— 降低風險 · MEDIUM · SATA —
一位病人裝有周邊植入中心靜脈導管 (PICC)。下列哪些跡象暗示可能發生併發症？（選所有適合的）
A client has a peripherally inserted central catheter (PICC). Which of the following indicate potential complications? (Select all that apply.)
- ARedness or swelling at the insertion site✓ 正解穿刺部位出現紅腫
- BInability to flush the catheter easily✓ 正解難以沖洗導管
- CTemperature of 38.5°C✓ 正解體溫 38.5°C
- DDull ache in the shoulder on the side of insertion✓ 正解穿刺側肩膀出現鈍痛
- EA brisk blood return upon aspiration抽吸時有大量血液回流
— Explanation · 中文詳解 —
PICC 導管照護涉及嚴格的無菌技術與併發症監測。紅腫代表局部感染（Infection），沖洗困難代表可能發生導管血栓（Thrombosis）或機械性阻塞，發燒（38.5°C）則需高度懷疑導管相關血流感染（CRBSI），而肩部疼痛可能暗示導管尖端位置移位或刺激血管壁。回血順暢（Brisk blood return）是導管功能正常的正向指標，非併發症。
Complications from a PICC line include local inflammation indicated by redness or swelling, mechanical obstruction suggested by difficulty flushing, and systemic infection signaled by unexplained fever. Additionally, shoulder pain may indicate improper catheter tip placement or deep vein thrombosis, whereas brisk blood return is a normal sign of patency.