dr. tetty - tehnik pemasangan picc

7/24/2019 Dr. Tetty - Tehnik Pemasangan PICC

1/32

[heaod Yhfmsmalma YOJJ

[htty _ua omto


2/32

MDZHZOA[^MPHAM

YH^O@H^ JHA[^MB

PhamXfnobodus

YOJJ

Pham Yhro`hr Pham Zhatrmb7 thrbhtmd

ko khdmt pusmt sordubmso(gmatual) Zundbmvom Gulubmr @hfcrmb Xfnobodmb Oashrso phro`hr

khalma mdshs vhamshatrmb (YOJJ)


3/32

Komlacstod

Yhalmfnobma smfphb kmrme

Yhaludurma thdmama ko vham shatrmb

[hrmphutod

Cnmt

Autroso

Ehfckombosos

Ymjhfmdhr

[XGXMA


4/32


5/32

MDZHZ PHAM ZHA[^MB


6/32

ôsodc oa`hdso

ôsodc trcfncsos

ôsodc pahufctcrmds

Dhfukmema tuaahboal kma mdshs pcrt

Dhfukmema oashrso

Dhstmnobma Yhalmbmfma kma dhfmfpuma cphrmtcr

YH^[OFNMALMA YHFOBOEMA MDZHZPHAM ZHA[^MB


7/32

Fmxofuf nmrrohr prhjmutoca


8/32

Dmththr `bhdsonhb, bhfnut kma pmagmal kooashrsodmafhbmbuo vham phro`hr eoallm fhajmpmo vham jmvm

suphrocr mtmu vham jmvm oa`hrocrMdshs OP gmaldmfhahalme/pmagmal

Yhropehrmbby Oashrthk Jhatrmb Jmtehthr(YOJJ)

[hrnumt kmro sobodca mtmu pcbourhtema

P_LCA Jcrpcrmtoca. Yhropehrmbby Oashrthk Jhatrmb Jmtehthr Nmsoj Fmaumb


9/32

[H^FOACBCLOYOJJ

BCAL BOAH

Dmththr kofmsuddma kmrophfnubue kmrme phro`hr

nhsmr, ugualaym thrbhtmd kovham dmvm suphrocr/oa`hrocr

FOKBOAH

JM[EH[H^

Xgual dmtehthr tokmd

smfpmo vham jmvm

[H^FOACBCLO


10/32

Nobm mdshs phfnhroma crmb kma ov phro`hr subot 7

Jmorma

Autroso

Cnmt

Fhfoaofmbdma rosodc oa`hdso acscdcfomb

Fhfoaofmbdma bmfm phrmwmtma,strhs, orotmso/trmufmdubot mdonmt phfmsmalma oatrmvham phro`hr/jmormaeophrcsfcbmr

[XGXMA


11/32

=. [hrmpo OP gmaldm pmagmal (8-< emro mtmu bhnoe)

>. Fhfhrbudma kum boah kmbmf smtu mdshs vham

:. Godm phrbu bhnoe kmro > OP phro`hr kmbmf >; gmf

;. [YA (jmorma eyphrcsfcbmr)

8. Ahcamtus 7 NN 2 =899 l, lmalluma LO, phrbu vmscmdto`krops, dhbmoama gmatual nmwmma mtmu macfmbo tualdmo

OAKODMZO

FjJmy MZ, kdd. a halb g fhk. >9=;

\mthrlmmrk. Mjtm Mamhstehsocb Zjmak >9=>


12/32

Oa`hdso pmkm thfpmt phfmsmalma

Oa`hdso nmdthro kma gmfur yl tkd thrdhakmbo [rcfncsotcphao KOJ @rmdtur hdstrhfotms Fhauruaaym vhacus rhtura kmro hdstrhfotms (dhbufpuema

smrm`)

Jmtmtma7 [okmd mkm dcatrm oakodmso ymal mnscbut godm pmsohalmwmt kma phrbu mdshs vham jhatrmb

