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