摘要
目的分析重症监护室(ICU)患者常见高危药物外渗发生原因,探讨应对措施。方法回顾性分析医院ICU 2022年10月—2023年11月收治的213例重症患者的临床资料,探讨住院期间发生高危药物外渗的风险问题,分析药物外渗的原因,总结临床药物外渗预防和应对措施。结果213例患者中发生高危药物外渗19例,发生率为8.92%。分析原因:9(47.37%)例由护士因素导致,5(26.32%)例由患者因素导致,3(15.79%)例由药物因素导致,2(10.53%)例由环境因素导致。结论针对ICU患者输液治疗时,护士需要熟知高危外渗药物种类,对患者的血管状况进行全面评估,以预防为主,通过实施针对性的防范措施降低药物外渗的发生风险。
Objective To analyze the reasons of high-risk medication extravasation in the ICU and investigate prevention measures.Methods A total of 213 critically ill patients admitted to the hospital's intensive care unit from October 2022 to November 2023 were selected.The risk factors for high-risk medication extravasation in hospitalized patients were analyzed.The reasons for high-risk medication extravasation were studied,and measures to prevent high-risk medication extravasation and clinical management of high-risk medication extravasation were summarized.Results Among the 213 patients,19 patients experienced high-risk medication extravasation,with an incidence rate of 8.92%.Among the 19 patients,9 cases were attributed to nurse-related factors,accounting for 47.37%of the cases;5 cases were due to patient-related factors,accounting for 26.32%;3 cases resulted from inappropriate vascular access selection,representing 15.79%of the cases;and 2 cases were attributed to environmental factors,accounting for 10.53%.Conclusion When administering intravenous fluids to patients in the intensive care unit,it is essential to be familiar with the types of high-risk extravasation-prone medications.Nurses should conduct a comprehensive assessment of patients'vasculature.Prevention is the primary approach,and targeted preventive measures can effectively prevent high-risk medication extravasation.
作者
杨非利
张平
刘杰
YANG Feili;ZHANG Ping;LIU Jie(ICU,China-Japan Friendship Hospital,Beijing,100029)
出处
《中西医结合护理》
2024年第7期135-139,共5页
Chinese Journal of Integrative Nursing
关键词
重症监护室
静脉输液
药物外渗
风险评估
护理
intensive care unit
intravenous infusion
medication extravasation
risk assessment
nursing
