Nursing of intravenous indwelling needle in children

It is difficult for people to avoid getting sick when they eat grains, especially for infants and young children with weaker constitutions who are more likely to suffer from various diseases. For some more serious diseases, intravenous infusion is generally recommended. Children have thinner blood vessels and are afraid of pain, so intravenous needles are generally used. The use of intravenous catheters can reduce the pain caused by repeated needle sticks, but it places higher demands on the nursing staff.

1. Before inserting a catheter in a child, the purpose of the catheter should be explained to the child's parents, and the parents' cooperation should be obtained. During the insertion process, when the child is playing or moving, parents should pay attention to protecting the catheter, keeping the puncture site clean and dry, and preventing contamination and fluid extravasation.

2. The catheterization technique must be proficient, the catheter must be carefully checked before the operation, the blood vessel and catheter model must be correctly selected, strict aseptic operation must be performed, the tube must be sealed in time after the infusion is completed, and the adjusting clamp must be closed to prevent air embolism. The heparin cap must be wrapped with sterile gauze and fixed with adhesive tape. The sealing solution must be prepared and used on the same day, and each person must have one needle and one tube to prevent cross infection.

3. For children who use indwelling needles during hospitalization, bedside handovers should be carried out, and inspections should be conducted frequently. Problems should be dealt with in a timely manner. Pay attention to changes in the child's body temperature, and whether there is redness, swelling, pain, cyanosis, etc. at the puncture site. Frequently ask the child's parents whether the child is feeling unwell. If there is any abnormality, the tube should be removed immediately. After removal of the tube, press the needle hole with a dry cotton swab for 5 to 10 minutes, and leave only after observing that there is no bleeding or discomfort.

4. The retention time should not be too long, preferably not more than 7 days, to prevent the drug solution from long-term irritation of blood vessels and causing phlebitis. If the puncture site bleeds, becomes red, swollen, or is painful, it indicates phlebitis has occurred and the indwelling needle should be removed and complications dealt with.

5. Correctly mastering the tube sealing technique is the key to ensuring successful indwelling. When sealing the tube, the sealing liquid should fill the entire tube cavity. When infusing again, just insert the scalp needle into the heparin cap. Medicine | Education Network After sealing the tube, observe whether there is blood returning in the lumen. If the amount of blood returning is large, inject 10 ml of normal saline first, and then seal the tube with sodium heparin saline to avoid blockage of the lumen.

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