indicators in the study group was lower than that in the control group, and the differences in indicators were statistically significant (P<0.05). Compared with the weight gain of children, the index level of the study group was higher than that of the control group, and the differences in the indexes were statistically significant (P<0.05). Conclusion: UVC nursing is a simple and safe nursing treatment technology. When applied in the treatment of premature infants, the weight gain of infants is more ideal, and the risk of infection and complications can be reduced while promoting their early discharge, which has further promotion and application value.
文摘Objective: To replace the peripheral venous puncture for blood sampling with taking blood samples extracorporally from arterial line before predilution during RCA-CRRT performed. Methods: A new type of double-lumen femoral catheter was used instead of the current tubes. The new type of double-lumen tube had a greater distance from the inner venous ports to the inner arterial ports than current tubes. The minimum distance from the venous port to the arterial port was greatly lengthened. Replacement solution contained citrate, zero Ca<sup>2+</sup>, zero bicarbonate, low Na<sup>+</sup>. Blood samples were synchronously collected from the arterial line before the infusion of citrate replacement fluid and from the peripheral vein. The iCa concentration data of two groups were analyzed to observe the difference between iCa concentration levels in the arterial line and in peripheral vein;the anticoagulant effect of RCA and possible complications were observed, such as bleeding, clottings and hypocalcaemia. Results: 28 times of RCA-CRRT were performed on17 AKI and CRF patients with active bleeding or at the high risk of bleeding;336 blood samples were collected. Statistics showed that the difference of iCa concentration between arterial line group and the peripheral vein group was not significant (P = 0.9), there is a high degree of similarity between the iCa concentration of arterial line blood and the peripheral venous blood. None of the patients developed citrate toxicity or metabolic alkalosis. None induced bleeding, or bleeding aggravated. No obvious clotting occurred. Systemic calcium concentration was achieved in the ideal range. Conclusion: In clinical practice, the data of iCa concentration from arterial line can be used to replace that from peripheral vein when the new type of double-lumen femoral catheter is placed in femoral vein. RCA-CRRT therapy is safe and effective.
