Invasive blood pressure monitoring procedures

1.Mushure mekubudirira kwe catheterization, chengetedza ganda panzvimbo yepuncture yakaoma, yakachena uye isina kubuda ropa.Tsiva 1 nguva zuva nezuva shandisa, pane kubuda ropa chero nguva kutsiva disinfection chero nguva.

2.Simbisa kutariswa kwekiriniki uye kutarisa tembiricha yemuviri ka4 pazuva.Kana murwere ane kupisa kwakanyanya, kutonhora, kunofanira kunge kuri kutsvaga panguva yakakodzera kunobva utachiona.Kana zvichidikanwa, tsika yechubhu kana tsika yeropa inotorwa kubatsira kuongororwa, uye mishonga inorwisa mabhakitiriya inofanira kushandiswa nemazvo.

3.Iyo catheter haifaniri kuiswa kwenguva yakareba, uye catheter inofanira kubviswa pakarepo kana pane zviratidzo zvehutachiona.Mumamiriro ezvinhu akajairwa, sensor yeropa yeropa inofanirwa kuchengetwa kweanopfuura maawa makumi manomwe nemaviri uye yakareba vhiki imwe.Kana zvakakodzera kuenderera mberi.nzvimbo yekuyera yekumanikidza inofanira kutsiviwa.

4.Tsiva heparin diluent inobatanidza machubhu mazuva ese.Kudzivirira intraductal thrombosis.

5. Nyatsocherechedza kana ruvara uye tembiricha yeganda riri kure renzvimbo yekubaya arterial haina kujairika.Kana kuwedzererwa kwemvura kunowanikwa, nzvimbo yepuncture inofanira kuburitswa kunze nekukasira, uye 50% magnesium sulfate inofanirwa kunyorova yakaiswa kune yakatsvuka uye yakazvimba nzvimbo, uye infrared therapy inogona zvakare kuvezwa.

6. Kubuda ropa kwenzvimbo uye hematoma : (1) kana puncture ikakundikana uye tsono yaburitswa kunze, nzvimbo yenzvimbo inogona kuvharwa ne gauze ball uye yakafara adhesive tepi pasi pekumanikidzwa. iyo yepakati yekumanikidza dressing inofanira kuiswa panzvimbo yetsono yeropa. mudziyo, uye nzvimbo yenzvimbo inofanira kubviswa mushure memaminitsi makumi matatu ekumanikidza kupfeka kana zvichidikanwa.(2) Pashure pokuvhiyiwa.murwere akakumbirwa kuchengeta makumbo akananga padivi rekushanda.uye teerera kukucherechedza kwemunharaunda kana murwere ane mabasa munguva pfupi kudzivirira kubuda ropa.Hematoma inogona kuva 50% magnesium sulfate wet compress kana spectral instrument yemunharaunda irradiation tsono uye test tube inofanira kugadziriswa zvakasimba, kunyanya kana murwere akatsamwa, inofanira kudzivirira zvakasimba kubuda kwavo. yakabatana kudzivirira kubuda ropa mushure mekubviswa.

7. Distal limb ischemia:

(1) Kutenderera kwechibatiso chetsinga inopinza inofanira kusimbiswa isati yavhiyiwa, uye kubaya kunofanira kudziviswa kana tsinga yacho ine maronda.

(2) Sarudza zvakakodzera puncture tsono, kazhinji 14-20g catheter vakuru uye 22-24g catheter vana.Usave wakakora uye uzvishandise kakawanda.

(3) Chengetedza kuita kwakanaka kweiyo tee kuve nechokwadi chekudonha kweheparin yakajairika saline;Kazhinji, pese panoburitswa ropa remutsinga, rinofanirwa kugezwa nekukurumidza nesaline yeheparin kudzivirira kugwamba.Mukuita kwekupimwa kwekumanikidza.kuunganidzwa kweropa sampuli kana zero kugadziridzwa, zvinodikanwa kudzivirira zvakanyanya intravascular air embolism.

(4) Kana iyo yekumanikidza curve pamonitor isingaite, chikonzero chinofanira kuwanikwa.Kana paine ropa rakavharwa mupombi, rinofanira kubviswa nenguva.Usasundidzira ropa kuvhara mukati kudzivirira arterial embolism.

(5) Nyatsocherechedza ruvara uye tembiricha yeganda rekureba rerutivi rwekuvhiya, uye utarise zvine simba kuyerera kweropa reruoko kuburikidza neropa oxygen saturation ye ipsilateral chigunwe.Extubation inofanira kunge iri panguva kana shanduko isina kujairika yezviratidzo zveischemia senge ganda rakachenuruka, kudonha kwekushisa, kusanzwa uye kurwadziwa.

(6) Kana mitezo yakagadziriswa, usaiputire nemhete kana kuiputira zvakanyanya.

(7) Nguva ye arterial catheterization yakanyatsobatanidzwa ne thrombosis.Mushure mekunge basa rekutenderera kwemurwere ragadzikana, catheter inofanira kubviswa nenguva, kazhinji isingapfuuri mazuva manomwe.