Umugqa wokujikeleza kwemiphetho - izinsana

I-peripheral arterial line (PAL) iyi-catheter encane, emfushane, epulasitiki efakwa esikhunjeni emthanjeni wengalo noma womlenze. Abahlinzeki bezempilo kwesinye isikhathi bakubiza ngokuthi "ulayini wobuciko." Lo mbhalo ukhuluma ngama-PAL ezinganeni.

KUNGANI IPAL SISetshenziswa?

Abahlinzeki basebenzisa i-PAL ukubuka umfutho wegazi wengane yakho. I-PAL nayo ingasetshenziselwa ukuthatha amasampula egazi kaningi, kunokuba kudingeke ukuthi idonse igazi enganeni iphindelela. I-PAL ivame ukudingeka uma ingane ine:

• Isifo samaphaphu esibi futhi siphefumula
• Izinkinga zomfutho wegazi futhi zisemithini yazo
• Ukugula isikhathi eside noma ukungavuthwa okudinga ukuhlolwa kwegazi njalo
  

IBHALWA KANJANI IPAL?

Okokuqala, umhlinzeki uhlanza isikhumba sengane ngomuthi obulala amagciwane (isinqandakuvunda). Ngemuva kwalokho i-catheter encane ifakwa emthanjeni. Ngemuva kokuthi iPAL ingenile, ixhunywe esikhwameni se-IV fluid kanye nomqaphi wegazi.

YINI IZINGOZI ZE-PAL?

Izingozi zifaka:

• Ingozi enkulu kunazo zonke ukuthi i-PAL imisa igazi ukuthi lingayi ezandleni noma ezinyaweni. Ukuhlolwa ngaphambi kokubekwa kwe-PAL kungavimbela le nkinga ezimweni eziningi. Abahlengikazi be-NICU bazobheka ngokucophelela ingane yakho ngale nkinga.
• Ama-PAL anengozi enkulu yokopha kunama-IV ajwayelekile.
• Kukhona ubungozi obuncane bokutheleleka, kepha buncane kunobungozi obuvela ku-IV ejwayelekile.

I-PAL - izinsana; Ulayini wobuciko - izinsana; Ulayini we-Arterial - neonatal

• Umugqa wokujikeleza okuningiliziwe

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Izincomo zango-2017 zokusetshenziswa kokugqokwa okufakelwe i-chlorhexidine yokuvikela izifo ezihlobene ne-catheter ezifakwa ngaphakathi kwe-intravascular: isibuyekezo semihlahlandlela ka-2011 yokuvimbela izifo ezihlobene ne-catheter ezihambisana ne-intravascular ezivela eCenters for Disease Control and Prevention. www.cdc.gov/infectioncontrol/pdf/guidelines/c-i-dressings-H.pdf. Kubuyekezwe ngoJulayi 17, 2017. Kufinyelelwe kuSepthemba 26, 2019.

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Unogolantethe EK. Ukwelashwa kokuhluleka kwe-cardiorespiratory ku-neonate. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff noMartin's Neonatal-Perinatal Medicine: Izifo Zengane Nengane. Umhla ka-11. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 70.