He aha ʻo Heparin a me ka Sodium Chloride: Nā Hoʻohana, Nā Kūlana, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

ʻO Heparin a me ka sodium chloride he lāʻau lapaʻau hui pū e pale ai i nā koko koko aʻo ka mālama ʻana i nā laina IV maʻemaʻe a hana. Hoʻohui kēia hopena i ka heparin, he mea lahilahi koko, me ka sodium chloride (wai paʻakai) e hana i kahi ala palekana a maikaʻi e mālama ai i kāu mau wahi komo intravenous.

Inā ʻoe e loaʻa ana i ka lāʻau IV a i ʻole he catheter, he mea nui kēia lāʻau lapaʻau i kāu mālama. Hana ia ma hope o nā hiʻohiʻona e pale ai i nā koko koko weliweli mai ka hana ʻana i kāu mau laina IV aʻo ka hōʻoia ʻana e noho olakino ana kou mau veins i kāu mālama ʻana.

He aha ʻo Heparin a me ka Sodium Chloride?

ʻO Heparin a me ka sodium chloride he hopena sterile e hui pū ana i ʻelua mau mea nui no ka mālama IV. ʻO Heparin he anticoagulant maoli e pale ai i ke koko mai ka clotting, aʻo ka sodium chloride he wai paʻakai maʻi e kūlike me ke kaulike wai maoli o kou kino.

Hana kēia hui i ka mea a nā mea mālama ola e kapa ai he

Hoʻohana nā mea mālama ola i kēia mea i nā kūlana koʻikoʻi. Ke loaʻa iā ʻoe kahi laina waena, laina PICC, a i ʻole IV peripheral e pono e noho i kahi no nā wā lōʻihi, ʻo ka holoi mau ʻana me kēia mea e mālama i nā mea a pau e hana maʻalahi.

He mea nui nō hoʻi ka lāʻau lapaʻau i kekahi mau kaʻina hana lapaʻau kahi e pono ai ka mālama ʻana i ke komo ʻana o IV. Aia kēia me nā lāʻau dialysis, nā kau chemotherapy, a me ka lāʻau antibiotic lōʻihi kahi e pono ai kāu laina IV e hana pono i nā lā a i ʻole nā pule.

Pehea e hana ai ʻo Heparin a me Sodium Chloride?

Hana kēia lāʻau lapaʻau ma ka hoʻopilikia ʻana i ke kaʻina hana clotting maoli o kou kino ma ke ala i manaʻo ʻia. Hoʻāla ʻo Heparin i kahi protein i kapa ʻia ʻo antithrombin III, a laila e ālai i kekahi mau mea clotting i loko o kou koko, e pale ana i ka hana ʻana o ka clot ma kahi e loaʻa ai ka lāʻau lapaʻau.

Hana ka mea sodium chloride ma ke ʻano he mea lawe kūpono no ka heparin i ka wā e mālama ana i ke kaulike kūpono o nā paʻakai i loko o kou kahe koko. He isotonic kēia hopena wai paʻakai, ʻo ia hoʻi, pili ia i ka haku wai maoli o kou kino, no laila ʻaʻole ia e hoʻonāukiuki a i ʻole ka hōʻoluʻolu ʻole i loko o kou mau veins.

Ma ke ʻano he mea lahilahi koko, ua manaʻo ʻia ʻo heparin he ikaika iki ke hoʻohana ʻia i loko o kou kino. Eia naʻe, i loko o nā hopena heparin flush, ʻoi aku ka liʻiliʻi o nā mea i hoʻohana ʻia a hana kūloko i kāu laina IV ma mua o ka hoʻopilikia ʻana i kāu ʻōnaehana circulatory holoʻokoʻa.

Pehea wau e lawe ai iā Heparin a me Sodium Chloride?

ʻAʻole ʻoe e

Na kāu hui mālama ola e hoʻoholo i ka manawa kūpono a me ke alapine o kēia mau holoi ʻana e pili ana i kou kūlana pilikino. Loaʻa i kekahi poʻe maʻi nā holoi ʻana i kēlā me kēia 8-12 hola, a ʻo nā mea ʻē aʻe paha e pono ai ma mua a ma hope o kēlā me kēia lawelawe ʻana i ka lāʻau lapaʻau a i ʻole ke kaʻina hana olakino.

ʻAʻohe kapu meaʻai a i ʻole nā hoʻomākaukau kūikawā e pono ai ma kāu ʻaoʻao. ʻAʻole pili ka lāʻau lapaʻau me ka meaʻai, a hiki iā ʻoe ke ʻai a inu maʻamau ke ʻole i hāʻawi mai kāu kauka iā ʻoe i nā ʻōlelo kikoʻī ʻē aʻe e pili ana i kāu hoʻolālā lapaʻau holoʻokoʻa.

