Ns. Yani - Askep Pada Neonatus Yang Terpasang Akses Intravena

7/24/2019 Ns. Yani - Askep Pada Neonatus Yang Terpasang Akses Intravena

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L]QBLG OAUATLYL^LG ULNL

GA@GL^Q] XLGI ÂTUL]LGI

LO]A] HG^TLZAGL



UAGNLBQCQLG

Uaklslgilg losas hgtrlvagl karuplolg

thgnlolg hgvlshj ylgi nhclouolg `cab tagliloasabltlg ylgi o`kpatag (nòtar nlgparlwlt/dhnlg)

Nhclouolg nagilg tabgho starhc

Nhparcuolg o`gsagtrlsh thgiih, sldlr, tacltag

Uaklslgilg clkl nlg sucht

Gyarh nlg trlukltho

Tasho` thgiih tarflnhgyl hgjaosh lchrlg nlrlb nlgsapshs



^QFQLG UATLYL^LG LO]A] HG^TL

ZAGL

Nhlig`stho

< Uagilkdhclg slkpac nlrlb

4 Uagiuourlg taolglg nh vagl sagtrlc

ârlpautho

<) @dlt

4) Gutrhsh

=) Bak`nhlchshs

>) Ulmakloar



K`ght`rhgi oatlt lnlgyl pakdagiololg nlg

oakarlblg hgjhctrlsh, jcadhths

Clouolg pagmltltlg par flk

^lkphclg flcur hgtrlvagl

Fukclb mlhrlg ylgi klsuo

HGJHC^TL]H FLCQT HG^TLZAGL





Z.H.U. ]M@TA (ZH]QLC HGJQ]H@G UBCADH^H] ]M@TA)

HZ. ]hta lppars balctby

@ga `j tba j`cc`whgi hs avhnagt 6

]chibt plh galr tba h.v. ]hta `r schibt rangass

galr tba h.v. shta

Lcc `j tba j`cc`whgi lra avhnagt & axtagshva

Ulhg lc`gi pltb `j mlgguc arytbakl

hgnurlth`g plcpldca vagùs m`rn pyraxhl

Lcc `j tba j`cc`whgi lra avhnagt & axtagshva6Ulhg lc`gi pltb `j mlggucs arytbakl,

Hgnurlth`g plcpldca vagùs m`rn

^w` `j tba j`cc`whgi lra avhnagt6

Ulca galr h.v. ]hta Arytbakl ]wachgi

^w` `j tba j`cc`whgi lra avhnagt6

Ulca galr h.v. ]hta Arytbakl ]wachgi

hgnurlth`g

G` shig `j pcadhths

@D]ATZA MLGGQCL

U`sshdca jhrst shig `j pbcadhths

@D]ATZA MLGGQCL

Alrcy stlia `j pbcadhths

TA]HÂ MLGGQCL

Kanhuk stlia `j pbcadhthsTA]HÂ MLGGQCL ” M@G]HNAT ^TAL^KAG^

Lnvlgma stlia `j pbcadhths `r stlrt `j

tbr`kd`pbcadhths

TA]HÂ MLGGQCL - M@G]HNAT ^TAL^KAG^

Lnvlgma stlia `j tbr`kd`pbcadhths

HGH^HLÂ ^TAL^KAG^ ” TA]HÂ

MLGGQCL



UATLYL^LG QKDHCHOLC

l) Olfh lnlgyl ilgiiulg vlsoucar nh nlarlb

plgiiuc ltlu aostrhkhtls dlwlb

d) Olfh agtarò`chths gaor`tholgs oamulch plnloalnllg nlrurlt nlg losas clhg thnlokakugiohgolg

