Nursing strategy for elder patients with PICC complicated with venous thrombosis
10.3760/cma.j.issn.1674-2907.2012.28.013
- VernacularTitle:高龄患者PICC并发静脉血栓的护理对策
- Author:
Chun-Mei LI
1
;
Jing YANG
;
Fei JU
Author Information
1. 解放军总医院南楼消化二病区
- Keywords:
Catheterization,central venous;
Venous thrombosis;
Nursing;
Elder patients
- From:
Chinese Journal of Modern Nursing
2012;18(28):3386-3387
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate nursing strategy for elder patients with PICC complicated with venous thrombosis.Methods Treating and nursing strategies for 31 elder patients with PICC complicated with venous thrombosis were evaluated,including braking limb elevation,observing vital signs.Subcutaneous injection of anticoagulant drugs were given for 8 to 30 days,and bleeding,chest pain,dyspnea,cough or hemoptysis were observed.Physical therapy were also applied and extubation were done in 2 to 3 times after treatment.Results All observed cases were extubated fluently without broken pipe,bleeding or shedding of thrombosis.Conclusions Timing of extubation is related with broken pipe and thrombosis.Unconscious elder patients who lie in bed need intimate observation.Some patients have no symptoms after thrombosis.Thus,carrying out ultrasonic examination periodically is helpful for elder patients with PICC for a long time.Furthermore,ultrasonic examination should be done before extubation to ensure safe extubation.
