Scales Katie
Imperial College Healthcare NHS Trust, Charing Cross Hospital, London.
Br J Nurs. 2008;17(19):S4-S12. doi: 10.12968/bjon.2008.17.Sup8.31469.
This article provides an overview of the principles of good practice that underpin intravenous (IV) therapy. The indications for choosing the IV route and selecting an appropriate vascular access device (VAD) are explained. Common insertion sites for VAD placement and the care and management of VADs are reviewed. Infection control aspects of IV therapy are be highlighted, including the management of IV equipment and the importance of the nurse's role in the prevention of infection associated with IV therapy. Common complications of IV therapy are explained and strategies suggested for their prevention. The article addresses the issues associated with general IV therapy, it does not address specialist subjects such as parenteral nutrition, chemotherapy or blood transfusion.
本文概述了静脉输液治疗的良好实践原则。文中解释了选择静脉输液途径和合适的血管通路装置(VAD)的指征。回顾了VAD放置的常见穿刺部位以及VAD的护理与管理。重点强调了静脉输液治疗的感染控制方面,包括静脉输液设备的管理以及护士在预防与静脉输液治疗相关感染中的作用的重要性。解释了静脉输液治疗的常见并发症并提出了预防策略。本文讨论了与一般静脉输液治疗相关的问题,未涉及诸如肠外营养、化疗或输血等专科主题。