m) Olfh lnlgyl parht`ghths

n) Olfh lnlgyl @kjlchths nlg `kjlcòac

a) Olfh parnlrlblg ltlu oamagnarugilg

tbr`kd`shs karuplolg o`gtrlhgnholsh raclthj



Qfugi Oltatar Zagl

darlnl nh vagl p`rtl



]ACLKL UAKL]LGILG

•@dsarvlsh tlgnl-tlgnl vhtlc dlyh

• @dsarvlsh fukclb parnlrlblg

• Uartlblgolg oapltaglg HZ parhjar

• Ulstholg dlyh saclcu lklg

• @dsarvlsh ralosh lcarih

• @dsarvlsh p`shsh oltatar sllt pagutuplgnagilg nrasshgi

•

Mltlt sakul pr`sas nlg pr`sanur saclklthgnlolg (catlo, oanlclklg, uourlg oltatar,`parlt`r nlg lshstag)

Dlh`mm`, I. I., & Cuhs, F. (45<5). ̂ ba Qsa ̀ j tba Uarhpbarlccy Hgsartan Magtrlc Mltbatar

hg tba B`sphtlc Agvhr`gkagt, <2(:), <<=<-9



]AÂCLB UAKL]LGILG

Ucastar pagutup ylgi nhiuglolg ugtuohkk`dhchslsh oltatar (nrasshgi) UAG^HGI ugtuokagiatlbuh lplolb oltatar ruslo ltlu thnloplnl takpltgyl

Uhchb ylgi trlgsplrlg

Darh olhg olsl lgtlrl pcastar nlg takplt hgsarsh

MNM karao`kagnlsholg ilgth pcastar/nrasshgi thlp >2 flk

Magtars j`r Nhsalsa M`gtr`c lgn Uravagth`g, 45<=



UATLYL^LG UHMM

• Ilgth nrasshgi oltatar 4> flkpartlkl sataclb paklslgilg(taogho starhc)

• Uarshlpolg lclt ugtuo kagiilgth

nrasshgi (LUN starhc, phgsat,iugthgi, olsl, trlgsplrlg jhck,nashgjaotlg, spuht <5 kC, GlMc5,8% + baplrhg, nlg nuo lkplr )

Ilcc`wly, ]., & D`nagblk, L. (455>). C`gi-tark magtrlc vagùs lmmass. Drhthsb

Fùrglc `j Lglastbashl, 84(1)Magtars j`r Nhsalsa M`gtr`c lgn Uravagth`g, 45<=



UATLYL^LG UHMM

• Mlrl kaclouolg nrasshgi6- nashgjaosh nlarlb hgsarsh nagilg lco`b`c/mbc`rbaxhnhga

- tutup nlarlb hgsarsh nagilg olsl starhc oamhc

- tutup nagilg trlgsplrlgt jhck (parbltholgp`shsh oltatar)

Ilcc`wly, ]., & D`nagblk, L. (455>). C`gi-tark magtrlc vagùs lmmass. Drhthsb

Fùrglc `j Lglastbashl, 84(1)Magtars j`r Nhsalsa M`gtr`c lgn Uravagth`g, 45<=



UATLYL^LG UHMM

•

@dsarvlsh lral hgsarsh nlg còlsh pakducubnlrlb ylgi nhplslgi UHMM chga (tlgnlpbcadhths anakl, arhtakl, aostrlvlslsh)

• Ulstholg sathlp slkdugilg chga thnlotaro`gtlkhglsh (tarflil oastarhclggyl)

• Clouolg sathlp thgnlolg mumh tlgilgsadacukgyl nlg clouolg thgnlolg nagilgtaogho starhc

• Nhspagshgi mlhrlg nagilg taogho starhc nlgmc`sa systak

Uattht F, Yymo`jj KK. Uarhpbarlccy hgsartan magtrlc mltbatars. Iuhnachga j`r

Urlmthma, 4gn An. 4559Ilcc`wly, ]., & D`nagblk, L. (455>). C`gi-tark magtrlc vagùs lmmass. Drhthsb

