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2022-08-08 22:45:48

Using a syringe pump, don't make the following mistakes again!

I believe that this kind of syringe pump should be familiar to everyone in clinical practice, but the process still has to go. The official excerpt is to give a brief introduction to friends who are relatively unfamiliar with this. What is a syringe pump and its common use::



"Syringe pumps can accurately, uniformly and continuously enter the drug into the body, strictly control the dosage of the drug, ensure the best effective concentration of the drug, reasonably adjust the injection speed of the drug, continuously infuse various urgently needed drugs, and reduce the occurrence of complications. .




It is commonly used in the infusion of various vasoactive drugs, antiarrhythmic drugs, electrolyte solutions, anesthetics, and pediatric drugs. It is easy to operate, can reduce workload when rescuing critically ill patients, improve work efficiency, and can accurately, safely and effectively cooperate with doctors in rescuing. "(Microinjection pumps, those things you want to know!)



        As a major killer of precision dose injection, the syringe pump can be said to be very favored. He is a sunny and handsome guy next door, and because he has a complete alarm and indication system, he is deeply loved by clinicians and nurses, but I don't know Has anyone discovered that under his sunny appearance, there is actually a restless heart that always wants to do things? Do not believe? Ah'Dai specially went to find relevant information, let's take a look at what unique attributes he has.。



No.1

Domineering president attributes


Why do you have the temperament of a domineering president when you use a syringe pump? Because it is usually necessary to establish a separate venous access, in order to prevent incompatibility and avoid affecting the efficacy of the drug, under normal circumstances, in the process of combining multiple drugs, we need to create a unique way for the drugs of the infusion pump. Do you have a feeling of dominating the world?。



No.2

single-minded


Single-mindedness is a positive word, and if we speak from a derogatory level, we can also call it too picky. how to say?


Usually, we ignore the use of the syringe in clinical practice, and ignore whether the syringe is a dedicated pump syringe when working on the syringe pump. Some scholars have proved through clinical trials that, compared with the dedicated syringe and the pump front tube, the non-dedicated pipeline will affect the actual flow rate of the microinjection pump, which will increase the relative error of the flow rate, which can be as high as double, especially for low flow rates (1ml/h). )Greater impact. (Study on Quality Control of Flow Rate of Micro Syringe Pump)


No.3

Mobile also makes a lot of sense


When infusing some vasoactive drugs, if the position of the pump body needs to be changed during the process, the method of parallel movement should be adopted as much as possible to ensure the safety of the patient.



No.4

How to do venous blood return?


First of all, the placement of the micropump needs to be higher than the injection site, and we need to reduce the occurrence of blood return events from the root cause.


When venous blood return is found, different measures should be taken according to the nature of the drug used and the amount of blood returned:


1. For drugs that do not have strict requirements on the speed of administration and the amount of blood returned is very small, you can directly press the fast forward (FAST).


2. Dopamine, aminophylline and other drugs cannot simply press the fast forward (FAST) button to process the blood return. The needle tube filled with normal saline should be connected to the needle, and the blood return should be slowly pushed in.


3. If more blood is returned to the extension tube, the pump tube needs to be replaced. Do not connect the needle to the pump tube for direct bolus injection, which will cause adverse consequences due to overdose. Avoid blood withdrawal or rapid injection of a large amount of liquid medicine to cause fatal danger to the patient.



Today, let's talk about a few points. But I leave you with a small question:


In clinical work, what method do teachers use to replace the micro-pump syringe when infusing more sensitive drugs such as vasoactive drugs?


Dummy went to look up some literature, some use the tee to replace the syringe, and there is a tube-to-pump replacement method by reserving a micro pump; there are also tube-to-tube replacement... There are thousands of methods, in order to ensure the safety of patients , to avoid related fluctuations in the patient's vital signs, what method do you think is particularly applicable in clinical practice? Please leave a message below.




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