Post on 24-Feb-2018
7/24/2019 Dr. Tetty - Tehnik Pemasangan PICC
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[heaod Yhfmsmalma YOJJ
[htty _ua omto
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MDZHZOA[^MPHAM
YH^O@H^ JHA[^MB
PhamXfnobodus
YOJJ
Pham Yhro`hr Pham Zhatrmb7 thrbhtmd
ko khdmt pusmt sordubmso(gmatual) Zundbmvom Gulubmr @hfcrmb Xfnobodmb Oashrso phro`hr
khalma mdshs vhamshatrmb (YOJJ)
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Komlacstod
Yhalmfnobma smfphb kmrme
Yhaludurma thdmama ko vham shatrmb
[hrmphutod
Cnmt
Autroso
Ehfckombosos
Ymjhfmdhr
[XGXMA
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MDZHZ PHAM ZHA[^MB
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^osodc oa`hdso
^osodc trcfncsos
^osodc pahufctcrmds
Dhfukmema tuaahboal kma mdshs pcrt
Dhfukmema oashrso
Dhstmnobma Yhalmbmfma kma dhfmfpuma cphrmtcr
YH^[OFNMALMA YHFOBOEMA MDZHZPHAM ZHA[^MB
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Fmxofuf nmrrohr prhjmutoca
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Dmththr `bhdsonhb, bhfnut kma pmagmal kooashrsodmafhbmbuo vham phro`hr eoallm fhajmpmo vham jmvm
suphrocr mtmu vham jmvm oa`hrocrMdshs OP gmaldmfhahalme/pmagmal
Yhropehrmbby Oashrthk Jhatrmb Jmtehthr(YOJJ)
[hrnumt kmro sobodca mtmu pcbourhtema
P_LCA Jcrpcrmtoca. Yhropehrmbby Oashrthk Jhatrmb Jmtehthr Nmsoj Fmaumb
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[H^FOACBCLOYOJJ
BCAL BOAH
Dmththr kofmsuddma kmrophfnubue kmrme phro`hr
nhsmr, ugualaym thrbhtmd kovham dmvm suphrocr/oa`hrocr
FOKBOAH
JM[EH[H^
Xgual dmtehthr tokmd
smfpmo vham jmvm
[H^FOACBCLO
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Nobm mdshs phfnhroma crmb kma ov phro`hr subot 7
Jmorma
Autroso
Cnmt
Fhfoaofmbdma rosodc oa`hdso acscdcfomb
Fhfoaofmbdma bmfm phrmwmtma,strhs, orotmso/trmufmdubot mdonmt phfmsmalma oatrmvham phro`hr/jmormaeophrcsfcbmr
[XGXMA
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=. [hrmpo OP gmaldm pmagmal (8-< emro mtmu bhnoe)
>. Fhfhrbudma kum boah kmbmf smtu mdshs vham
:. Godm phrbu bhnoe kmro > OP phro`hr kmbmf >; gmf
;. [YA (jmorma eyphrcsfcbmr)
8. Ahcamtus 7 NN 2 =899 l, lmalluma LO, phrbu vmscmdto`krops, dhbmoama gmatual nmwmma mtmu macfmbo tualdmo
OAKODMZO
FjJmy MZ, kdd. a halb g fhk. >9=;
\mthrlmmrk. Mjtm Mamhstehsocb Zjmak >9=>
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Oa`hdso pmkm thfpmt phfmsmalma
Oa`hdso nmdthro kma gmfur yl tkd thrdhakmbo [rcfncsotcphao KOJ @rmdtur hdstrhfotms Fhauruaaym vhacus rhtura kmro hdstrhfotms (dhbufpuema
smrm`)
Jmtmtma7 [okmd mkm dcatrm oakodmso ymal mnscbut godm pmsohalmwmt kma phrbu mdshs vham jhatrmb
DCA[^M OAKODMZO
FjJmy MZ, kdd. a halb g fhk. >9=;
\mthrlmmrk. Mjtm Mamhstehsocb Zjmak >9=>
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Hdstrhfotms mtms7vham jh`mboj , nmsoboj,fhkoma
junotmb,kma mxobbmry
Hdstrhfotms nmwme7
Pham Zmpehacus kma `hfcrmb
Zjmbp vhoa
Pham oathramb gulubmr
Pham sunjbmvoma
[HFYM[ YHFMZMALMA
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[hatudma dhnutuema uatud YOJJGmalma bupm oa`crfhk jcashat
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HPMBXMZO khalma jhrfmt poboema Pham
Yoboe dmththr shsumo dhnutuema
NN2= dl>5LNN1= dl>;L
Y^CZHKX^ YOJJ
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Xdur bhalmaKhalma fhalluamdma fhtckh terhhsthp 7 Bcdmso phfmsmalma -
fokdbmvodubm - lmros putoal
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Yhrsompma mbmt
Zhnume fmsdhr phajhlmema uaovhrsmb
khalma phboakual fmtm, lmua sthrobkma phautup dhpmbm, kma bmoa-bmoa
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Yhrtofnmaldma
prhfhkodmso
Nmod tcpodmb mtmu oaghdso
Nmyo shroal tokmd stmnob kma lhbosme
ymal fhaoaldmtdma dhnutuema cdsolha
kma vmromso sueu
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Ycsoso pmsoha ymal thpmt
smalmt phatoal
Ycsoso nhk, phalemalmt kma nmyo kma
kmpmt phajmemymma [utupo khalmashbofut shdmbolus shnmlmo `odsmso uatud
fhagmlm ahcamtus thtmp emalmt kma
tokmd mdto` nhrlhrmd
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Ymsmal phautup dhpmbm,
fmsdhr
Luamdma sjrun bofm fhaot kma
pmstodma thbme fhbhpmsdma shfumphreomsma kma gmf tmalma
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Nudm phrmbmtma kma
numtbme kmhrme sthrob
Nudm pmdht phrbhaldmpma shjmrm sthrob
kma mtur bcdmso phrshkomma sheoallmfukme thrboemt
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Zompdma dmththr
Zompdma scbutoca uatud `buse, `buse
dmththr khalma shtokmdaym =jj jmorma.Xdur dmththr khalma potm phaludur
sthrob.
