早期护理干预对小儿静脉输注钙剂外渗的预防效果观察

Observation on preventive effect of early nursing intervention on intravenous infusion of calcium extravasation in children

目的观察分析早期护理干预对小儿静脉输注钙剂外渗的预防效果。方法 60例静脉输注钙剂患儿,在静脉输注早期从家属沟通、药剂检查、输注位置选择、监护观察、药剂冲洗、外渗处理等6个方面进行护理干预,统计患儿钙剂外渗情况,分析早期护理干预的预防效果。结果 1例患儿出现输注部位红肿,其主要原因是躁动导致的针头偏移,经及时处理,硫酸镁湿敷消肿后外渗部位无硬结,钙剂外渗率为1.67%(1/60),无钙盐沉积现象。结论早期护理干预可以有效预防小儿静脉输注钙剂外渗,明显改善钙剂外渗情况,具有临床推广价值。

Objective To observe the preventive effect of early nursing intervention on intravenous infusion of calcium extravasation in children. Methods A total of 60 children with intravenous infusion of calcium received nursing intervention of family communication, drug examination, infusion location selection, monitoring observation, drug washing and extravasation treatment in early stage of intravenous infusion. Calcium extravasation in children was counted, and the preventive effect of early nursing intervention was analyzed. Results 1 case with redness and swelling of the infusion site, and the main reason is needle shift caused by restlessness. After timely treatment and magnesium sulfate wet compress, there was no induration at extravasation site, with calcium exudation rate as1.67%（1/60）. No calcium salt deposition phenomenon occurred. Conclusion Early nursing intervention can effectively prevent calcium extravasation by intravenous infusion in children and significantly improve the calcium extravasation. It contains clinical promotion value.