(完整word版)100项护理安全隐患及防范措施.pdf

1 100 项护理安全隐患林州市第二人民医院护理部二 00 九年十二月精品资料-欢迎下载-欢迎下载 名师归纳-第 1 页，共 28 页 -2 100 项护理安全隐患协助患者进食、水中易出现的问题1、饮水呛咳防范措施：喂水时注意速度不可过快且每次少量喂食。喂水时注意观察患者的反应，发现呛咳立即将头偏向一侧，以免误入呼吸道。对于频繁发生呛咳的患者，护士应提示医生留置胃管。2、吞咽困难防范措施：喂食速度宜慢且少量，确认病人已吞咽再继续。给予患者便于吞咽的食物。嗜睡的患者喂食时必须把病人完全叫醒，喂食后确认口中无食物方可离开。进食时注意与患者沟通并密切观察患者反应，如发生吞咽困难，应立即停止进食并取出口中食物，将头偏向一侧。吸氧中易出现的问题3、气压伤防范措施：先调节好氧流量再将吸氧管插入患者鼻孔。改变氧流量时先将导管撤出，待调节好后再插入导管。4、氧中毒精品资料-欢迎下载-欢迎下载 名师归纳-第 2 页，共 28 页 -文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S4文档编码:CF5U9H8U2Q10 HG8D5R2N6W8 ZW2Q7H7P2S43 防范措施：根据医嘱正确调节氧流量。高流量吸氧时应注意吸入时间不宜过长。定期检查氧流量表是否准确。5、管道脱落防范措施：使用双腔吸氧管，以便于固定。经常巡视吸氧患者，发现管道脱落及时插好、固定。清醒病人嘱其不要自行拿下吸氧管。口服药发放中常见的问题6、同病室的人交叉发药错发防范措施：严格三查七对，发药时叫病人至答应为止。不得一次拿两个以上药杯进病房给病人，须将药车推至病床旁一对一发放。每个药杯上面须有贴着醒目床号的药盖，不得遗漏。口服药应由双人核对后由其中一人发放。7、药物剂量有误防范措施：正确抄写口服卡。核对药物时要认真，避免边核对边说笑，禁忌单人核对。避免思维定势，个别病人所服药物剂量比常规剂量多或者少，不能按常规量发放。（如开博通每片12.5mg,有些患者服 6.25mg,不能按常规给予一片。）有些药物剂量发生改变时，外勤护士应及时通知大家，提起注意。精品资料-欢迎下载-欢迎下载 名师归纳-第 3 页，共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 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有的一种药物两种剂量，要核对清楚，心中有数。8、漏发（多为病人不在）防范措施：准备一个卡片，病人未在时床号、姓名要登记。对班二人互相提醒，病人回房时及时发放。如本班未发放则严格向下一班交班。9、重发（多为定点药物）防范措施：建立定点药物发放登记本，发药前及时填写。发药前填写药袋，发药时须携带执行卡及药袋。分工明确，认真执行各班岗位职责。10、药品失效防范措施：发药前检查药物的有效期。检查片剂药品有无变色、变质。检查水剂、油剂有无混浊、沉淀、变色。11、发药后未及时服用防范措施：向患者讲解按时服药的重要性。发药后督促患者按时服药，待患者服药后方可离开。下次发药前检查患者是否已经服药。12、服药方法不正确防范措施：向患者讲解服用药物的药理作用及注意事项。护士发药时要正确指导患者并服药到口。精品资料-欢迎下载-欢迎下载 名师归纳-第 4 页，共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N45 肌肉注射易出现的问题13、注射部位不当防范措施：协助病人取正确体位。准确选择注射部位。对于体型消瘦的病人进针不宜过深。小儿应选择臀小肌注射。14、注射部位出血防范措施：注射时应避开大血管。推注药液前抽吸有无回血。注射后按压注射部位时间不可过短。凝血功能差者按压时间应延长。15、注射部位硬结防范措施：注射时要避开原有硬结。如需长期注射时要多部位交替注射。特殊药物要深部注射，如氯丙嗪、油剂、铁剂、硫酸镁等。每次注射前检查注射部位情况，如有异常及时处理。每日热敷注射部位。