Prevention, assessment, and treatment of central venous catheter occlusions in neonatal and young pediatric patients.
J Infus Nurs
; 34(4): 251-8, 2011.
Article
em En
| MEDLINE
| ID: mdl-21734521
ABSTRACT
Central venous catheter occlusions disrupt delivery of needed therapies to vulnerable neonatal and young pediatric patients. Nursing practices that minimize risk of catheter occlusion include proper infusion and flushing techniques. Treatment strategies vary on the basis of the source of the occlusion. Mechanical occlusions can often be resolved by altering the patient's position, correcting catheter kinks, or adjusting clamps. Occlusions caused by precipitation can be cleared through instillation of ethanol, hydrochloric acid, or sodium bicarbonate, depending on the chemistry of the infusates. Finally, the thrombolytic agent alteplase is recommended for treatment of catheter occlusion because of thrombus formation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cateterismo Venoso Central
/
Enfermagem
Limite:
Child, preschool
/
Humans
/
Infant
/
Newborn
Idioma:
En
Revista:
J Infus Nurs
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos