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PICCTeachingRoomCheckPPTCourseware2023-12-31contents目錄PICCIntroductionPICCinsertiontechnologyPICCrelatedapplicationsandtheirmanagementMaintenanceandupkeepofPICCPICC'sOutlookandFutureDevelopmentPICCIntroduction01CATALOGUEPICCstandsforPeripherallyInsertedCentralCatheter,whichisaCatheterthatisinsertedintoaperipheralveinandadvancedintothecentralveinsItiscommonlyusedforlongtermvenousaccessinpatientswhorequirefrequentblooddraws,medicaldelivery,orparentalnutritionThecatalystistypicallyinsertedbyatrainedhealthcareproviderinahospitalorclinicsettingPICCdefinition單擊此處添加正文,文字是您思想的提一一二三四五六七八九一二三四五六七八九一二三四五六七八九文,單擊此處添加正文,文字是您思想的提煉,為了最終呈現(xiàn)發(fā)布的良好效果單擊此4*25}Today,PICCsarewidelyusedinavarietyofclinicalsettings,includingoncology,criticalcare,andhomehealthcareOvertheyears,PICCtechnologyhasevolved,leadingtothedevelopmentofnewmaterialsanddesignsthatimprovecatalystdurabilityandreducetheriskofcomplicationsTheHistoryandDevelopmentofPICCThereareseveraltypesofPICCs,includingthesinglelumencatalyst,duallumencatalyst,andtriplelumencatalystEachtypehasitsspecificusesbasedonthepatient'sneedsandthetypeoftreatmentrequiredForexample,asinglealuminumcatalystiscommonlyusedformedicaldelivery,whileadualaluminumcatalystcanbeusedforblooddrawsandmedicaldeliverysimultaneouslyThechoiceofPICCtypedependsonthepatient'sclinicalcondition,treatmentplan,andprovider'spreferenceTypesandusesofPICCPICCinsertiontechnology02CATALOGUEIndicationsPICCissuitableforpatientswhorequiremediumtolong-termintravenousinfusiontherapy,suchastumorchemotherapy,parenteralnutrition,andinfusiontherapyforelderlypatients.ContainmentsPatientswithcoagulationdisorders,vasculardiseases,infections,etc.arenotsuitableforPICCcatheterization.IndicationsandcontraindicationsPatientevaluation01Evaluatethepatient'scondition,vascularconditions,andhistoryofallergies.Itempreparation02PreparePICCcatheters,sterilegloves,disinfectant,steriledressings,etc.Patientinformedconsent03Explainthepurpose,risks,andprecautionsofcatheterizationtothepatientandtheirfamily,andsignaninformedconsentform.PreparationbeforetubeplacementVascularselection:Choosetheappropriatevessel,usuallythecubitalmedianvein,basilicvein,orcephalicvein.Skindisinfection:Strictlydisinfecttheskinofthepuncturesite.Layingtowels:Laysteriletowelsandprepareforcatheterinsertion.Catheterplacement:Insertthecatheterintotheselectedbloodvessel,ensuringthatthecatheterispositionedcorrectlyandsecured.X-rayexamination:ConfirmthepositionofthecatheterandperformX-rayexaminationifnecessary.0102030405Processoftubeplacementtechnology03ComplicationmanagementIncaseofinfection,thrombosis,catheterdamage,etc.,timelytreatmentshouldbetaken.01DressingreplacementRegularlyreplacethedressingandkeepthepuncturesitecleananddry.02FlushingandsealingImmediatelyflushandsealthetubeaftereachusetopreventthrombosis.PostcatalysiscarePICCrelatedapplicationsandtheirmanagement03CATALOGUEPhlebitisSummary:Phlebitis,alsoknownasphlebitis,isoneofthecommoncomplicationsafterPICCcatheterization,usuallymanifestedassymptomssuchasredness,swelling,heat,andpaininthearmonthecatheterizationside.Detaileddescription:TheoccurrenceofPhlebitismayberelatedtovariousfactors,suchascathetermaterial,catheterizationtechnique,patient'sownvascularconditions,etc.ForthemanagementofPhlebitis,measuressuchaslocalhotcompress,liftingtheaffectedlimb,andavoidingvigorousexercisearegenerallyadopted.Inseverecases,thecatheterneedstoberemovedandanti-inflammatorytreatmentshouldbeperformed.SummaryThrombosis,alsoknownasthrombosis,isoneofthepossiblecomplicationsafterPICCcatheterization.DetaileddescriptionTheoccurrenceofThrombosismayberelatedtofactorssuchasslowbloodflowandendothelialdamage.Patientsmayexperiencesymptomssuchasarmswellingandpain.ForthemanagementofThrombosis,measuressuchasanticoagulanttherapyandthrombolytictherapyaregenerallyadopted,andinseverecases,thecatheterneedstoberemoved.ThrombosisSummary:Conduitrupture,alsoknownascatheterrupture,isoneofthemoreseriouscomplicationsafterPICCcatheterization.Detaileddescription:TheoccurrenceofConduitfailuremayberelatedtofactorssuchascathetermaterial,catheterizationtechnique,andpatient'sownfactors.Thebrokenpartofthecathetermayremaininsidethebloodvessel,leadingtoseriousconsequencessuchasthrombosisandvasculardamage.ForthemanagementofConduitobstruction,itisgenerallynecessarytoimmediatelyremovethecatheterandundergocorrespondingsurgicaltreatment.ConduitcorruptionCatheterdisplacementordetachment,alsoknownascatheterdisplacementordetachment,isoneofthepossiblecomplicationsafterPICCcatheterization.SummaryTheoccurrenceofcatheterplacementordetachmentmayberelatedtofactorssuchasexcessivepatientactivityandunstablecatheterfixation.ForthemanagementofCatheterPlacementorDetachment,itisgenerallynecessarytoimmediatelyrepositionorremovethecatheterandtakeappropriatemeasures.DetaileddescriptionCatheterdisplayordetachmentMaintenanceandupkeepofPICC04CATALOGUESummary:IntheprocessofmaintainingPICC,flushingandsealingthepipelinearekeystepstoensurethenormaloperationandsafeuseofthepipeline.Detaileddescription:RegularlyflushthePICCpipelinewithphysiologicalsalineorheparinsalinetoremoveblood,medication,andotherresiduesinsidethepipeline.Duringtheflushingprocess,makesuretouseappropriatepressuretoavoiddamagetothebloodvesselwall.Afterrinsing,sealthepipeendswithsteriledressingsorgauzetopreventtheentryofbacteriaanddust.FlushingandsealingpipesReplacementandremovalofcatalystsSummary:WhenreplacingorremovingPICCcatheters,strictmedicalproceduresshouldbefollowedtoensurethesafetyofthecathetersandpatientcomfort.Detaileddescription:Beforereplacingorremovingthecatheter,thepatient'sconditionandtheuseofthecathetershouldbeevaluatedfirst.Ensurethatthecatheterisnotdamaged,blocked,orinfected.Whenreplacingthecatheter,steriletechniquesshouldbeusedandthedepthofcatheterinsertionshouldbeensuredtobeappropriate.Whenremovingthecatheter,itshouldbeslowlyandgentlypulledouttoavoiddamagetothebloodvesselwall.Summary:DailymaintenanceandupkeepofPICCconduitsarecrucialformaintainingtheirsafetyandeffectiveness.Detaileddescription:Checkthefixationofthecathetereverydaytoensureitscorrectpositionandfirmfixation,andtopreventcatheterdisplacementordetachment.Regularlycheckthepatencyofthecathetertoensurethereisnoblockageorthrombosis.Keepthecathetercleananddry,avoidingcontactwithwaterorotherpollutants.Regularlyreplacedressingsandtapetoensurethecleanlinessandsafetyofthecatheter.DailymaintenanceandupkeepofcatalystsPICC'sOutlookandFutureDevelopment05CATALOGUEWiththeadvancementofmedicaltechnology,theapplicationareasofPICCinclinicalpracticewillbefurtherexpanded,especiallyinhigh-riskareassuchastumorsandcardiovasculardiseases,providingpatientswithsaferandmoreeffectivetreatmentmethods.ExpandingapplicationareasInthefuture,PICCtechnologywillbecomemoreprecise,achievingprecisepositioningandimplantationthroughadvancedimagingtechnologyandalgorithms,reducingcomplicationsandsurgicalrisks.ImprovingaccuracyTheapplicationprospectsofPICCinclinicalpracticeResearchprogressinPICCnewmaterialsandtechnologies
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