静脉输液（Intravenous infusion）
Nursing technical operation regulation
First, intramuscular injection
(1) purpo
1, it is necessary to achieve the efficacy and can not or should not be adopted by oral administration; injection of strong irritant or larger do of drugs.
2, not intravenous injection, injection is more effective than requirements occur rapidly.
(two) preparation of quality standards
1, dress neatly, wash your hands and wear masks.
2. Material preparation:
The treatment tray: sterile syringes and needles, sterile forceps, drug injection (according to the need to prepare emergency medicine), grinding wheel, skin disinfectant (0.5% iodine) cotton, bending plate c
ylinder, dirt injection card.
3. Oral purpo.上官云相
4, check the quality of drugs, check the injection card.
(three) quality standard of operation process
1, carrying things to the bedside, three check ven pairs, to the patient to explain, to remove concerns, in order to obtain cooperation.
2. Prepare the syringe and aspirate the liquid (with intradermal injection). Method: from the suction liquid ampoule ampoule will tip liquid playing to the body of the grinding wheel in the ampoule neck uniform marks, with 0.5% iodine swab neck disinfection, breaking the ampoule, with a syringe needle bevel surface down into the ampoule, the left hand middle finger food, added live ampoule, thumb and ring finger and hold the needle the cylinder, the right hand thumb, food and refer to the piston, the net absorption of liquid.
3. Disinfection of skin: same intradermal injection method. From the cotton swab or paper bag cylinder out cotton two folder in the left hand little finger, and then took a dip in a small tincture of iodi
ne disinfection of skin (greater than 5 cm in diameter), clamped on the ring finger of the left hand.
4, the left thumb and forefinger to parate the skin, right hand needle, a needle pin fixed to the middle finger, the needle and the injection site were rectangular, quickly into the muscle, the needle is about 2.5-3cm, and the reduction in weight loss.
5, loon the left hand, twitch the piston, such as no return blood, slowly injected liquid. After the injection, the dry swab on the wound and quickly pull the needle in the left hand little finger.
6. Obrvation reaction. Cleaning materials, return to the Department of reduction.
(four) end quality standard
1, strong aptic concept, adhere to three check ven pairs.
2, skilled operation, accurate, can be operated by painless injection method.
3. Oral intramuscular injection site and location method.
(five) matters needing attention
1, do not stab the needle stem, in order to prevent the needle stem from the root connection broken. If the needle breaks, it should keep the part and the limb motionless, and u the blood vesl to clamp the broken end to pull out. If all the muscle is buried, the surgeon should be removed.
血压监测手环
2. Patients who have been given intramuscular injection for a long time should be replaced alternately in order to reduce the incidence of induration.
3, two kinds of liquid medicine should be paid attention to incompatibility, injection in different parts.
4, according to the amount of liquid, viscosity and irritation of the strength of the appropriate choice of syringes and needles.
孕妇可以用唇膏吗Infants who are under 5 years of age and 2 years of age should not u the posterior gluteal injection. Becau of the danger of sciatic nerve injury, the gluteus medius and gluteus minimus muscle can be injected.红烧牛肚
6, avoid the scar, induration, inflammation, skin dia and old wound injection. Congestion and hematoma site were also injected.
(six) location and position of intramuscular injection
体温异常1. Localization of gluteus maximus injection:
(1) cross method: split vertex to the left or right a level line from the hip, then draw a vertical line from the iliac crest at the highest point on the outside of the top 1/4 at the injection site (avoid angle).
(2) line method: the upper part of the anterior superior iliac spine and the coccyx line were injected into the outer part of the 1/3 line.
2. The position of gluteus minimus injection:
(1) lateral decubitus position: Kami Nobunao, lower leg slightly bent.
(2) position: relative toe, heel apart.
(3) supine position: when the injection, ask the patient muscle relaxation, not nervous.
(4) sitting: sit down and relax the local muscles.
3. Localization of gluteus medius and gluteus minimus by injection:
猎马带禽归上一句(1) the tip of the index finger and the middle finger tip were placed at the anterior superior iliac spine
止咳化痰最快的方法and the lower edge of the iliac crest respectively, and the iliac crest, index finger and middle finger were formed into a triangle, and the injection site was in the angle compod of the index finger and middle finger.
50米短跑(2) to the anterior superior iliac spine lateral three horizontal mean (children with their finger width as the standard).
4. Location of vastus lateralis injection:
Part of the thigh lateral, about 7.5 cm wide, located 10 cm above the knee, 10 cm below the hip joint
5. Positioning the deltoid muscle of upper arm:
The upper part of the upper arm, the 2-3 transver fingers below the acromion.
(ven) operation flow chart
Rerve: therapeutic plate and medicine
