On special medication record sheet in the application of dopamine injection

[Abstract] Objective To investigate the specific medication records of a single injection on the application of the dopamine effect. Methods 177 cases of patients, according to the different reactions occur, to take active care interventions results in this table, 177 cases a year and a half of patients applications, 50 patients a small area of ​​skin appears pale, white tissue recovery after giving heat, 6 patients purple skin, moist heat immediately to give magnesium sulfate topical ointment plus hi Liao properly after use alternating purple skin returned to normal, 1 patient mesh upper extremity skin pale, by the use of phentolamine injection after the tissue moist heat recovery to discuss the use of special medication record sheet to improve the nursing work responsibility, enhanced safety awareness, so that nurses consciously ground inspection, ground observation, ground records, handling abnormal situations in a timely manner, greatly reducing the leakage of fluid caused by tissue necrosis, reducing the suffering of the patients, increase patient satisfaction.

[Keywords] special dopamine medication record sheets designed clinical
Dopamine for the anti-shock drug, widely used in clinical, high-dose (> 10ug/kg · min intravenous infusion of dopamine can cause renal vasoconstriction, renal blood flow and decreased urine output, and systolic and diastolic blood pressure were caused by increased [1 ] dopamine for intravenous drug use, once the leakage in the skin can cause tissue necrosis [1], and dopamine into norepinephrine in the body, patients with a history of peripheral vascular disease (atherosclerosis, diabetes, arterial embolism, etc.) apply this drug, need to closely observe the body color, temperature changes, to prevent the severe contraction of blood vessels cause severe limb ischemia, necrosis [1] In order to prevent tissue necrosis caused by dopamine and other adverse events, except when the nurses used during the infusion in the forearm or back of the upper flexibility, and exposure to significant, no damage, no infections, easy-to-fixed venipuncture to establish intravenous access, it should also visited ground, ground observation, ground records, in order to facilitate observation, hospital nursing department in April 2009 on the hospital The subjects were classified special treatment, statistics, design a special tour single drug, widely used in clinical subjects and achieved satisfactory results.

A single design and application of inspection
1.1 Design I visited one hospital for special treatment be observing the contents of the design, see the kind of single.

Links to free download http://www.hi138.com 1.2 Clinical application
1.2.1 The inspection card with the suspension and infusion alone, and do eye-catching color-coded, shift those drugs on the ward for patients with special glance, according to inspect the contents of the implemented one by one, in which local skin conditions and adverse reactions can be a "√" simple and straightforward.

1.2.2 require the use of special drugs uniform time for the 15-30 minute visit with a patient care visits coincide with the time, the disease while visiting the nurses to complete a special form of the medication observation record, reducing the unnecessary workload .

1.2.3 For local skin abnormalities and adverse reactions occur in patients, this single cross nurse to save a month.

Table 1.3 Evaluation of the application of the 177 patients, 120 patients were local skin abnormalities and no adverse reactions occur, 50 patients a small area of ​​skin appears pale, white tissue after a given heat recovery, 6 patients skin appear purple, moist heat immediately to give magnesium sulfate topical ointment plus hi Liao properly after use alternating purple skin returned to normal, 1 patient mesh upper extremity skin pale, by the use of phentolamine injection after the tissue moist heat recovery.

2 Results
This record alone since April 2009 in our department of 177 patients using dopamine applied are the use of dopamine effective intervention to prevent the occurrence of tissue necrosis.

3 Discussion
Apply the single nurses work to improve the sense of responsibility, strengthen security awareness, simplify workflow, improve work efficiency. This record a single application so that nurses consciously ground inspections, ground observation, ground records, the timely processing of abnormal situations , thus greatly reducing the leakage of liquid caused by tissue necrosis, reducing the suffering of the patients, increased patient satisfaction. This record single simple, easy to remind each other of each class staff supervision, accountability, and to prevent the occurrence of errors played a very good to eliminate the role when disputes can provide evidence of course in the use of dopamine, the blood vessels in the choice should also be aware that should be selected in the upper back of the hand and forearm superficial veins to avoid venous drug use, which is lower limb anatomy of the vein, due to a venous valve, slow blood flow, long residence time of drug in the lower extremities, it is prone to tissue necrosis [2] This one is simple, easy to observe, is worthy of clinical application.

References
[1] Kongxiang Ping, Liu Xia. ICU nurses in a pass. Beijing: Chemical Industry Press ,2009,4:233-234.

[2] Wang Wenfang Ethanol wet to prevent phlebitis caused by amiodarone injection study [J]. Journal of nursing, 2010,1:65. Links to free download http://www.hi138.com