婴幼儿静脉输液过程中药液外渗引起不良事件的护理对策  

Nursing countermeasures of adverse events caused by extravasation of traditional Chinese medicine in the process of intravenous infusion in infants

作　　者：王莹[1] 张晓丽 王小新 WANG Ying;ZHANG Xiao-li;WANG Xiao-xin(Children's Hospital Affiliated to the Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所附属儿童医院,北京100020

出　　处：《实用临床护理学电子杂志》2018年第2期171-171,176,共2页Electronic Journal of Practical Clinical Nursing Science

摘　　要：目的静脉输液过程中,药液外渗必须采取积极正确的措施,减轻患儿痛苦,避免医患纠纷,探讨如何应对婴幼儿静脉输液过程中药液外渗引起不良事件的护理对策。方法总结我科静脉输液甘露醇外渗引起Ⅲ度静脉炎的整个护理过程,从患儿因素,家长因素,护理因素等各方面分析事件解决过程,从而总结护理经验制定护理对策。结果婴幼儿静脉输液过程中药液外渗得到及时有效的护理干预,并在输液过程中采取有效的预防措施,降低静脉输液过程中药液外渗的发生率。结论护理是一项精细的工作,需要护士在实际临床工作中不断积累并总结经验,开拓新的思维新的方法解决各种各样的问题,规避不良事件的发生,改善护患关系,确保静脉输液过程的安全有效并提高护理工作质量。Objective It is important to adopt suitable measure to prevent liquor exosmosis for reducing pain of patient during venous transfusion.In this paper,nursing strategy focusing on adverse event caused by liquor exosmosis during venous transfusion for infant is discussed.Methods To analyze the reason of phlebitis caused by liquor exosmosis of mannitol during venous transfusion,multiple factors including infant,parents and nursing are discussed to summarize nursing experience and strategy.Results Effective nursing intervention for liquor exosmosis is implemented during infant venous transfusion.Precautionary measures are also adopted to reduce probability of liquor exosmosis during transfusion.Conclusions Nursing work needs accumulating plenty of experience,developing new method to solve multiple clinical events.To ensure safety and quality of venous transfusion,avoiding risk of adverse event and improving nurse-patient relationship should be paid more attention.

关 键 词：婴幼儿 输液外渗 静脉炎 护理对策 

分 类 号：R473.72[医药卫生—护理学]