中央线路依赖性:癌症成年患者正常盐水冲洗的管理
Grace Baek1, Phuong Huynh2, Terri Cunningham2
1Fred Hutchinson Cancer Center.
Clinical journal of oncology nursing
|June 2, 2023
概括
正常的盐水 (NS) 冲洗在维持中静脉导管 (CVC) 穿透性方面与肝素同样有效,在成人癌症患者中. 这种切换解决了安全问题,并为机构提供了节省.
科学领域:
- 在瘤学瘤学.
- 血管接入装置 血管接入装置
- 药理学 药理学是指药理学的学科.
背景情况:
- 中枢静脉导管 (CVC) 对于癌症患者的护理至关重要,包括化疗和输血.
- 氨酸一直是标准的冲洗,但存在对并发症的担忧.
- 正常盐水 (NS) 在一些研究中显示出可比的疗效,需要进一步调查.
研究的目的:
- 为了评估从肝素切换到NS冲洗对CVC通透性的影响.
- 为了分析组织等离子体激活剂 (tPA) 用于心血管闭塞的变化.
- 为了评估NS的成本效益和安全性,与 ambulatory癌症患者的肝素冲洗相比.
主要方法:
- 在制度政策变化之前和之后对患者数据的回顾性分析.
- 包括患有港口和其他CVC的患者.
- 对TPA用于CVC维护的使用率进行比较.
主要成果:
- 非港口的CVC在政策前和政策后显示了类似的tPA使用率.
- 港口经历了政策后的tPA使用率的增加.
- 这一政策的改变使得机构节省了28,695.92美元的成本.
结论:
- 正常的盐水冲洗在港口和其他CVC中保持通透性方面与肝素一样有效.
- 切换到NS解决了与肝素相关的安全问题.
- 在成人癌症门诊患者中,NS提供了一种安全且具有成本效益的CVC维护替代方案.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
232
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
232
Aneurysm IV: Nursing Management
11
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
11
Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16
Hemodialysis III: Nursing Management
52
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
52
Peritoneal Dialysis III: Nursing Management
55
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
55
Kidney Transplant III: Nursing Management
41
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
41


