{"id":1657,"date":"2019-10-18T17:22:52","date_gmt":"2019-10-18T09:22:52","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=1657"},"modified":"2023-10-31T11:05:35","modified_gmt":"2023-10-31T03:05:35","slug":"belmont-rapid-infuser-and-pressure-bag","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/belmont-rapid-infuser-and-pressure-bag\/","title":{"rendered":"\u201c\u52a0\u58d3\u888b\u201d\u662f\u4f60\u5feb\u901f\u8f38\u6db2\u7684\u6700\u4f73\u9078\u64c7\u55ce\uff1f"},"content":{"rendered":"
\n
\"\"<\/figure>\n<\/div>\n\n\n

\u7576\u75c5\u60a3\u5927\u51fa\u8840\u3001\u8840\u58d3\u62c9\u4e0d\u4e0a\u4f86\uff0c\u5668\u5b98\u8870\u7aed\u53ca\u6b7b\u4ea1\u7684\u6a5f\u7387\u96a8\u6642\u9593\u6d41\u901d\u4e0a\u5347\u3002\u6b64\u6642\u57f7\u5200\u7684\u91ab\u5e2bOrder 2000 c.c \u7d05\u8840\u4e26\u8acb\u4f60\u52a0\u5feb\u8f38\u6ce8\u7684\u901f\u5ea6\uff0c\u65bc\u662f\u4f60\u958b\u59cb\u5b89\u88dd\u52a0\u58d3\u888b\u3001\u53cd\u8986\u5145\u6c23\u540c\u6642\u5fc3\u60f3\uff1a<\/p>\n\n\n\n

1.\u52a0\u58d3\u888b\u58d3\u529b\u591a\u5c11\uff1f\u600e\u9ebc\u8a08\u7b97\u6d41\u901f\uff1f
2.\u8f38\u6db2\u888b\u7a7a\u4e86\u6c92\uff1f\u6703\u4e0d\u6703\u7a7a\u6c23\u6813\u585e\uff1f
3.\u8f38\u90a3\u9ebc\u591a\u51b0\u8840\u6703\u4e0d\u6703\u964d\u4f4e\u60a3\u8005\u9ad4\u6eab\uff1f\u5fc3\u5ba4\u986b\u52d5\uff1f<\/p>\n\n\n\n

\u5982\u679c\u6bcf\u6b21\u4f7f\u7528\u58d3\u529b\u888b\u9019\u4e9b\u554f\u984c\u90fd\u53cd\u8986\u5728\u4f60\u8166\u6d77\u4e2d\u76e4\u65cb\uff0c\u90a3\u9ebc\u4f60\u4e26\u4e0d\u5b64\u55ae\u30022018\u5e74\u6025\u8a3a\u8b77\u7406\u5e2b\u5354\u6703\u5e74\u5ea6\u6703\u8b70(Emergency Nurses Association Annual Conference 2018, ENA )\u4e2d\u4e00\u9805\u554f\u5377\u8abf\u67e5\u986f\u793a\u5e7e\u4e4e\u6bcf\u4e00\u4f4d\u8b77\u7406\u4eba\u54e1(53\u4eba\u4e2d\u670952\u4eba)\u90fd\u540c\u610f\u4f4e\u8840\u58d3\u662f\u4e00\u7a2e\u91ab\u7642\u6025\u75c7\uff0c\u5feb\u901f\u8f38\u6db2\u5fa9\u7526(Rapid Fluid Resuscitation)\u5c0d\u65bc\u4f4e\u8840\u58d3\u60a3\u8005\u6025\u6551\u81f3\u95dc\u91cd\u8981\uff0c\u6709\u52a9\u65bc\u7de9\u548c\u6025\u6551\u6642\u7684\u58d3\u529b\u53ca\u8907\u96dc\u5ea6\u3002\u540c\u6642\uff0c\u554f\u5377\u986f\u793a55%\u7684\u53d7\u8a2a\u8005\u5728\u9032\u884c\u5feb\u901f\u8f38\u6db2\u6642\u6703\u9078\u64c7\u52a0\u58d3\u888b<\/strong>\uff0c\u4f46\u6574\u9ad4\u4e0a\u5c0d\u5176\u6eff\u610f\u5ea6\u5b58\u7591\u300291%\u7684\u53d7\u8a2a\u8005\u8868\u793a\u8f38\u6db2\u888b\u64cd\u4f5c\u4e0a\u5f88\u9ebb\u7169\uff0c\u5e38\u9700\u8981\u91cd\u65b0\u6253\u6c23\uff1b79%\u7684\u53d7\u8a2a\u8005\u8d0a\u540c\u6709\u7a7a\u6c23\u6813\u585e\u7684\u6f5b\u5728\u98a8\u96aa\u3002\u7d9c\u4e0a\u6240\u8ff0\uff0c\u96d6\u7136\u52a0\u58d3\u888b\u5e38\u7528\u5728\u5feb\u901f\u8f38\u6db2\u4f46\u4ecd\u7136\u6709\u5f88\u591a\u4e0d\u8db3\u4e4b\u8655\u3002<\/p>\n\n\n\n

