護理師照護一位剛放置周邊中心靜脈導管（PICC）的病人，下列哪些護理措施是正確的？（選所有適合的）
A nurse is caring for a client with a new peripherally inserted central catheter (PICC) line. Which nursing interventions are appropriate for maintenance? (Select all that apply.)
- AFlush the line with 10 mL syringe for patency✓ 正解使用10 mL針筒沖洗管路以確認暢通
- BUse heparin to lock the line after every use✓ 正解每次使用後使用肝素封管
- CPerform dressing changes using sterile technique✓ 正解使用無菌技術進行敷料更換
- DAssess the insertion site for redness or drainage✓ 正解評估插入部位是否有紅腫或滲出液
- EApply blood pressure cuff on the arm with the PICC在有PICC的手臂上測量血壓
PICC 護理核心在於預防血栓與感染。必須使用 10 mL 以上空針以避免高壓造成導管損壞，並定期以肝素封管；無菌操作換藥及每日評估穿刺點是預防導管相關血流感染（CRBSI）的關鍵。選項 E 錯誤，患肢嚴禁量血壓以免造成靜脈血栓或導管移位。
The core of PICC care is preventing thrombosis and infection. A syringe of at least 10 mL must be used to avoid high pressure that could damage the catheter, and the line should be locked with heparin regularly; sterile technique during dressing changes and daily assessment of the insertion site are key to preventing catheter-related bloodstream infection (CRBSI). Option E is incorrect: blood pressure must not be measured on the affected arm, as this may cause venous thrombosis or catheter displacement.
美國醫院有嚴格的 PICC 護理 Bundle 指引，台灣則依各醫院感控規範執行，差異不大。