{"id":10065,"date":"2023-06-26T15:59:52","date_gmt":"2023-06-26T13:59:52","guid":{"rendered":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/?p=10065"},"modified":"2023-07-04T10:18:27","modified_gmt":"2023-07-04T08:18:27","slug":"page-9","status":"publish","type":"post","link":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/page-9\/","title":{"rendered":"9 &#8211; Rin\u00e7age des voies d\u2019abord p\u00e9riph\u00e9riques et centrales"},"content":{"rendered":"<!-- ======= -->\n<!-- Content -->\n<!-- ======= -->\n<!--\n<div role=\"main\" class=\"ui-content\"> -->\n<div id=\"photo\"><img decoding=\"async\" src=\"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-content\/uploads\/2023\/06\/icon-09.png\" alt=\"Rin\u00e7age des voies d\u2019abord p\u00e9riph\u00e9riques et centrales\"><\/div>\n<div data-role=\"collapsible\">\n<h3><u>9.1 - Recommandation&nbsp;N\u00b011&nbsp;:<\/u> Modalit\u00e9s de rin\u00e7age des robinets \u00e0 trois voies et des valves<\/h3>\nApr\u00e8s chaque manipulation pour injection ou pr\u00e9l\u00e8vement, sur robinet 3 voies ou valve bidirectionnelle, <b>il est imp\u00e9ratif d\u2019effectuer un rin\u00e7age avec une solution de chlorure de sodium injectable st\u00e9rile \u00e0 0,9 %<\/b> (ou, en cas d\u2019incompatibilit\u00e9, avec une solution de glucose injectable st\u00e9rile \u00e0 5%) afin d\u2019assurer la perm\u00e9abilit\u00e9 de la voie d\u2019abord.\nCe rin\u00e7age permet d\u2019\u00e9viter :\n<ul>\n \t<li>la formation d\u2019un pr\u00e9cipit\u00e9, due aux incompatibilit\u00e9s entre m\u00e9dicaments&nbsp;;<\/li>\n \t<li>la formation d\u2019un thrombus.<\/li>\n<\/ul>\nLe rin\u00e7age doit toujours \u00eatre effectu\u00e9 <b>par saccades (rin\u00e7age dit puls\u00e9)<\/b> (41). Cette man\u0153uvre doit \u00eatre exerc\u00e9e \u00e0 l\u2019aide d\u2019une seringue remplie d\u2019un volume minimum de 10 mL de solution de chlorure de sodium injectable st\u00e9rile \u00e0 0,9 %. Le rin\u00e7age ne doit jamais \u00eatre effectu\u00e9 \u00ab&nbsp;en d\u00e9bit libre&nbsp;\u00bb car cette man\u0153uvre est inefficace.\n\nL\u2019utilisation d\u2019une seringue pr\u00e9-remplie de chlorure de sodium st\u00e9rile \u00e0 0,9 % facilite le respect des bonnes pratiques en diminuant la iatrog\u00e9nie tout en optimisant le temps de travail infirmier.\n\n<b>Il ne faut jamais utiliser de l\u2019eau pour pr\u00e9paration injectable.<\/b>\n\n<!-- *********************************************************************************** -->\n<!-- CHAPITRE 9.1.1 -->\n<!-- *********************************************************************************** -->\n<div data-role=\"collapsible\">\n<h4>9.1.1 - Liste indicative des principes actifs <u style=\"color: red;\">incompatibles<\/u> avec <span style=\"color: red;\">une solution de rin\u00e7age de chlorure de sodium \u00e0 0,9%<\/span> (42)<\/h4>\n<ul>\n \t<li>Aldesleukine<\/li>\n \t<li>Amiodarone chlorhydrate<\/li>\n \t<li>Amphot\u00e9ricine B<\/li>\n \t<li>Amphot\u00e9ricine B liposomale<\/li>\n \t<li>Amsacrine<\/li>\n \t<li>Atracurium b\u00e9silate<\/li>\n \t<li>Carboplatine<\/li>\n \t<li>Ciprofloxacine lactate<\/li>\n \t<li>Cyclizine lactate<\/li>\n \t<li>Dalbavancine<\/li>\n \t<li>Daunorubicine chlorhydrate<\/li>\n \t<li>Daunorubicine liposomale chlorhydrate<\/li>\n \t<li>Diamorphine chlorhydrate<\/li>\n \t<li>Diaz\u00e9pam &gt; 0,25 mg\/mL<\/li>\n \t<li>Doxorubicine liposomale p\u00e9gyl\u00e9e chlorhydrate<\/li>\n \t<li>Filgrastim<\/li>\n \t<li>Halop\u00e9ridol lactacte &gt; 1 mg\/mL<\/li>\n \t<li>Mycoph\u00e9nolate mof\u00e9til<\/li>\n \t<li>Oxaliplatine<\/li>\n \t<li>Pentamidine is\u00e9tionate<\/li>\n \t<li>Quinupristine \/ dalfopristine<\/li>\n \t<li>Vert d\u2019indocyanine<\/li>\n \t<li>Vert\u00e9porfine<\/li>\n<\/ul>\n<\/div>\n<!