1.\u52a0\u58d3\u888b\u9700\u8981\u6301\u7e8c\u5145\u6c23\u624d\u80fd\u7dad\u6301\u6d41\u901f<\/strong>
\u96a8\u8f38\u6db2\u888b\u9ad4\u7a4d\u8b8a\u5c0f(\u888b\u5167\u6db2\u9ad4\u6e1b\u5c11)\uff0c\u58d3\u529b\u6703\u4e0b\u964d\u3001\u901f\u5ea6\u6703\u6f38\u6f38\u8b8a\u6162\uff0c\u9664\u975e\u5c08\u4eba\u6301\u7e8c\u5145\u6c23\u7dad\u6301\u58d3\u529b\u624d\u80fd\u4fdd\u6301\u4e00\u81f4\u7684\u901f\u5ea6\u3002\u6b64\u5916\u5728\u66f4\u63db\u8f38\u6db2\u888b\u524d\u5fc5\u9808\u5148\u6d29\u6c23\u3001\u63db\u888b\u3001\u7ba1\u7dda\u6392\u6c23\u518d\u91cd\u65b0\u5145\u6c23\u624d\u80fd\u6062\u5fa9\u8f38\u6db2\u65bc\u662f\u6d6a\u8cbb\u8a31\u591a\u5bf6\u8cb4\u6642\u9593\u3002<\/p>\n\n\n\n

2.\u7a7a\u6c23\u6813\u585e<\/strong>
\u56e0\u52a0\u58d3\u888b\u9020\u6210\u7684\u7a7a\u6c23\u6813\u585e\u6848\u4f8b\u96d6\u7136\u5c11\u898b\u537b\u53ef\u80fd\u81f4\u547d\u3002\u4f7f\u7528\u52a0\u58d3\u888b\u6642\u9664\u4e86\u8f38\u6ce8\u524d\u9700\u8981\u5c07\u8f38\u6db2\u888b\u3001IV\u7ba1\u7dda\u586b\u5145\u6392\u6c23\u5916\uff0c\u8f38\u6ce8\u4e2d\u4e5f\u8981\u96a8\u6642\u6ce8\u610f\u8f38\u6db2\u888b\u5167\u9084\u6709\u591a\u5c11\u6db2\u9ad4\uff0c\u907f\u514d\u7a7a\u888b\u9020\u6210\u7a7a\u6c23\u9032\u5165\u7ba1\u7dda\u5167\u3002\u6709\u7814\u7a76\u5efa\u8b70\u52a0\u58d3\u888b\u53ef\u4ee5\u642d\u914d\u7dda\u4e0a\u7a7a\u6c23\u904e\u6ffe\u5668(In-line Air Filter)\u964d\u4f4e\u7a7a\u6c23\u6813\u585e\u7684\u98a8\u96aa\uff0c\u4f46\u5927\u591a\u6578\u7684\u904e\u6ffe\u5668\u50c5\u80fd\u904e\u6ffe\u5c11\u91cf\u7a7a\u6c23(<3 mL)\u6548\u679c\u6709\u9650\uff0c\u540c\u6642\u8f38\u6ce8\u901f\u5ea6\u6703\u53d7\u904e\u6ffe\u5668\u5167\u7a7a\u6c23\u542b\u91cf\u5f71\u97ff\u8b8a\u6162\u751a\u81f3\u53ef\u80fd\u505c\u6b62\u8f38\u6ce8\u3002<\/p>\n\n\n\n

3.\u8f38\u6db2\u52a0\u6eab<\/strong>
RBC\u3001FFP\u4fdd\u5b58\u6eab\u5ea6\u7d04\u70ba4\u2103\uff0c\u5927\u91cf\u51b0\u8840\u8f38\u6ce8\u81f3\u4eba\u9ad4\u53ef\u80fd\u4f7f\u60a3\u8005\u9ad4\u6eab\u4e0b\u964d\uff0c\u4f4e\u6eab\u75c7(Hypothermia)\u53ef\u80fd\u5c0e\u81f4\u51dd\u8840\u969c\u7919\uff0c\u6240\u4ee5\u5feb\u901f\u8f38\u6db2\u6642\u8840\u54c1\u7684\u52a0\u6eab\u662f\u6709\u5176\u5fc5\u8981\u3002<\/p>\n\n\n

