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The Causes of Common Complications after PICC Catheterization in Tumor Chemotherapy Patients and Nursing Countermeasures

Xinran Zhao

Abstract

Objective: To perform PICC catheterization in 129 hospitalized patients with chemotherapy for infusion of
chemotherapy. The clinical response of patients with PICC after catheterization is to find out the causes of
complications and to give appropriate care. This is to investigate the causes and nursing strategies of common
complications after PICC catheterization in patients with chemotherapy. Methods: It gives the patient and his family
explain, sign PICC informed consent, evaluate and select the appropriate vein, assist the patient to take the supine
position, puncture side arm abduction 90 degrees, measure the puncture site to the right sternoclavicular joint The
length of the third intercostal (the length of the position to the end of the catheter) and the length of the arm of 10 cm
on the elbow, and record well. With sterile gloves with alcohol and povidone-iodine 3 times disinfection puncture
site skin up and down 15cm, replace sterile gloves, wear isolation clothing, shop large single, shop sterile towel
and hole towel, remove the PICC catheter and puncture sheath, and puncture, remove the puncture sheath sheath,
under the elbow joint 2cm at the puncture, see the blood after the needle and then a little to ensure that the needle
bevel completely into the blood vessels, loose tourniquet, withdrawal Needle tube, press the end of the tube to stop
bleeding, the pre-punched catheter along the puncture sheath tube forward tube, tube to 15cm when the patient with
the head toward the puncture side and close to the shoulder, tube to the required length, Will be introduced into the
guide wire from the catheter, then take the saline syringe back to the blood (to ensure that the catheter in the blood
vessels), then to joints, slow injection of saline and then heparin dilution positive pressure sealing tube. With a small
yarn block covered puncture points, transparent dressings and elastic bandage to stop bleeding. To help patients with
chest radiographs to determine the location of the infusion device and the catheter after the end of the connection
can be infusion. To the patients and their families to explain the tube and tube with the attention during the catheter
and catheter stay time to get with, to prevent the occurrence of complications, make a record. Results: In this group,
7 cases of puncture point bleeding, the incidence was 5.4%, 3 cases of puncture infection, the incidence of 2.3%, 3
cases of phlebitis, the incidence of 2.3%, 2 cases of catheter blockage, the incidence of 1.6% , 2 cases of catheter
prolapse, the incidence of 1.6%, 1 case of thrombosis, the incidence was 0.8%. Conclusion: The application of PICC
intravenous chemotherapy, catheter retention time is long, can be repeated, intermittent application. There is no need
to strictly restrict the patient's activities during the course of the tube, which has no serious effect on the work and
daily life of the patients. It provides a safe, convenient and effective intravenous treatment channel for the patients
with cancer, improving the quality of life and the satisfaction of the care.


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