周围输注的诺阿基内林对减少中静脉导管利用率的影响
Sara M Powell1,2, Andrew C Faust1,2, Stephy George1,2
1Department of Pharmacy (Drs Powell, Faust, and George) and Infusion Support Team, Department of Nursing (Mr Townsend and Ms Eubank), Texas Health Presbyterian Hospital Dallas, Dallas, Texas; Sound Physician Group, Pulmonary/Critical Care Medicine, Dallas, Texas (Dr Kim).
概括
在许多患者中,外围上腺素输液可以安全地避免中央静脉导管的放置,从而降低成本和并发症. 这种方法支持及时复苏,应考虑初始血管压缩剂治疗.
科学领域:
- 临界护理医学 临界护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 中心静脉导管通常需要用于血管压缩剂的管理.
- 中心静脉导管治疗带有并发症的风险.
- 目前正在探索用于血管压缩剂治疗的替代输液点.
研究的目的:
- 为了评估外周给药的上腺素的安全性和有效性.
- 为了确定避免中央静脉导管插入的速度.
- 评估外围上腺素输注的经济影响.
主要方法:
- 对124名接受诺亚上腺的患者进行了回顾性研究.
- 周围静脉注射 (IV) 和中央导管注射之间的比较.
- 主要结果分析:需要中央静脉通道.
主要成果:
- 37%的接受外围上腺素治疗的患者避免了中央导管的安置.
- 周围输液与节省8,900美元的成本有关.
- 82%的患者需要12小时或更短的周围诺阿基尼林.
- 随着外周输液,没有发生局部并发症或扩散.
结论:
- 周围给药的诺阿基因弗林在选定的患者中是安全有效的.
- 周围输液可以减少对中央静脉通道的需求.
- 应考虑初始外周给药的诺阿皮内林,以优化患者的护理.
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
224
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,...
224
01:26Cardiac Catheterization IV: Nursing Management
73
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
73
01:28Cardiac Catheterization I: Pre-Procedure Overview
72
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
72
01:21Cardiac Catheterization II: Right Heart Catheterization
55
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
55
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
479
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
479