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Title: Camp-Sorrell, D. (2004) Access Device Guidelines


1
?????? ?????? ??????? ??????? ??????? ????????
??? ????? ????? ????? (1) ????? (2) ??? ?? ?????? ?????? Dead space (3)
???? ?????-(Peripheral Catheter) ????? ????? ?? 5-7 ????. ????? ??? ?? 48 ????. Saline 0.9 1-3 ml ??? 24 ???? 0.5-1 ml ?????
CVPC (Central Venus Pressure Catheter) ????? ????? ?? 5-7 ???? ?????? ???- ??? 48 ????. Heparin 100units/ml ???? ?? 3ml ??? ????? ??? ????. 1-2 ml ?????
???????- Peripheral Inserted Central Catheter (PICC) ????? ????? ?? 5-7 ???? ?????? ???- ??? 48 ????. Heparin 10-100units/ml ???? ?? 3ml ??? ??? ?? ???? ????? ?????. 1-2 ml ?????
???? ?? ???? ???? ????? (Hickman) ????? ????? ?? 5-7 ???? ?????? ???- ??? 48 ????. Heparin 10-100unit/ml ???? 5ml ??? ????? 3-5 ml ?????
???? ?- ??? Port-a Cath ?? ???? ?????? ?? ?????? ???? (gripper) - ????? ????? ?? 5-7 ???? ?????? ???- ??? 48 ????. Heparin 100 units/ml, 5ml ?? 4-6 ?????? ????? ?? ?????. Groshong- saline 5-10cc 5ml ??? ?gripper ?????
???? ??????? Perma-Cath ????? ????? ?? 5-7 ???? ?????? ???- ??? 48 ????. Heparin 1000-5000 units/ml ???? ?? ????? 5ml ?????
????? (1) ?? ?????? ????? ??? ???? ?? ??????, ????? ?? ????? ?????? ??????? ??????. ?????? ?????? ?? ?????? ????? ??? ?48-72 ????. (2) ???? ????? ?? ????? ?? ????? ?? ????? ?Saline 0.9. ??? ?????? ??????? ???? ??? ??? ?-3ml. ??? ???? ?? ?????? ??????? ????? ?? ?????? ?? ?????? ???? ??????. (3) ??? ?? ????? ????????. ?? ????? ????? ?????? ????? ?????? ????? 1 ??? ???? ??????. ????? ?????? ??? ???? ????? ????? ?? ????? ?????? ??????. ?????? ?????? ???? ?? ?????? ?? ????? ??? ?-72-96 ???? ?? ??? ?-24 ???? ????? ?????? ??? ??? ??????? ?? ????? ??????. ?????? ?????? ????? ???? ?? ?????? ?? ????? ??? ?-24 ????. ?????? ?????? ?????? ?????? ?? ???? Chlorhexidine 2, Alcohol 70, ????? ?? ???? ??????? ???? Permacath ?? ?????? ???? (Iodine) ????. ????? (1) ?? ?????? ????? ??? ???? ?? ??????, ????? ?? ????? ?????? ??????? ??????. ?????? ?????? ?? ?????? ????? ??? ?48-72 ????. (2) ???? ????? ?? ????? ?? ????? ?? ????? ?Saline 0.9. ??? ?????? ??????? ???? ??? ??? ?-3ml. ??? ???? ?? ?????? ??????? ????? ?? ?????? ?? ?????? ???? ??????. (3) ??? ?? ????? ????????. ?? ????? ????? ?????? ????? ?????? ????? 1 ??? ???? ??????. ????? ?????? ??? ???? ????? ????? ?? ????? ?????? ??????. ?????? ?????? ???? ?? ?????? ?? ????? ??? ?-72-96 ???? ?? ??? ?-24 ???? ????? ?????? ??? ??? ??????? ?? ????? ??????. ?????? ?????? ????? ???? ?? ?????? ?? ????? ??? ?-24 ????. ?????? ?????? ?????? ?????? ?? ???? Chlorhexidine 2, Alcohol 70, ????? ?? ???? ??????? ???? Permacath ?? ?????? ???? (Iodine) ????. ????? (1) ?? ?????? ????? ??? ???? ?? ??????, ????? ?? ????? ?????? ??????? ??????. ?????? ?????? ?? ?????? ????? ??? ?48-72 ????. (2) ???? ????? ?? ????? ?? ????? ?? ????? ?Saline 0.9. ??? ?????? ??????? ???? ??? ??? ?-3ml. ??? ???? ?? ?????? ??????? ????? ?? ?????? ?? ?????? ???? ??????. (3) ??? ?? ????? ????????. ?? ????? ????? ?????? ????? ?????? ????? 1 ??? ???? ??????. ????? ?????? ??? ???? ????? ????? ?? ????? ?????? ??????. ?????? ?????? ???? ?? ?????? ?? ????? ??? ?-72-96 ???? ?? ??? ?-24 ???? ????? ?????? ??? ??? ??????? ?? ????? ??????. ?????? ?????? ????? ???? ?? ?????? ?? ????? ??? ?-24 ????. ?????? ?????? ?????? ?????? ?? ???? Chlorhexidine 2, Alcohol 70, ????? ?? ???? ??????? ???? Permacath ?? ?????? ???? (Iodine) ????. ????? (1) ?? ?????? ????? ??? ???? ?? ??????, ????? ?? ????? ?????? ??????? ??????. ?????? ?????? ?? ?????? ????? ??? ?48-72 ????. (2) ???? ????? ?? ????? ?? ????? ?? ????? ?Saline 0.9. ??? ?????? ??????? ???? ??? ??? ?-3ml. ??? ???? ?? ?????? ??????? ????? ?? ?????? ?? ?????? ???? ??????. (3) ??? ?? ????? ????????. ?? ????? ????? ?????? ????? ?????? ????? 1 ??? ???? ??????. ????? ?????? ??? ???? ????? ????? ?? ????? ?????? ??????. ?????? ?????? ???? ?? ?????? ?? ????? ??? ?-72-96 ???? ?? ??? ?-24 ???? ????? ?????? ??? ??? ??????? ?? ????? ??????. ?????? ?????? ????? ???? ?? ?????? ?? ????? ??? ?-24 ????. ?????? ?????? ?????? ?????? ?? ???? Chlorhexidine 2, Alcohol 70, ????? ?? ???? ??????? ???? Permacath ?? ?????? ???? (Iodine) ????.
?????? Camp-Sorrell, D. (2004) Access Device
Guidelines Recommendations for Nursing Practice
and Education (2nd ed). Pittsburg ONS O'Grady
P.N. et al (2002).CDC Guidelines for the
Prevention of Intravascular Catheter-Related
Infections
???? ?"? ?????? ?????, RN MHA, ??????????????
???????, "????" ?? ????? 2010
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