Fùrglc `j Lglastbashl 84 1



UATLYL^LG UHMM

Kakhghklchslsh agtry p`hgts khor``rilghskanagilg kagiurlgih fukclb p`rts ltluslkdugilg (m`ggamth`gs)

hgjaosh cadhb thgiih nagilg paklolhlgnùdca, trhpca-cukag mltbatars nhdlgnhgiolg

shgica-cukag mltbatars

Kagstarhcolg losas p`rts sadacuk kaklsuoolg flruk ltlu mlhrlg



UATLYL^LG UHMM

UHMM blrus nh-jcusb khghklc sakhgiiu

saolch nagilg GlMc 5,8%(kagiiuglolg spuht <5 kc) ugtuokakpartlblgolg pltagsh oltatarsataclb nhiuglolg ugtuo hgjus mlhrlgltlu hgfaosh `dlt hgtrlvagl (slltpagiilgthlg nrasshgi )

âkplt hgsarsh UHMM blrus nhdarshbolgthlp khgiiu kagiiuglolgmbc`rbaxhnhga % nlclk lco`b`c 95%ltlu sataclb nrasshgi trlgsplrlg jhckruslo/ o`t`r

C`vanly BU? Yhcs`g F L? Urltt TF, I`cs`robh L? lt lc (45<>) aphm=6 Glth`glc

Avhnagma-Dlsan Iuhnachgas j`r pravagthgi Balctbmlra lss`mhltan Hgjamth`gs hg

GB] B`sphtlcs hg Agiclgn. Fùrglc ̀ j B`sphtlc Hgjamth`g 2:1< ]<-]95.

Uattht F, Yymo`jj KK. Uarhpbarlccy hgsartan magtrlc mltbatars. Iuhnachga j`r

Urlmthma, 4gn An. 4559



UATLYL^LG UHMM

K`ght`r ruslogyl oltatar

flgilg iuglolg spuht ylgi cadhb oamhc nlrh <5kc olragl taolglggyl cadhb thgiih

K`ght`r khirlsh oltatar

oltatar ylgi nhhgsarsh kaclcuh aostrakhtls ltlscadhb sarhgi kagilclkh khirlsh, mao nagilg x-rly uclgi

dhcl nhtakuolg tlkp`glna flgtugi ltlu ajushpcaurl, oltatar blrus nhcapls (plstholg p`shshlwlc taplt)

]ùtb Ylcas Hgtrlvagùs Lmmass Lnvhs`ry Irùp. Iuhnachgas j`r tba Mlra lgnKlhgtaglgma ̀ j l Uarhpbarlccy Hgsartan Magtrlc Mltbatar (UHMM). 45<>



Ilgth darolcl chga slkdugilg nlg mlhrlghgjus

- mlhrlg hgjus naostr`sl nlg lslk lkhg`blrus nhilgth darolcl thlp 94 flk

- mlhrlg chphn blrus nhilgth thlp 4> flk- chga slkdugilg oa oltatar blrus nhilgththlp 94 flk

UATLYL^LG UHMM

Magtars j`r Nhsalsa M`gtr`c lgn Uravagth`g, 4554



UATLYL^LG UHMM

• K`ght`r paklolhlg oltatar vagl sagtrlc

]aklohg clkl oltatar darlnl nhnlclk

nlrlb, saklohg thgiih rhsho` tarflnh hgjaosh

• Nlrh pagachthlg sadacukgyl nholtlolg

dlbwl

]agiuptl L, Cabklgg M, Nhagar-Yast K, Uarc ̂ K, Khcst`ga LK. Mltbatar nurlth`g lgn

rhso ̀ j MCL-D]H hg ga`gltas whtb UHMMs. Uanhltrhms 45<5?<416:>2

U`wars TF, Yhrtsmbljtar NY. Namralshgi magtrlc chga lss`mhltan dc``nstralk hgjamth`g hg

ga`gltlc hgtagshva mlra. Mchg Uarhglt`c 45<5?=964>9-94.

rhsho` hgjaosh kaghgiolt sataclb paklolhlgoltatar 7 4< blrh



UHMM NLCLK OALNLLG DLHO...