Pehea ka lōʻihi e pono ai au e lawe i ka Heparin a me ka Sodium Chloride?

ʻO ka lōʻihi o ka hoʻohana ʻana i ka heparin a me ka sodium chloride e hilinaʻi loa i ka lōʻihi o kou pono e noho ai kāu komo ʻana i ka IV. Hiki i kēia ke lōʻihi mai kekahi mau lā no nā lāʻau lapaʻau pōkole a i kekahi mau pule a i ʻole mau mahina no ka mālama olakino e hana nei.

No nā maʻi me nā laina IV manawaleʻa, hoʻomau mau nā holoi ʻana a hiki i ka wehe ʻia ʻana o ka catheter. Inā loaʻa iā ʻoe kahi laina kikowaena lōʻihi a i ʻole ke awa, hiki iā ʻoe ke loaʻa kēia mau holoi ʻana no ka lōʻihi o ka noho ʻana o ka mea hana i loko o kou kino, hiki ke mau mahina a i ʻole mau makahiki.

E loiloi mau kāu mea mālama ola inā pono ʻoe i ke komo ʻana i ka IV a me nā holoi heparin e pili ana. E noʻonoʻo lākou i nā mea e like me kou olakino holoʻokoʻa, ka holomua o ka lāʻau lapaʻau, a me nā pilikia e hiki ke kū mai. ʻO ka pahuhopu ka hāʻawi mau ʻana i ka lāʻau lapaʻau no ka lōʻihi e pono ai a pono.

He aha nā hopena ʻaoʻao o Heparin a me Sodium Chloride?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i ka heparin a me ka sodium chloride flushes, me nā hopena ʻaoʻao liʻiliʻi. No ka mea he liʻiliʻi nā mea i hāʻawi ʻia a hana kūloko i kāu laina IV, ʻaʻole paha ʻoe e ʻike i nā hopena ʻaoʻao e pili ana me nā mea lahilahi koko piha i hāʻawi ʻia i loko o kou kino.

Eia nā hopena ʻaoʻao maʻamau e ʻike ai ʻoe, ʻoiai ʻaʻole nui ka poʻe i ʻike i kekahi mea:

• Hehaʻe iki a i ʻole ke ʻano palupalu ma kahi o ka IV
• He manaʻo wela iki a i ʻole ka ʻeha i ka wā o ka holoi ʻana
• He kahe koko liʻiliʻi e lōʻihi iki ana ke kū ʻana inā loaʻa iā ʻoe kahi ʻoki
• He ʻulaʻula a i ʻole ka mahana a puni ka wahi i hoʻokomo ʻia ai ke catheter

He mea maʻamau kēia mau hopena a he mea pōkole wale nō a hoʻoponopono koke ʻia. Mālama kāu hui mālama ola i kēia mau hopena a hiki ke hoʻololi i kāu mālama inā pono.

He mea maʻamau ʻole nā hopena ʻaoʻao koʻikoʻi akā pono e mālama koke ʻia. Hiki i kēia mau hopena maʻamau ʻole ke komo:

• He kahe koko maʻamau ʻole ʻaʻole e kū me ke kaomi maʻamau
• Nā hōʻailona o ka hopena maʻi e like me ka ʻōpala, ka ʻūlū, a i ʻole ka pilikia o ka hanu ʻana
• Hehaʻe nui e ʻike koke ʻia a i ʻole e laha wikiwiki ana
• Ke koko i loko o kou mimi a i ʻole nā ʻōpala ʻeleʻele maʻamau ʻole
• He poʻo poʻo mau a i ʻole ka wili

Ua aʻo ʻia kāu hui lapaʻau e ʻike a pane koke i kēia mau pilikia maʻamau ʻole. E nānā pono lākou iā ʻoe, ʻoiai i ka wā e hoʻomaka ai ʻoe e loaʻa i ka lāʻau.

ʻO wai ka mea pono ʻole e lawe i ka Heparin a me ka Sodium Chloride?

ʻO kekahi mau maʻi e hana ai i ka heparin a me ka sodium chloride i kūpono ʻole a i ʻole he mea weliweli paha. E nānā pono kāu mea mālama ola i kāu mōʻaukala olakino ma mua o ka hoʻohana ʻana i kēia lāʻau e hōʻoia i ka palekana no kāu kūlana.

ʻAʻole pono ka poʻe me nā maʻi kahe koko a i ʻole ka poʻe e ʻike nei i ke kahe koko ʻole e loaʻa i nā holoi heparin. Aia kēia i nā maʻi e like me ka maʻi ate koʻikoʻi, kekahi mau ʻano anemia, a i ʻole ke ʻoki nui hou kahi e kiʻekiʻe ai ka pilikia o ke kahe koko.

