在重症监护病房内进行抗微生物输液实践:卡巴尼姆输液的准备和注射过程中的错误
Joan Rout1, Petra Brysiewicz1, Sabiha Essack2
1School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Intensive & critical care nursing
|August 23, 2024
概括
护士对间歇性卡巴胺输液的施用往往偏离了指导方针,导致剂量不足和潜在的抗生素耐药性. 需要改进的做法,以确保正确的剂量和减少药物在制备和管理过程中的损失.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 护理实践 护理实践
背景情况:
- 在重症监护室 (ICU) 中,间歇性卡巴胺输液非常重要.
- 护士准备和管理实践的变化可能会影响治疗疗效.
- 了解这些做法对于优化抗生素输送至关重要.
研究的目的:
- 描述和分析护士准备和管理间歇性卡巴胺输注的情况.
- 为了确定输液时间,持续时间和药物输送中的差异.
- 为了评估在溶解和施用过程中的药物损失.
主要方法:
- 在三个一般ICU的观察研究.
- 记录了成年患者的卡巴烯姆输液过程.
- 测量了输液时间,持续时间,并进行了药物损失的体积分析.
主要成果:
- 观察了223次卡巴胺输注;只有60%符合输注持续时间指南.
- 在制备 (瓶子,注射器) 和施用 (输液袋,输液线) 过程中发生了显著的药物损失.
- 在输液后没有观察到一致的冲洗实践.
结论:
- 错误的注射做法导致可变的输液持续时间和剂量不足.
- 低剂量有助于抗生素耐药性选择压力.
- 间歇性抗微生物注射的标准化方案,包括线路冲洗,是必不可少的.
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