— 降低風險 · MEDIUM · SATA —
護理師照護一位剛置入周邊置入中心導管（PICC）的病人，下列哪些措施對於維持管路功能是正確的？（選所有適合的）
A nurse is caring for a client with a new peripherally inserted central catheter (PICC). Which nursing actions are appropriate to maintain the line? (Select all that apply.)
- AFlush the line with 10 mL syringe for routine maintenance✓ 正解使用 10 mL 針筒沖洗管路以進行常規維護
- BUse a push-pause motion when flushing the line✓ 正解沖洗管路時採用推注-暫停動作
- CChange the sterile dressing if it becomes damp✓ 正解若無菌敷料變濕則予以更換
- DPerform blood draws from the PICC line daily每日從 PICC 管路抽取血液
- EAssess the insertion site for redness or drainage✓ 正解評估穿刺處是否有紅腫或滲液
— Explanation · 中文詳解 —
PICC 管路維護重點在於預防血栓與感染。沖洗導管必須使用 10 mL 以上針筒，以防高壓導致導管破裂。推注時採用間歇推注（Push-pause）可產生紊流，減少導管內壁沉積。敷料潮濕需立即更換以防細菌生長，並每日監測穿刺點是否有感染徵象。
Maintaining a PICC line requires using a 10 mL syringe to generate sufficient pressure for flushing without risking catheter rupture. The push-pause technique creates turbulence to effectively clean the catheter lumen and prevent debris buildup. Additionally, changing damp dressings immediately and assessing the insertion site for signs of infection are essential practices to prevent complications.
✦ 台美臨床差異
美國多由專職靜脈治療護理師負責管路維護；台灣多由病房護理師負責，臨床經驗與技術熟練度差異較大。