DCA[^M OAKODMZO




13/32

Hdstrhfotms mtms7vham jh`mboj , nmsoboj,fhkoma

junotmb,kma mxobbmry

Hdstrhfotms nmwme7

Pham Zmpehacus kma `hfcrmb

Zjmbp vhoa

Pham oathramb gulubmr

Pham sunjbmvoma

[HFYM[ YHFMZMALMA


14/32

[hatudma dhnutuema uatud YOJJGmalma bupm oa`crfhk jcashat


15/32

HPMBXMZO khalma jhrfmt poboema Pham

Yoboe dmththr shsumo dhnutuema

NN2= dl>5LNN1= dl>;L

Y^CZHKX^ YOJJ


16/32

Xdur bhalmaKhalma fhalluamdma fhtckh terhhsthp 7 Bcdmso phfmsmalma -

fokdbmvodubm - lmros putoal


17/32

Yhrsompma mbmt

Zhnume fmsdhr phajhlmema uaovhrsmb

khalma phboakual fmtm, lmua sthrobkma phautup dhpmbm, kma bmoa-bmoa


18/32

Yhrtofnmaldma

prhfhkodmso

Nmod tcpodmb mtmu oaghdso

Nmyo shroal tokmd stmnob kma lhbosme

ymal fhaoaldmtdma dhnutuema cdsolha

kma vmromso sueu


19/32

Ycsoso pmsoha ymal thpmt

smalmt phatoal

Ycsoso nhk, phalemalmt kma nmyo kma

kmpmt phajmemymma [utupo khalmashbofut shdmbolus shnmlmo `odsmso uatud

fhagmlm ahcamtus thtmp emalmt kma

tokmd mdto` nhrlhrmd


20/32

Ymsmal phautup dhpmbm,

fmsdhr

Luamdma sjrun bofm fhaot kma

pmstodma thbme fhbhpmsdma shfumphreomsma kma gmf tmalma


21/32

Nudm phrmbmtma kma

numtbme kmhrme sthrob

Nudm pmdht phrbhaldmpma shjmrm sthrob

kma mtur bcdmso phrshkomma sheoallmfukme thrboemt


22/32

Zompdma dmththr

Zompdma scbutoca uatud `buse, `buse

dmththr khalma shtokmdaym =jj jmorma.Xdur dmththr khalma potm phaludur

sthrob.


23/32

Lmato smrual tmalma &

Mpbodmso [curaoquht

Fhfobodo msostha uatud fhbmdudma

thdmama, dmrht lhbmal mtmu turaodhtkma lmato smrual tmalma Makm


24/32

Fmsuddma oatrckujhrYhlmal phrmaldmt khalma gmro-gmro Makm pmkm nmatmbma gmro.

Fmsuddma oatrckujhr fhalluamdma =8c-:9csukut fhbmbuo dubot

thpmt ko nmwme hatry pcoat. Godm mkm jbcttoal pmkm oatrckujhr

phrtofnmalmdma fhaloso Oatrckujhr khalma ehpmroa


25/32

Fmsudma dmththr khalma

`crjhps

Fmsudma shjmrm phrbmema kma

thrdhakmbo, fmsudma 9,8-> jf shtomplhrmdma. Bhpmsdma tcuraoquht shthbme

dmththr thbme fmgu ;-8 jf. @buse

khalma smboa nhroso ehpmroa


26/32

Bhpmsdma luokhworh bmbu

mspormso kmrme vham

Luamdma thdmama gmro ko mtms sotus

phfmsmalma. [mrod dhfnmbo oatrckujhrdh dmththr. Bhpmsdma dmwmt phrbmema

shbmfm :9-09 khtod


27/32

Mfmadma dmththr

Mfmadma dmththr kma nmbut shfhatmrm

smfpmo dca`orfmso x-rmy shbhsmo


28/32

^mkocbclos7 pcsoso dmththr

Xgual dmththr ymal fmsud mkm ko bumrgmatual7 Ko vham jmvm sup (komtms[>) Ko vham jmvm oa` ([5 - [=9)

Dmththr emrus thrbhtmd shgmgmr khalmakoakoal phfnubue kmrme Emto-emto tmdomrotfom nobm fmsud vhatrodhb

dmama

YMZJM YHFMZMALMA




29/32

[makm kma Lhgmbm Folrmso Dmththr

Hrothfm, hkhfm (kmro nmeu, bhehr mtmu bhalma

uatud bcdmso phfmsmalma pmkm bhalma)

Zbullose `buseoal

Cdbuso pcfpm mbmrf ymal tokmd kodhtmeuo

shnmnaym Mrotfom gmatual

Ymagmal dmththr thrboemt bhnoe pmagmal


30/32

DCFYBODMZO

- Oa`hdso

- [rcfnus- Yebhnotos- Yhrkmrmema- Hfncbosf- Mrotfom gmatual

- H`uso phrodmrk

- [mfpcamkh gmatual- H`uso pbhurm- Mnshs koakoal kmkm- Ayhro- Fmsmbme dmththr



31/32

[hrofm dmsoe


32/32

Lrmky AYC, Mbhxmakhr F, Nuras BM, Khboalhr Y, Lmrbmak G, Ehmrk ZC,ht mb. Luokhboahs `cr Yrhvhatoca c` Oatrmvmsjubmr Jmtehthr-^hbmthk

Oa`hjtoca, >9==. Jhathrs `cr Koshmsh Jcatrcb mak Yrhvhatoca. >9==7=-5:.

Jmrkhams L, @oahbbo F, Emrros J, Gcams K, Fmrtoas L, Zthoafms F, ht mb.Jhatrmb Mjjhss 7 Xfnobojmb Mrthry mak Phoa Jmaaubmtoca. Jboaojmb NhstYrmjtojh Luokhboah. >9957=-:0

C-Emrm FN, Nuzzmrk JG, ^hunhas B, FjKhrfctt FY, KKoLrmzoc \,

KMalocJ[. M ^makcfozhk [romb Jcfpmroal Bcal-thrf mak Zecrt-thrf Xsh c` Xfnobojmb Phacus Jmtehthrs oa Yrhfmturh Oa`mat woteNorte \holets c` Bhss [ema =>8= Lrmfs. Yhkomtrojs >9904 ==5 (=) >8-:8.

Pylca. Ahcamtmb & Ymhkomtroj Jmtehthrs Zphjombost Yrckujt `crAhwncras & _cual Jeobkrha.www.vylca.jc.ud

Km`tmr Yustmdm

dr. tetty - tehnik pemasangan picc

Documents