\n
\"\"
RI-2\u517c\u9867\u901f\u5ea6\u3001\u5b89\u5168\u3001\u4fbf\u5229\u6027<\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n

\u57fa\u65bc\u4e0a\u8ff0\u539f\u56e0\uff0c\u4f60\u9700\u8981\u66f4\u597d\u7684\u65b9\u5f0f\u4f86\u57f7\u884c\u5feb\u901f\u8f38\u6db2\u3002\u8c9d\u723e\u66fc\u7279RI-2<\/a>\u662f\u4e00\u5957\u517c\u9867\u901f\u5ea6\u3001\u5b89\u5168\u8207\u4fbf\u5229\u6027\u7684\u8f38\u6db2\u7ba1\u7406\u7cfb\u7d71\uff1a
1.\u4e00\u5206\u9418\u80fd\u8f38\u5b8c2U RBC\u4e14\u52a0\u6eab\u81f337\u2103\u3002
2.\u53ef\u61c9\u6620\u75c5\u4eba\u7684\u8f38\u6db2\u9700\u6c42\u7cbe\u6e96\u8abf\u6574\u5e6b\u6d66\u6d41\u901f\u3002
3.\u8fc5\u901f\u63db\u888b\uff0c\u7bc0\u7701\u5bf6\u8cb4\u6551\u547d\u6642\u9593\u3002
4.\u51fa\u8272\u7684\u81ea\u52d5\u6392\u6c23\u529f\u80fd\u5e6b\u52a9\u4f60\u7684\u60a3\u8005\u514d\u53d7\u7a7a\u6c23\u6813\u585e\u50b7\u5bb3\u3002
5.\u8f38\u6db2\u888b\u4e0d\u5206\u5927\u5c0f\u96a8\u88dd\u96a8\u7528\uff0c\u4e0d\u7528\u66f4\u63db\u7279\u5b9a\u5c3a\u5bf8\u8f38\u6db2\u888b\u3002
6.\u53ef\u6301\u7e8c\u8f38\u6ce8(Continuous Infusion)\u6216\u9593\u6b47\u6ce8\u5c04(Intermittent Bolus)\u5b9a\u91cf\u8f38\u6ce8\u3001\u91cf\u5230\u5c31\u505c\u3002
7.\u7dca\u6025\u6642\u523b\u9084\u8981\u8a18IV set\u7684\u586b\u5145\u6392\u6c23(Priming)\u6b65\u9a5f\u55ce\uff1f \u5225\u7169\u60f1\u4e86\uff01\u9019\u90fd\u53ef\u4ee5\u8b93RI-2\u81ea\u52d5\u8655\u7406\u3002<\/strong>
<\/p>\n\n\n\n

\"\"
RI-2\u53ef\u4ee5\u5728\u555f\u52d5\u5f8c15\u79d2\u5167\u5373\u7a69\u5b9a\u8f38\u51fa35-40\u2103\u6db2\u9ad4<\/strong><\/figcaption><\/figure>\n\n\n\n
\"\"
\u6d41\u901f\u3001\u6eab\u5ea6\u3001\u58d3\u529b\u3001\u7e3d\u6d41\u91cf\u53ef\u4ee5\u4e00\u76ee\u4e86\u7136<\/strong><\/figcaption><\/figure>\n\n\n\n

References
1.Are Pressure Bags Really our Best Option for Rapid Fluid Delivery? <\/a>
2.Iserson, Kenneth & Criss, Elizabeth. (1986). Combined effect of catheter and tubing size on fluid flow. The American journal of emergency medicine. 4. 238-40. 10.1016\/0735-6757(86)90077-X. <\/a>
3.Shamim F, Abbasi S. Fatal vascular air embolism during fluid resuscitation as a complication of pressure infuser bag. <\/a>J Emerg Trauma Shock<\/a><\/em>. 2016;9(1):46\u201347. doi:10.4103\/0974-2700.161659<\/a>
4.Living on the Edge in Critical Care Nursing: How Rapid Fluid Resuscitation Can Reduce Job Stress.<\/a><\/p>","protected":false},"excerpt":{"rendered":"

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