Ayla GÜRSOY, Perihan ŞİMŞEK, ŞÜLE BIYIK BAYRAM

Ilaç Uygulamaları Için Farklı Bir Yol: Intraosseöz Ulasım ve Infü

Acil müdahale gerektiren durumlarda, periferik kateter ile vene ulasımsüresi uzadıgında alternatif bir yol olarak intraosseöz girisim tercihedilir. Intraosseöz yol, periferik kateter uygulamasına göre daha hızlıulasım sagladıgından yasam kurtarıcıdır. Bu yöntem ile kemik içindekivenöz damar agına ulasılarak tedavi saglanır. Ancak diger damariçi ilaç uygulamalarında oldugu gibi intraosseöz yoldan yapılan tedavisürecinde de gerekli takip ihmal edildiginde ciddi komplikasyonlar gelisebilmektedir.Söz konusu komplikasyonlar islem öncesinde hastanınhazırlıgı, islem sırasında hastaya yardımcı olma ve islem sonrasında görülebilecekkomplikasyonlara yönelik izlem gibi hemsirelik girisimleriile önlenebilir. Bu derlemede, özellikle acil birimlerde çalısan hemsirelerinintraosseöz tedavi konusunda bilgilendirilmesi amaçlanmıstır

A Different Route for Drug Administration: Intraosseous Access and Infusion

In situations where emergency treatment is required, intraosseous drug administration is preferred as an alternative approach if the time for venous access via peripheral catheter is prolonged. The intraosseous route is lifesaving since it provides faster access compared to peripheral catheterization. With this method, the treatment is provided by accessing the intraosseous vascular network. However, as is the case with other intravenous administration, serious complications can occur during intraosseous treatment when the necessary follow-up is disregarded. Such complications can be prevented by nursing interventions such as preparing the patient before treatment, assisting the patient during treatment, and following up for possible complications after the treatment. The aim of this review is to inform nurses, particularly the nurses who work in emergency services, on the subject of intraosseous treatment.

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