Intermittent extubation nursing care of a patient with PICC asymptomatic thrombosis and difficult extubation
10.3760/cma.j.issn.1672-7088.2019.35.014
- VernacularTitle: 一例PICC无症状血栓致拔管困难患者的间歇拔管护理
- Author:
Nan JIANG
1
;
Ruiyi ZHAO
1
;
Yiman ZHANG
2
Author Information
1. Department of Intravenous Therapy Speciality, Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou 310009, China
2. Department of Urology Surgery, Second Affiliated Hospital of Medical College of Zhejiang University, Hangzhou 310009, China
- Publication Type:Journal Article
- Keywords:
Catheterization, central vein;
Asymptomatic thrombosis;
Difficulty in extubation;
Nursing care
- From:
Chinese Journal of Practical Nursing
2019;35(35):2784-2787
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss and summarize the nursing care of a patient with difficult extubation due to asymptomatic thrombosis of PICC.
Methods:By observing the local and global conditions, psychological tests, chest X-ray localization and vascular ultrasound, using critical thinking, the causes of difficult extubation were analyzed; after active anticoagulation and thrombolytic therapy, intermittent extubation of PICC; after extubation, continuous nursing was done.
Results:After the above nursing measures were implemented, PICC was removed intermittently within 24 hours, and after 3 months vascular ultrasound was showing that the thrombus in the blood vessel had been completely organized.
Conclusion:When we encounter difficulties in PICC removal, it is not necessary to extubate the PICC forcibly. It is necessary to analyze the causes and implement correct nursing measures to improve the success rate of extubation.