-- *********************************************************************************** -->\n<!-- CHAPITRE 9.1.2 -->\n<!-- *********************************************************************************** -->\n<div data-role=\"collapsible\">\n<h4>9.1.2 - Liste indicative des principes actifs <u style=\"color: red;\">incompatibles<\/u> avec <span style=\"color: red;\">une solution de rin\u00e7age de glucose \u00e0 5%<\/span> (42)&nbsp;:<\/h4>\n<ul>\n \t<li>Alt\u00e9plase<\/li>\n \t<li>Amoxicilline + acide clavulanique<\/li>\n \t<li>Azacitidine<\/li>\n \t<li>Baclof\u00e8ne<\/li>\n \t<li>Belimumab<\/li>\n \t<li>B\u00e9vacizumab<\/li>\n \t<li>Bl\u00e9omycine sulfate<\/li>\n \t<li>Caspofungine ac\u00e9tate<\/li>\n \t<li>Cisplatine<\/li>\n \t<li>Cladribine<\/li>\n \t<li>Daptomycine<\/li>\n \t<li>Dihydralazine m\u00e9silate<\/li>\n \t<li>Ertap\u00e9n\u00e8me<\/li>\n \t<li>Furos\u00e9mide<\/li>\n \t<li>Hydralazine<\/li>\n \t<li>Insuline glulisine<\/li>\n \t<li>Melphalan<\/li>\n \t<li>Mitomycine<\/li>\n \t<li>Necitumumab<\/li>\n \t<li>Pertuzumab<\/li>\n \t<li>Ph\u00e9nyto\u00efne sodique<\/li>\n \t<li>Proca\u00efnamide chlorhydrate<\/li>\n \t<li>Propofol<\/li>\n \t<li>Ramucirumab<\/li>\n \t<li>Rasburicase<\/li>\n \t<li>T\u00e9mozolomide<\/li>\n \t<li>Tenect\u00e9plase<\/li>\n \t<li>Trastuzumab<\/li>\n \t<li>Trastuzumab emtansine<\/li>\n<\/ul>\n<\/div>\n<!--<\/div>\n-->\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>9.1 &#8211; Recommandation&nbsp;N\u00b011&nbsp;: Modalit\u00e9s de rin\u00e7age des robinets \u00e0 trois voies et des valves Apr\u00e8s chaque manipulation pour injection ou pr\u00e9l\u00e8vement, sur robinet 3 voies ou valve bidirectionnelle, il est imp\u00e9ratif d\u2019effectuer un rin\u00e7age avec une solution de chlorure de sodium injectable st\u00e9rile \u00e0 0,9 % (ou, en cas d\u2019incompatibilit\u00e9, avec une solution de glucose &hellip; <a href=\"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/page-9\/\" class=\"more-link\">Continuer la lecture de <span class=\"screen-reader-text\">9 &#8211; Rin\u00e7age des voies d\u2019abord p\u00e9riph\u00e9riques et centrales<\/span><\/a><\/p>\n","protected":false},"author":95,"featured_media":10015,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classe"],"acf":{"fichier_joint":false,"couleur_fond_diapo":"","image_diapo":"oui","article_prive":false},"_links":{"self":[{"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/posts\/10065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/users\/95"}],"replies":[{"embeddable":true,"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/comments?post=10065"}],"version-history":[{"count":3,"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/posts\/10065\/revisions"}],"predecessor-version":[{"id":10120,"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/posts\/10065\/revisions\/10120"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/media\/10015"}],"wp:attachment":[{"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/media?parent=10065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/categories?post=10065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/aphp-mobile-web.fr\/applis\/recos-perfusion\/wp-json\/wp\/v2\/tags?post=10065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}