"What Are the Nursing Practices and Key Considerations for PICC Catheter Placement?"
PICC catheterization involves connecting the peripheral veins and central veins through a catheter, which is frequently used clinically and convenient for many patients. However, proper care should be taken after PICC catheterization, including pressing to stop bleeding, avoiding excessive movement during dressing and undressing, as well as preventing pressure and overloading to maintain good health. Here are some specific instructions:
1.
After PICC catheterization, it is important to press the puncture site gently with the palm for 20 to 30 minutes to stop bleeding. If the platelet count is low or coagulation function is poor, the pressing time can be extended. Self-adhesive elastic bandages can be used for compression hemostasis, or ice packs can be applied to the puncture site for hemostasis.
2.
After PICC catheterization, special attention should be paid to prevent vein inflammation. Performing hand clenching exercises and drinking plenty of water can promote blood circulation. If there is excessive bleeding from the needle hole, inform the nurse promptly for appropriate treatment. When lying in bed, elevate the arm to facilitate blood flow. Avoid prolonged pressure on the catheterized limb during sleep to prevent blood circulation disorders, leading to vein inflammation, thrombosis, and limb numbness.
3.
After PICC catheterization, it is crucial to control the amount of physical activity and avoid excessive movement. Measuring blood pressure, applying tourniquets, and lifting weights are prohibited on the catheterized arm.
4.
After PICC catheterization, be careful when undressing to avoid excessive movement that may dislodge or pull out the catheter. It is recommended to undress the catheterized arm last.
5.
Pay attention to the time for removing the bandage after catheterization. If it is an elastic bandage wrapped around the puncture site, it should be removed after 24 hours. Maintain local cleanliness and dryness at all times and do not remove the dressing film without authorization.