16、注射部位感染防范措施：注射时严格执行无菌技术操作规程。不易吸收的药物应深部注射，防止吸收不良引起感染。每日热敷过程中需保持清洁。精品资料-欢迎下载-欢迎下载 名师归纳-第 5 页，共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N46 静脉输液易出现的问题17、液体配错：临床上易混淆的药物及液体，如糖盐易混，氯化钾与碳酸氢钠易混，硫酸镁与浓氯化钠易混，氯化钾与氯化钠易混。防范措施：坚持三班查对制度，即治疗班摆药，夜班查对，治疗班再核对。配液要仔细核对药物和液体名称及剂量，避免主观凭印象操作。输液及换液前再仔细进行核对。18、漏输防范措施：认真做好三查七对。治疗室液体摆放要井然有序、一目了然。严格执行交接班制度。19、输液反应防范措施：严格执行无菌技术操作规程。配液前检查药品及液体有无过期，液体有无混浊及沉淀。瓶身有无裂痕及瓶口有无松动。治疗班严格消毒输液用具，定期更换。严格控制配液时间（现用现配）。连续性输液超过24 小时必须更换输液管路。引液用的输液管不能长时间放置。掌握药物配伍禁忌。如出现输液反应立即更换液体及输液管路并保留所用药物，以备送检。20、静脉炎防范措施：了解药物对静脉的刺激程度，刺激性强的药物，如：果糖、氯化钾、多巴胺、阿拉明、前列腺素E1 等药物，可采取减慢滴速，热敷等精品资料-欢迎下载-欢迎下载 名师归纳-第 6 页，共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N47 方法。了解患者是否患过静脉炎，有无糖尿病史等。严格消毒，连续输液超过24 小时必须更换输液管路。注意观察穿刺点有无静脉走行发红的迹象，如有异常及时更换输液部位。21、液体外渗防范措施：加强巡视，及时发现。头皮针、套管针、中心静脉导管应牢固固定。对血管脆性大的更应加强固定。对皮肤弹性差或有水肿的病人应与对侧肢体对比，如有变粗及时更换穿刺部位。22、液体外渗引起组织坏死防范措施：能引起组织坏死的药物，如多巴胺、阿拉明、甘露醇、化疗药等，选用较粗静脉输注，待穿刺成功，确认针头在血管内，方可给药。加强巡视，经常检查穿刺局部有无皮肤发白、肿胀等。一旦液体输到皮下，及时对症处理。23、输液速度调节不当防范措施：穿刺成功后根据输入药物性质及病人的年龄、病情、心功能情况调节好输液速度。更换液体时要注意调整滴速。药物入壶时一般将滴速调快，入壶后应注意将滴速调至要求范围。加强巡视，嘱病人不要自己调整滴速。24、输（换）错液防范措施：认真掌握自己所管病人的治疗内容，做到心中有数。精品资料-欢迎下载-欢迎下载 名师归纳-第 7 页，共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N48 严格执行三查七对制度。输（换）液前要主动向病人进行宣教。病人对液体提出疑问时应仔细核对，认真解答。25、静脉空气栓塞防范措施：输液前认真检查输液管是否排气成功，管内有无气泡。加强巡视，防止液体输空。换液时如液体输至茂菲氏滴管下方，一定要重新排气，防止只看上方，忽略下方。使用三通时要连接紧密。留置中心静脉导管的病人，更换管路时要注意防止空气进入。输液过程中，由静脉推注药物时，应先回抽再注药，防止空气进入血管。病人活动时，嘱勿将茂非氏滴管过度倾斜或倒置。26、输液管堵塞防范措施：加强巡视，防止输液管受压打折引起液体不滴。杜绝液体输空而不及时换液凝血块堵塞针头。一旦堵管应拔出针头更换输液部位，不得挤捏输液管，防止凝血块脱落引起严重后果。27、静脉选择不当防范措施：为长期输液病人穿刺应注意合理选择静脉，遵循由远端至近端的原则。输入刺激性药物时应选择较粗静脉。输入静脉高营养液时，应选择中心静脉。乳腺癌根治术后禁用患肢输液，防止回流不畅引起水肿。使用三通易出现的问题精品资料-欢迎下载-欢迎下载 名师归纳-第 8 页，共 28 页 -文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P10W8I9 ZU2P1W9O1N4文档编码:CX5K2G4J4X4 HN1J4P1