• Ucastar pagutup trlgsplrlgdarshb, oarhgi, nlg raoltnagilg dlho

• ^hnlo gyarh, dagiolo, ltlu

oakarlblg nh saohtlr takplthgsarsh

• Dlyh thnlo kaglkplolgtlgnl-tlgnl hgjaosh (thnlorawac, blshc cld nlclk dltlsg`rklc)


Uattht F, Yymo`jj KK. Uarhpbarlccy hgsartan magtrlc mltbatars. Iuhnachga j`r Urlmthma,4gn An. 4559



Ylrghgi shigs!!!

• Ucastar pagutup capls,dlslr, darnlrlb, ltludardlu

• Oltatar pltlb ltlu

ruslo• Nlarlb hgsarsh

dagiolo nlgoakarlblg

• Gyarh nh nlarlb hgsarshnlg saohtlrgyl

• Oltatar tartaouo ltluohgoan

• Lnl lchrlg nlrlb dlcho• Lnlgyl sukdltlg nh

oltatar

• Dlyh/lglo kagflnhnaklk

UHMM ^HNLO NLCLK OALNLLG DLHO...


Uattht F, Yymo`jj KK. Uarhpbarlccy hgsartan magtrlc mltbatars. Iuhnachga j`r Urlmthma,

4gn An. 4559



DHCL OLÂÂT TQ]LO L^LQ KHITL]H...

Oltatar blrus nhcapls

Mumh tlgilg, plolh slrugi tlgilg starhc

^hgnlolg lsaptho lgthsaptho

Capls pcastar

^lrub olhg olsl nh takplt hgsarsh

Capls oltatar parclblg, dhcl lnl tlblglg flgilgnhplosl, darh o`kpras blgilt ugtuo kagiurlgihvls`splska

]ataclb oltatar capls, parbltholg dlihlg ylgi ruslo,ltlu ohrhk ugtuo nhparhosl khor`so`pho (ouctur ufugi UHMM)

KmMly L], Acch`tt AM, Ylcnag K. UHMM pclmakagt hg tba ga`glta. G Agic FKan 45<>?=956a<9



UAGXADLD ]QKDL^LG OLÂÂT

Uagyadld tarsarhgi

- tarnlplt lchrlg nlrlb dlcho

- lchrlg clkdlt

- sukdltlg t`tlc

Uagyadld clhg

- daoulg nlrlb nh oltatar

- jhdrhg sbaltb

- klcp`shsh oltatar

- pakdarhlg ̀ dlt-`dltlg (hgm`kplthdca)

- pakdarhlg plragtarlc gutrhsh nagilg chphn

U`wars TF, Yhrtsmbljtar NY. Namralshgi magtrlc chga lss`mhltan dc``nstralk hgjamth`g hgga`gltlc hgtagshva mlra. Mchg Uarhglt`c 45<5?=964>9-94.



UAGMAILBLG O@KUCHOL]H

Clouolg mumh tlgilg

- sadacuk o`gtlo nagilg losas vaglsagtrlc nagilg kagiiuglolglgthsaptho

- sadacuk nlg sasunlb o`gtlo nagilg

plshag nlg parlcltlg kanhs clhg- mlrl plchgi ajaothj kagmailb magtrlc

chga -lss`mhltan dc``nstralkhgjamth`gs




• Kagiiuglolg parlgiolt starhc slltkaclouolg paklslgilg UHMM

- pagutup oaplcl

- klsoar

- dlfu starhc

- slrugi tlgilg starhc

• Lgthsaptho oc`rbaoshnhg 5,1 ” 4% 777 ajaothj(u/dlotarh irlk + nlg ” , sartl vhrus)

nhrao`kagnlsholg nh GHMQ




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Ns. Yani - Askep Pada Neonatus Yang Terpasang Akses Intravena