Inā loaʻa iā ʻoe kahi maʻi i ʻike ʻia i ka heparin a i ʻole ua hoʻomohala ʻoe i kahi maʻi i kapa ʻia ʻo heparin-induced thrombocytopenia (HIT) i ka wā ma mua, e hoʻohana ʻia nā hopena holoi ʻē aʻe. He hopena maʻamau ʻole akā koʻikoʻi kahi e hana ai ka heparin i nā koko koko weliweli ma mua o ka pale ʻana iā lākou.

ʻO nā maʻi me ka maʻi kīkī koʻikoʻi, ke koko kiʻekiʻe ʻaʻole i mālama ʻia, a i ʻole kekahi mau maʻi puʻuwai e pono paha i ka hoʻololi ʻana i ka lāʻau a i ʻole nā lāʻau ʻē aʻe. E noʻonoʻo kāu hui mālama ola i kēia mau mea a pau i ka wā e hoʻolālā ai i kāu mālama IV.

Nā inoa inoa o Heparin a me Sodium Chloride

Loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā halemai a me nā keʻena lapaʻau e hoʻohana i nā mana generic e hana like ana. ʻO nā inoa inoa maʻamau e komo pū ana me Hep-Lock, HepFlush, a me nā hoʻomākaukau kūikawā o ka haukapila.

Hoʻomākaukau ka hapa nui o nā keʻena mālama ola i kā lākou mau hopena heparin a me sodium chloride a i ʻole kūʻai mai iā lākou mai nā hui lāʻau lapaʻau kūikawā. ʻAʻole pono ka inoa inoa i hoʻohana ʻia no kāu mālama ʻana, no ka mea, pono nā mana a pau e kū i nā kūlana palekana a me ka pono.

E hoʻohana mau kāu mea mālama ola i ka ʻike a me ka hoʻohui ʻana i kūpono loa no kāu ʻano IV a me nā pono olakino. Inā he mana inoa a i ʻole generic, e hana like ka lāʻau lapaʻau e mālama pono i kāu laina IV.

Nā koho ʻē aʻe o Heparin a me Sodium Chloride

Nui nā koho ʻē aʻe no ka mālama ʻana i ka laina IV i ka wā ʻaʻole kūpono a i loaʻa ʻole ka heparin. ʻO ka saline maʻamau (sodium chloride wale nō) ka mea maʻamau, ʻoiai e koi paha ia i ka holoi pinepine ʻana e pale i nā clots.

No nā maʻi ʻaʻole hiki ke loaʻa ka heparin ma muli o nā allergies a i ʻole nā pilikia ʻē aʻe, hiki i nā mea mālama ola ke hoʻohana i nā anticoagulants ʻē aʻe e like me argatroban a i ʻole bivalirudin. Hana kēia mau lāʻau lapaʻau i nā mea like ʻole me ka heparin akā hoʻokō i ka pahuhopu like o ka pale ʻana i ka hana ʻana o ka clot.

Hoʻolālā ʻia kekahi mau ʻenehana catheter hou e hōʻemi i ka pono no nā flushes anticoagulant. Loaʻa i kēia mau catheters kūikawā nā uhi kūikawā a i ʻole nā hoʻolālā e kū maoli i ka hana ʻana o ka clot, ʻoiai ʻaʻole kūpono lākou no nā kūlana a pau.

ʻOi aku ka maikaʻi o Heparin a me Sodium Chloride ma mua o ka Saline maʻamau?

Ma muli o kou kūlana olakino a me ke ʻano o ke komo ʻana i ka IV, pono ke koho ma waena o ka heparin a me ka sodium chloride a i ʻole ka normal saline wale nō. No nā IV peripheral pōkole, hana maikaʻi nā flushes normal saline a ʻaʻole lākou e lawe i nā pilikia liʻiliʻi o ke koko e pili ana me ka heparin.

Eia naʻe, no nā laina waena lōʻihi a i ʻole nā ​​mea maʻi i ka pilikia nui o ka hana ʻana i ka clot, ʻoi aku ka maikaʻi o ka heparin a me ka sodium chloride i ka pale ʻana i nā poloka. Hāʻawi ka liʻiliʻi o ka heparin i ka pale hou e hiki ke koʻikoʻi no ka mālama ʻana i ke komo ʻana i ka IV i nā manawa lōʻihi.

