Chinese Journal of Nursing ›› 2021, Vol. 56 ›› Issue (7): 1105-1110.DOI: 10.3761/j.issn.0254-1769.2021.07.025

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A scoping review on risk management of peripheral vasoactive medication

JIANG Ying(),LI Wanhui,CHEN Yingying,TONG Beibei,KANG Xiaofeng(),YU Yanyan,LIU Yaping   

  • Received:2021-01-11 Online:2021-07-15 Published:2021-06-29
  • Contact: Xiaofeng KANG

经外周静脉输注血管活性药物风险管理范围的综述

江莹(),黎万汇,陈莹莹,仝贝贝,康晓凤(),于艳艳,刘亚平   

  1. 100044 北京市 北京协和医学院护理学院(江莹,黎万汇,陈莹莹,仝贝贝,康晓凤);泰达国际心血管病医院护理部(于艳艳,刘亚平)
  • 通讯作者: 康晓凤
  • 作者简介:江莹:女,本科(硕士在读),护师,E-mail: jiangying_ncbi@163.com

Abstract:

Objective To explore the risk factors and safety infusion protocol of peripheral vasoactive medication. Methods 5 guideline websites and 7 databases were searched from their inception until March 7,2021. We qualitatively described the characteristics of complications,risk factors, and safety infusion protocols of peripheral vasoactive medication. Results A total of 14 articles were incorporated,including 2 guidelines,4 systematic reviews,and 8 original articles. It shows that the safety of peripheral vasoactive medication is affected by drug,patient,and infusion protocol. A guideline and 8 original articles provide the safety infusion protocol,including infusion site,infusion technique,infusion duration,frequency of observation,and management of complications. Conclusion Short-term use of peripheral vasoactive medication is safe and feasible under the whole-process risk assessment and protective strategy.

Key words: Vasoactive Medication, Peripheral Vein, Complication, Risk Management, Extravasation, Scoping Review, Nursing Care

摘要:

目的 探讨经外周静脉输注血管活性药物的风险因素及安全输注方案。 方法 系统检索5个指南网站、7个中英文数据库,检索时限为建库至2021年3月7日,定性描述经外周静脉输注血管活性药物并发症的基本特征、风险因素及安全输注方案。 结果 纳入14篇文献,其中指南2篇、系统评价4篇、原始研究8篇。经外周静脉输注血管活性药物的安全性受药物因素、患者因素、输注方案影响。1篇指南和8篇原始研究提供了经外周静脉血管活性药物安全输注方案,内容涉及输注速度、输注部位、输注技术、输注时长、监测频率、并发症处理等。 结论 实施全程风险评估和安全输注方案,短期经外周静脉输注血管活性药物是安全可行的。

关键词: 血管活性药物, 外周静脉, 并发症, 风险管理, 外渗, 范围综述, 护理