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如何使用重力输液器或容积输液泵进行静脉输液。

How to administer an intravenous infusion using a gravity administration set or a volumetric pump.

机构信息

Health Education and Improvement Wales, Nantgarw, Wales.

Cardiff and Vale University Health Board, Cardiff, Wales.

出版信息

Nurs Stand. 2024 Jul 31;39(8):39-44. doi: 10.7748/ns.2024.e12159. Epub 2024 Jun 20.

Abstract

This article explains how to prepare and administer an intravenous (IV) infusion using a gravity administration (giving) set or a volumetric pump in a safe, effective manner. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. This article serves as a revision of best practice in administering IV infusions of fluids and medicines. • IV infusions are delivered directly into the bloodstream, so care must be taken to protect the patient from harm by following the appropriate policies and protocols and monitoring the patient carefully for adverse reactions. • There is a risk of administering large volumes of IV fluid to the patient when using a gravity administration set, so a burette or volumetric pump should be used in patients who may not tolerate this. • Volumetric pumps vary, so it is essential that the nurse is familiar with the device, uses the specific administration set required and follows the manufacturer's instructions. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when preparing and administering an IV infusion. • How you could use this information to educate nursing students or your colleagues on the appropriate methods for preparing and administering an IV infusion.

摘要

本文介绍了如何以安全、有效的方式使用重力给药装置或容量输液泵来准备和管理静脉输液(IV)。进行此操作的护士必须确保他们具备相关知识和技能,并在自己的能力范围内工作。本文是对输注液体和药物的静脉输液最佳实践的修订。

  1. IV 输注是直接输入血液的,因此必须遵循适当的政策和规程,并仔细监测患者的不良反应,以保护患者免受伤害。

  2. 使用重力给药装置时,患者可能会接受大量 IV 液,因此可能无法耐受的患者应使用滴定器或容量输液泵。

  3. 容量输液泵种类繁多,因此护士必须熟悉设备,使用所需的特定给药装置并遵循制造商的说明。

反思与写作

  1. 这篇文章如何改进您准备和管理 IV 输注的实践。

  2. 您可以如何利用这些信息在准备和管理 IV 输注方面对护理学生或同事进行教育。

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