Ke noʻonoʻo nei kāu hui mālama ola i nā mea e like me kou pilikia o ke koko, ke ʻano o ka catheter āu i loaʻa ai, pehea ka lōʻihi e pono ai ʻoe i ke komo ʻana i ka IV, a me kou kūlana olakino holoʻokoʻa i ke koho ʻana ma waena o kēia mau koho. Palekana a maikaʻi nā mea ʻelua ke hoʻohana pono ʻia.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Heparin a me ka Sodium Chloride

He palekana anei ka Heparin a me ka Sodium Chloride no nā wahine hāpai?

Manaʻo ʻia ka heparin a me ka sodium chloride he palekana i ka wā hāpai ke hoʻohana ʻia e like me nā flushes laina IV. ʻAʻole hele ka Heparin i ka placenta, no laila ʻaʻole ia e pili i kāu pēpē e ulu nei. Eia naʻe, e nānā pono kāu mea mālama ola iā ʻoe a hiki ke hoʻoponopono i ke alapine a i ʻole ka nui e pili ana i kāu pae hāpai.

Loaʻa i nā wahine hāpai i kekahi manawa ka pilikia o ka clotting, e hana ana i nā flushes heparin ʻoi aku ka mea nui no ka mālama ʻana i ke komo ʻana i ka IV. E hana pū kāu hui obstetric me nā mea mālama ola ʻē aʻe e hōʻoia i ka palekana o ʻoe a me kāu pēpē i kāu mālama ʻana.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Heparin a me ka Sodium Chloride?

No ka mea, hāʻawi mau ʻia kēia lāʻau lapaʻau e nā poʻe loea mālama ola, he mea maʻamau loa nā overdoses ulia. Inā hopohopo ʻoe no ka loaʻa ʻana o ka nui, e haʻi koke i kāu kahu a i ʻole ke kauka. Hiki iā lākou ke loiloi wikiwiki i kou kūlana a hana i nā hana kūpono inā pono.

ʻO nā hōʻailona o ka nui o ka heparin e komo pū ana me ke kahe koko ʻano ʻē, ka ʻeha nui, a i ʻole ke koko i loko o kou mimi. Eia naʻe, ʻaʻole paha e loaʻa ka nui o ka lāʻau ma muli o nā lāʻau liʻiliʻi i hoʻohana ʻia i nā IV flushes. Mālama pono kāu hui mālama ola iā ʻoe a hiki ke hoʻohuli i nā hopena o ka heparin inā pono.

He aha kaʻu e hana ai inā e poina iaʻu kahi lāʻau o Heparin a me Sodium Chloride?

ʻAʻole pono ʻoe e hopohopo no ka poina ʻana i nā lāʻau no ka mea e mālama ana nā poʻe loea mālama ola i kēia lāʻau lapaʻau nāu. Inā lohi ka flush i hoʻonohonoho ʻia, e hāʻawi kāu kahu hānai iā ia i ka hiki wawe a hoʻoponopono i ka manawa o nā lāʻau e hiki mai ana.

ʻO ka poina ʻana i kahi flush i kekahi manawa e hōʻeha wale nō, ʻoiai me ka IV access pōkole. E loiloi kāu hui mālama ola i ka hana o kāu laina IV a hiki ke hana i nā flushes hou inā pono e hōʻoia i ka hana pono ʻana o nā mea āpau.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Heparin a me Sodium Chloride?

E pau ka lāʻau lapaʻau ke pono hou ʻole kāu IV access a i ʻole ke wehe ʻia kāu catheter. E hana kāu mea mālama ola i kēia hoʻoholo e pili ana i kāu holomua lapaʻau a me nā pono olakino holoʻokoʻa.

No nā maʻi me nā laina waena a i ʻole nā ​​awa lōʻihi, hiki ke hoʻomau ʻia nā flushes heparin no ka manawa pau ʻole e mālama i ka hana o ka mea hana. E loiloi mau kāu hui lapaʻau inā pono ʻoe i ka IV access a hoʻoponopono i kāu hoʻolālā mālama.

Hiki iā Heparin a me Sodium Chloride ke launa pū me kaʻu mau lāʻau ʻē aʻe?

ʻAʻole maʻamau nā pilina lāʻau me nā hopena heparin flush no ka mea he liʻiliʻi nā lāʻau a hana kūloko i kāu laina IV. Eia naʻe, inā ʻoe e lawe ana i nā mea hoʻoheheʻe koko ʻē aʻe e like me ka warfarin a i ʻole ka aspirin, e nānā pono kāu mea mālama ola iā ʻoe no nā hōʻailona o ke kahe koko.

E hōʻike mau i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau lāʻau āu e lawe nei. Hiki iā lākou ke ʻike i nā pilina kūpono a hoʻoponopono i kāu hoʻolālā mālama e hōʻoia i kou palekana i kāu lapaʻau.