评估和管理与外围插入中央导管患者的医学粘合剂相关的皮肤损伤:一个案例系列
Catherine Ratliff1,2,3,4, Andrew Barton1,2,3,4, Jan Hitchcock1,2,3,4
1Catherine Ratliff, PhD, GNP-BC, CWOCN, CFCN, FAAN, University of Virginia Health System, Charlottesville, Virginia.
概括
医学粘合剂相关的皮肤损伤 (MARSIs) 是常见的,可以预防的. 本案例系列强调了专家评估和管理如何解决MARSI,同时保持必要的医疗设备,如外围插入的中央导管 (PICC).
科学领域:
- 医学皮肤病医学皮肤病学
- 护理实践的护理实践
- 患者安全 患者安全
背景情况:
- 医疗粘合剂相关的皮肤损伤 (MARSIs) 是与医疗器械相关的常见不良事件.
- 尽管采取了预防策略,但MARSI事件仍然存在,需要个性化患者护理.
- MARSI涵盖了医疗粘合剂使用引起的各种皮肤疾病.
研究的目的:
- 描述三个涉及MARSI的病例.
- 为了说明外围插入中央导管 (PICC) 的患者中MARSI的评估和管理.
- 展示MARSI框架如何指导护理,潜在地保护设备完整性和治疗.
主要方法:
- 案例研究方法详细介绍了三个不同的患者场景.
- 专注于皮肤损伤发生在PICC线路的带下.
- 涉及专业护士的评估和管理,包括血管接入团队.
主要成果:
- 案例1:在患有并发症的老年患者身上治疗皮肤撕裂.
- 案例2:在PICC敷料下评估和护理刺激性接触性皮肤炎.
- 案例1和2证明了成功的MARSI管理,允许PICC维护和治疗继续.
结论:
- MARSI是一个临床上重要的构造,用于理解与医疗粘合剂相关的皮肤问题.
- 马尔西框架有助于评估和管理皮肤损伤.
- 正如案例1和2所示,有效的MARSI管理可以保护关键医疗器械和正在进行的患者治疗.
更多相关视频
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
106
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,...
106
Burn Injuries
2.4K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.4K
Clinical Applications of Epidermal Stem Cells
2.7K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.7K


