1, carefully check the medicine (drug name, concentration, dose and expiration date), check the bottle for rupture, moving the bottle to the light to check the quality of the drug, there is no flocculation, precipitation, turbidity, discoloration) fill out the infusion card.
2, the bottle on the aluminum cap center part of the open, 2% tincture of iodine, 70% alcohol sterilization stopper, if necessary, add drugs, shaking, and pay attention to the contraindications, paste the infusion card, set the net sleeve.
3, again with 2% tincture of iodine, 70% alcohol sterilization stopper, the infusion tube and ventilation tube into the stopper to the root of the needle.
4, with the use of the bedside, to explain to the patient the need for intravenous infusion, to lift its fear, in order to cooperate. Ask the patient to urinate, let the patient take a comfortable position. Prepare 3-4 pieces of adhesive tape and put them in the appropriate place.
5. Hang the infusion bottle on the rack, and fix the antiretroviral tube on the mesh sleeve.
6, check the infusion card, check the patient.
7, for exhaust, with a finger squeeze mauve tube 1/2 place, remove the protective cap of the intravenous needle head, loosen the regulator, the medicine from the intravenous needle outflow, exhaust mauve drip tube lower section of the tube of air, once again tighten the regulator, the intravenous needle head into the protective cap.
8, select the vein, under its part of the cushion small pillow, tied on the tourniquet, with 2% tincture of iodine, 70% alcohol to disinfect the skin, to be dry, the patient was asked to make a fist, so that the vein is filled.
9, remove the cap on the needle, again to the light to check for gas in the infusion tube, tighten the regulator. The left hand taut skin, the right hand holding the needle, according to the requirements of intravenous injection venous puncture. After seeing the return of blood, the needle will enter a little more, and then loosen the fist, loosen the tourniquet, and loosen the regulator. After seeing the solution drip fluent, one hand to hold the needle, one hand with adhesive tape fixed, covered with sterile gauze, limbs put in a comfortable position.
10, adjust the drip speed, according to the patient's age, condition, the nature of the drug to adjust the number of drops, generally adults 40-60 drops per minute, children 20-40 drops per minute. Cover the patient with a good blanket and pay attention to warmth.
11, such as continuous infusion and no contraindications between the drugs, carefully check and open the center part of the aluminum hot, with 2% tincture of iodine, 70% alcohol to disinfect the bottle stopper, from the first bottle out of the infusion tube, inserted into the second bottle, to be infused with fluids smooth before leaving.
12, the infusion is complete, clamp the regulator, remove the adhesive tape, use a sterile dry cotton swab to press the needle above the eye, quickly pull out the needle, press for a few moments, check again.
13, let the patient rest, organize the supplies.
Precautions
1, strict implementation of aseptic operation and checking system
2, hanging infusion card or inverted infusion bottle, directly on the bottle label to write the name, bed number and add the drug
3, before the infusion, the air in the infusion tube should be drained, the infusion process should be timely replacement of liquid bottles, the solution should be timely withdrawal before the end of the drip
needle, to prevent the air into the vein, resulting in air embolism. air into the vein, causing air embolism.
4, long-term infusion should pay attention to the protection of rational use of the vein, generally from the distal small veins.
5, special drugs and irritating drugs, such as mannitol, sorbitol, norepinephrine, antimony, can cause tissue necrosis. Should be sure that the needle has been pierced into the vein before adding or input.
6, according to the needs of the disease, there should be a plan to arrange the order of infusion, so that as soon as possible to achieve the effect of infusion.
7, the need for continuous infusion of 24h, should be replaced every day infusion tube.
8, infusion bottles need to add drugs, should be based on the principle of treatment, according to the urgent, slow and drugs in the blood to maintain the effective concentration, time and so on, to make reasonable arrangements.
9, the pediatric and coma and other uncooperative patients, local limbs need to be fixed with splints, strengthen the observation.
10, for the elderly, frail, infants and young children, cardiopulmonary disease patients, infusion rate should be slow; input hypertonic saline, potassium-containing drugs, blood pressure medication drip rate should be slow.
11, disposable infusion tube can not be reused.
12, infusion process should be strengthened patrol, close observation of infusion and patient complaints. Observe whether the needle and rubber tube leakage, needle out, blockage or displacement, whether the rubber tube is twisted, pressure, solution drops fast, slow and local skin swelling, pain.
13, exhaust method: the needle into the bottle, squeeze the tube negative pressure rise, the dropper is horizontal, fierce pouring slow down the pine.