化疗药物外渗及PICC维护.ppt

Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,Preventing and Treating the Exosmosis Of Chemotherapy drugs,Learning Target,Summary,The Treatment of Exosmosis,The Classification of Exosmosis drugs,The Cause of Exosmosis,The Prevention of Exosmosis,Company Logo,一、,Summary,Chemotherapy,method of curing disease by using chemical synthesis medicine,is currently one of the main means of treating tumors and certain autoimmune diseases.It can inhibit tumor cell growth and development effectively,but also to some extent can bring the local toxic reaction to organism.,Company Logo,Phlebitis caused by chemotherapy drugs,Local Tissue Necrosis,Caused by Epirubicin,Company Logo,Local Tissue Damage Caused by Blister Drugs,Company Logo,二、,Classification,of,Exosmosis,drugs,Classification,Injures for tissue,Blister,Local tissue necrosis,Stimulant,Mild phlebitis but,no necrosis,Non-blister,No obvious blistering,or stimulation,Company Logo,Stimulant Drugs,Company Logo,二、,Classification,of,Exosmosis,drugs,Classification,Injures for tissue,Blister,Local tissue necrosis,Stimulant,Mild phlebitis but,no necrosis,Non-blister,No obvious blistering,or stimulation,Company Logo,Non-blistering Drugs,Company Logo,三、,The Cause of Exosmosis,Patient factors,Iatrogenic factors,Pharmacal factors,Company Logo,三、,The Cause of Exosmosis,1,、,Pharmacal factors,Stimulation,Concentration,Osmotic Pressure,pH,Company Logo,三、,The Cause of Exosmosis,2,、,Patient factors,Vein,Activities,Compliance,Company Logo,三、,The Cause of Exosmosis,3,、,Iatrogenic factors,（,1,）,Choice of transfusion instrument.,（,2,）,Assessment is insufficient,.,（,3,）,Without careful observation,.,（,4,）,Nursing staff lack experience of,treating exosmosis.,Company Logo,四、,The Prevention of Exosmosis,Operate by trained nurse specialism,Company Logo,四、,The Prevention of Exosmosis,Choice of transfusion tools,Company Logo,四、,The Prevention of Exosmosis,Choose veins reasonably,Company Logo,四、,The Prevention of Exosmosis,Establish intravenous access,Company Logo,四、,The Prevention of Exosmosis,Do well in health education,Once found or suspected exudation,deal according to exosmosis,Company Logo,五、,The Treatment of Exosmosis,Stop transfusion,Suck residual liquid,Company Logo,局部封闭,五、,The Treatment of Exosmosis,Company Logo,Cold compress,hot compress,五、,The Treatment of Exosmosis,Company Logo,五、,The Treatment of Exosmosis,Physiotherapy,Observe and record,Company Logo,药物外渗,观察疗效并记录,停止给药，回抽静脉血,局部封闭,根据药物性质冷、热敷,12,天可配以理疗,药物外渗处理流程,参考书目,1,、周际昌,.,实用肿瘤内科学,.,北京：人民卫生,出版社,2,、徐波,.,肿瘤护理学,.,北京：人民卫生出版社,3,、王建荣,.,输液治疗护理实践指南与实施细,则,.,北京：人民军医出版社,Company Logo,复习思考题,1,、掌握药物外渗的处理流程。,2,、临床上常用的化疗药物外渗之后，哪些,需要冷敷，哪些需要热敷？,Company Logo,Company Logo,