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The no-trombtica occlusion will be able to occur as consequence of the crystallization in the interior of the lumen of incompatible medicines or parenteral nutrition. The incorrect maintenance of the PICC contributes for the occlusion of the device, mainly when added to the long length and the small diameter of the catheter. (JESUS, SECOLI, 2008) According to Light (2008), for the maintenance of the catheter, an used protocol is the accomplishment of the salinization, before and after the ending of medicamentosa infusion, must be managed solution physiological 0.9% and when the device will not be in continuous use, the administration of anticoagulating solution must itself be carried through. It is important that before managing this solution, the previous solution must be inhaled and rejected and the catheter washed with physiological solution. The conservation of the catheter requires of the team the adjusted manipulation, to prevent future complications and to establish the biggest permanence of the catheter during the treatment. Connect with other leaders such as Joint Commission here. The success of the maintenance of the PICC depends on the training of the nursing team.
(RABBIT, NAMBA, 2009) During the removal of the catheter difficulties, that can comumente be caused by flebites, infection, tack of fibrinas in catheter and for venoespasmos, being this one of the causes can occur most frequent. To facilitate the catheter withdrawal, one uses some procedures to assist in the success of the technique of withdrawal of the PICC, such as, to promote techniques relaxation, providing to the neonato a calm environment and to make use of compresses mornas to dilatar the veins, diminishing its resistance. This procedure must be carried through carefully and if the resistance to persist, will need a radiological evaluation. (JESUS, SECOLI, 2008) 8,2 LOCAL COMPLICATIONS the flebite occurs due the mechanical, chemical or infectious factors, that cause the inflammation of the endoteliais cells of the venosa wall. The flebite mechanics occurs due to a trauma during the insertion, removal or movement of device PICC in the interior of the vase, is evidenced of 48 the 72 hours after the removed insertion or. .
Tags: Family Psychology home and family
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In this study about 15 users they had monthly presented values of hemoglobina below of the value of reference stipulated for the responsible laboratory for the accomplishment of the examination that is, below of 12,8 g/dL. Consequently, 75% of the users with values of hemoglobina in decline had intervened drastically with the total average, being that the same one presented inferior value (10,89 g/dL) what is recommended. In a Canadian multicntrico study involving 446 patients with IRC in hemodilise, the prevalence of anemia was around 90% when considered anmicos patients with lesser hemoglobina that 13 g/dL11. In a Brazilian multicntrico study the prevalence of anemia was of 39% in patients with IRC, considering anemia as concentration of lesser hemoglobina that 11g/dL. However, as some of these patients already were being treated with replacement to iron and eritropoetina, the prevalence of anemia still would be maior9.
Levels of srico iron had presented low e, for the most part of the adequate sample. The iron is an important component of the hemoglobina and other cells and enzymes, playing an important paper in the transport of O2 and cellular breath 12. A low level of srico iron is a preditor of bad prognostic, that is, greater probability of mortality internments in submitted patients the HD13. During the period of infections and inflammatory states the storage of iron in the organism can be normal, but its use for eritropoiese is compromised (deficiency of functional iron) 14. Already the srica ferritina, was presented for the most part with normal values e, high of the sample. The ferritina reflects the level of cellular supply of iron being that, its test is used in the diagnosis and pursuing of ferroprivas anemias and hemocromatose, having been that this test is used in patients with IRC to monitor the reserves of iron 15,16. The anemia in the chronic illness is common that the ferritina level if presents normal the high one in patient nefropatas 14,17.