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Some common sense of using a tourniquet
Data: 2022-03-15
The tourniquet is a nursing product that nurses come into contact with every day. Almost every nurse has the opportunity to use this common and inconspicuous "small object" in the clinic ". It is because the tourniquet is too common, nurses to relax their vigilance, which led to a profound blood lesson! The tourniquet, also known as tourniquet, will block the blood flow. If it is tied for too long, it will seriously damage the tissue and even lead to limb necrosis.
How to ensure intravenous infusiontourniquetThe safe use?
1. Do a good nursing safety assessment. For example, children who can't speak, the elderly who are unresponsive, coma, sedatives and other special groups are all high-risk groups in nursing safety management. in applying pulse tapes for these patients, we should be extra vigilant and take care of them.
2. UsetourniquetWhen performing intravenous infusion puncture, the puncture site should be fully exposed, and the puncture site should not be covered with other items, nor should the tourniquet tied to the limb be covered by the clothes, so as not to forget to understand the tourniquet and on the patient.
3. After the puncture operation, the nursing staff should be careful, careful and responsible, count the number of pressure pulse bands after use, and make the final treatment.
4. Comply with hospital infection management regulations and avoid hospital infection: one person for one use, one disinfection or one-time tourniquet.
5. In the process of infusion, patrol should be strengthened to closely observe whether the injection site is swollen, whether the needle is out, blocked or displaced, whether the infusion tube is twisted and pressed, whether the infusion speed is appropriate and whether it has been treated.
Especially in winter, in the process of infusion, nursing staff should pay attention to uncover the patient's quilt and other coverings. Check the patient's blood circulation at the infusion site. Always check the toes or fingers to see if there is cyanosis at the end of it and if there is a drop in body temperature there. If this phenomenon occurs, it should be carefully checked to ensure patient safety.
Methods and precautions for correctly binding the pressure band during venous blood collection:
1. Use rubbertourniquetWhen, should evaluate whether the patient has a history of latex allergy, there is a history of allergy should not use rubbertourniquet.
2. willtourniquetTie it 7-10cm above the blood collection point, and wrap it around the arm for a weektourniquetTie a loose knot up the end, but do not tie a dead knot.
3.tourniquetThe ligation time should not exceed 1 minute. Over time can lead to hemolysis, hematocrit, protein test results of false rise.
4. The tourniquet should be used by a person. If used repeatedly, disinfect after use.
What are the other uses of the tourniquet?
1. Hemostasis: for limb trauma vascular rupture bleeding. In order to prevent massive bleeding, first wrap a towel or cotton pad on the skin near the heart end of the wound, then tie a tourniquet, press for 1-2 hours, and relax for 1-2 minutes. The maximum pressing time shall not exceed 4 hours.
2. Prevention of drug abuse: immediately after being bitten by a poisonous snake, tie a tourniquet at the proximal end of the affected limb and relax for 1-2 minutes every 15-20 minutes or so.
3. Reduce the cardiac preload: acute pulmonary edema, with tourniquet or sphygmomanometer cuff in turn ligation of limbs, in order to reduce the amount of blood return, reduce the cardiac preload.
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