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对重度烧伤患儿血容量骤减和微循环的改变,伤后48 h内容易发生低血容量性休克,早期及时快速大量补液,有效静脉液体复苏抗休克和中后期静脉营养支持及长期静脉输液治疗,需要护士全面评估,快速建立有效静脉通路,便于抢救生命和安全用药。本例患儿护理难点:大面积皮肤受损,浅表静脉能见度降低,导致静脉穿刺困难。护士根据患儿实际情况,早期选择股静脉穿刺置留置针,中后期选择腋静脉穿刺留置针和经外周静脉置中心静脉导管(PICC),解决
Severe blood loss in children with severe burns and microcirculation changes within 48 h after injury prone to hypovolemic shock, early and prompt rapid mass rehydration, effective intravenous fluid resuscitation and anti-shock in the late intravenous nutrition and long-term intravenous infusion Treatment, the need for a comprehensive assessment of nurses, the rapid establishment of effective venous access, easy to save lives and safe medication. This case of pediatric care difficulties: large area of skin damage, superficial vein visibility decreased, resulting in venipuncture difficulties. Nurses according to the actual situation of children, the early choice of femoral vein puncture catheter, the latter part of the selection axillary venipuncture indwelling needle and central venous catheter (PICC), to solve