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Lmato smrual tmalma &
Mpbodmso [curaoquht
Fhfobodo msostha uatud fhbmdudma
thdmama, dmrht lhbmal mtmu turaodhtkma lmato smrual tmalma Makm
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Fmsuddma oatrckujhrYhlmal phrmaldmt khalma gmro-gmro Makm pmkm nmatmbma gmro.
Fmsuddma oatrckujhr fhalluamdma =8c-:9csukut fhbmbuo dubot
thpmt ko nmwme hatry pcoat. Godm mkm jbcttoal pmkm oatrckujhr
phrtofnmalmdma fhaloso Oatrckujhr khalma ehpmroa
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Fmsudma dmththr khalma
`crjhps
Fmsudma shjmrm phrbmema kma
thrdhakmbo, fmsudma 9,8-> jf shtomplhrmdma. Bhpmsdma tcuraoquht shthbme
dmththr thbme fmgu ;-8 jf. @buse
khalma smboa nhroso ehpmroa
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Bhpmsdma luokhworh bmbu
mspormso kmrme vham
Luamdma thdmama gmro ko mtms sotus
phfmsmalma. [mrod dhfnmbo oatrckujhrdh dmththr. Bhpmsdma dmwmt phrbmema
shbmfm :9-09 khtod
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Mfmadma dmththr
Mfmadma dmththr kma nmbut shfhatmrm
smfpmo dca`orfmso x-rmy shbhsmo
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^mkocbclos7 pcsoso dmththr
Xgual dmththr ymal fmsud mkm ko bumrgmatual7 Ko vham jmvm sup (komtms[>) Ko vham jmvm oa` ([5 - [=9)
Dmththr emrus thrbhtmd shgmgmr khalmakoakoal phfnubue kmrme Emto-emto tmdomrotfom nobm fmsud vhatrodhb
dmama
YMZJM YHFMZMALMA
FjJmy MZ, kdd. a halb g fhk. >9=;
\mthrlmmrk. Mjtm Mamhstehsocb Zjmak >9=>
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[makm kma Lhgmbm Folrmso Dmththr
Hrothfm, hkhfm (kmro nmeu, bhehr mtmu bhalma
uatud bcdmso phfmsmalma pmkm bhalma)
Zbullose `buseoal
Cdbuso pcfpm mbmrf ymal tokmd kodhtmeuo
shnmnaym Mrotfom gmatual
Ymagmal dmththr thrboemt bhnoe pmagmal
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DCFYBODMZO
- Oa`hdso
- [rcfnus- Yebhnotos- Yhrkmrmema- Hfncbosf- Mrotfom gmatual
- H`uso phrodmrk
- [mfpcamkh gmatual- H`uso pbhurm- Mnshs koakoal kmkm- Ayhro- Fmsmbme dmththr
\mthrlmmrk. Mjtm Mamhstehsocb Zjmak >9=>
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[hrofm dmsoe
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Lrmky AYC, Mbhxmakhr F, Nuras BM, Khboalhr Y, Lmrbmak G, Ehmrk ZC,ht mb. Luokhboahs `cr Yrhvhatoca c` Oatrmvmsjubmr Jmtehthr-^hbmthk
Oa`hjtoca, >9==. Jhathrs `cr Koshmsh Jcatrcb mak Yrhvhatoca. >9==7=-5:.
Jmrkhams L, @oahbbo F, Emrros J, Gcams K, Fmrtoas L, Zthoafms F, ht mb.Jhatrmb Mjjhss 7 Xfnobojmb Mrthry mak Phoa Jmaaubmtoca. Jboaojmb NhstYrmjtojh Luokhboah. >9957=-:0
C-Emrm FN, Nuzzmrk JG, ^hunhas B, FjKhrfctt FY, KKoLrmzoc \,
KMalocJ[. M ^makcfozhk [romb Jcfpmroal Bcal-thrf mak Zecrt-thrf Xsh c` Xfnobojmb Phacus Jmtehthrs oa Yrhfmturh Oa`mat woteNorte \holets c` Bhss [ema =>8= Lrmfs. Yhkomtrojs >9904 ==5 (=) >8-:8.
Pylca. Ahcamtmb & Ymhkomtroj Jmtehthrs Zphjombost Yrckujt `crAhwncras & _cual Jeobkrha.www.vylca.jc.ud
Km`tmr Yustmdm