{"id":583,"date":"2025-06-20T09:24:13","date_gmt":"2025-06-20T07:24:13","guid":{"rendered":"https:\/\/medica3nec.cz\/zp\/?page_id=583"},"modified":"2025-07-09T12:20:25","modified_gmt":"2025-07-09T10:20:25","slug":"aplikace-injekci-a-infuzi","status":"publish","type":"page","link":"https:\/\/medica3nec.cz\/zp\/aplikace-injekci-a-infuzi\/","title":{"rendered":"Aplikace injekc\u00ed a infuz\u00ed"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"583\" class=\"elementor elementor-583\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cc8bf00 e-ecs-flex e-flex e-con-boxed e-con e-parent\" data-id=\"cc8bf00\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3027d8b e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"3027d8b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-596ecb4 elementor-widget elementor-widget-heading\" data-id=\"596ecb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Aplikace injekc\u00ed a infuz\u00ed<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f86ff64 elementor-widget elementor-widget-toggle\" data-id=\"f86ff64\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2601\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2601\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Aplikace injekc\u00ed<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2601\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2601\"><blockquote><blockquote><p>Pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f je nezbytnou sou\u010d\u00e1st\u00ed procesu l\u00e9\u010dby pacienta. Ve\u0161ker\u00e9 l\u00e9ky je nutn\u00e9 pod\u00e1vat velmi p\u0159esn\u011b, podle ordinace l\u00e9ka\u0159e a tak\u00e9 vhodn\u00fdm zp\u016fsobem. Nejobvyklej\u0161\u00ed a nejpohodln\u011bj\u0161\u00ed zp\u016fsob pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f je \u00fasty. V situac\u00edch, ve kter\u00fdch nelze podat l\u00e9ky \u00fasty, nap\u0159. pot\u0159ebujeme-li dos\u00e1hnout rychlej\u0161\u00edho n\u00e1stupu \u00fa\u010dinku l\u00e9ku, m\u016f\u017eeme podat l\u00e9ky pomoc\u00ed injekc\u00ed \u010dili parenter\u00e1ln\u011b. I v dom\u00e1c\u00edm prost\u0159ed\u00ed lze zajistit aplikaci l\u00e9\u010div\u00fdch l\u00e1tek pomoc\u00ed injekc\u00ed a to na z\u00e1klad\u011b ordinace l\u00e9ka\u0159e, kter\u00fd dle stavu a v\u00fdvoje Va\u0161eho onemocn\u011bn\u00ed ur\u010d\u00ed d\u00e1vku a \u010detnost pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f.<\/p><p>Mezi parenter\u00e1ln\u00ed aplikace pat\u0159\u00ed:<\/p><ul><li>s.c. \u2013 subkut\u00e1nn\u00ed aplikace \u2013 do podko\u017e\u00ed<\/li><li>i.m. \u2013 intramuskul\u00e1rn\u00ed \u2013 do svalu<\/li><li>i.v. \u2013 intraven\u00f3zn\u00ed \u2013 do \u017e\u00edly.<\/li><\/ul><\/blockquote><h4>INTRAMUSKUL\u00c1RN\u00cd INJEKCE je vpraven\u00ed \u00fa\u010dinn\u00e9ho l\u00e9ku do svalu:<\/h4><blockquote><p>\u00b7 do svalu se aplikuj\u00ed l\u00e9ky ve form\u011b roztoku, emulz\u00ed, olejnat\u00e9 l\u00e9ky a suspenze.<\/p><p>\u00b7 mno\u017estv\u00ed podan\u00e9 l\u00e1tky b\u00fdv\u00e1 obvykle 1-20ml.<\/p><p>\u00b7 nej\u010dast\u011bj\u0161\u00edm m\u00edstem aplikace je velk\u00fd a st\u0159edn\u00ed h\u00fd\u017e\u010fov\u00fd sval, d\u00e1le pak sval stehenn\u00ed, ev. deltov\u00fd sval na rameni.<\/p><p>\u00b7 v\u00fdhodou intramuskul\u00e1rn\u00edch injekc\u00ed je rychlej\u0161\u00ed vst\u0159eb\u00e1v\u00e1n\u00ed ne\u017e p\u0159i subkut\u00e1nn\u00ed aplikaci.<\/p><p>\u00b7 intramuskul\u00e1rn\u00ed aplikace se vyu\u017e\u00edv\u00e1 p\u0159edev\u0161\u00edm pro aplikaci:<\/p><ul><li>analgetik \u2013 l\u00e9ky tlum\u00edc\u00ed bolest: Almiral, Dolmina, Tramal.<\/li><li>myorelaxanci\u00ed \u2013 l\u00e9ky uvol\u0148uj\u00edc\u00ed kostern\u00ed svalstvo: Muscoril.<\/li><li>vitam\u00edn\u016f &#8211; Milgamma, B12, Neuromultivit, Calciferol.<\/li><\/ul><h4>Postup p\u0159i aplikaci injekce do svalu:<\/h4><p>\u00b7 sestra p\u0159ed v\u00fdkonem sezn\u00e1m\u00ed pacienta o zp\u016fsobu a \u00fa\u010delu aplikace.<\/p><p>\u00b7 dotazem zjist\u00ed, zda pacient netrp\u00ed alergi\u00ed na dezinfekci nebo l\u00e9k.<\/p><p>\u00b7 nachyst\u00e1 si pom\u016fcky k aplikaci, provede hygienickou dezinfekci rukou a p\u0159iprav\u00ed si injekci.<\/p><p>\u00b7 zkontroluje pom\u016fcky i ampuli s l\u00e9kem: n\u00e1zev, expiraci, mno\u017estv\u00ed, vzhled p\u0159\u00edpravku a to, zda je l\u00e9k ur\u010den k p\u0159edepsan\u00e9 aplikaci.<\/p><p>\u00b7 ur\u010d\u00ed vhodn\u00e9 m\u00edsto aplikace a ulo\u017e\u00ed pacienta do vhodn\u00e9 polohy (poloha vle\u017ee na b\u0159i\u0161e, na boku, poloha na z\u00e1dech pop\u0159. vsed\u011b p\u0159i aplikaci do stehna).<\/p><p>\u00b7 provede dezinfekci, vypne k\u016f\u017ei v m\u00edst\u011b vpichu a rychl\u00fdm pohybem zavede injek\u010dn\u00ed jehlu do svalu, pod \u00fahlem 90\u00b0. U kachektick\u00fdch nemocn\u00fdch vytvo\u0159\u00ed ko\u017en\u00ed \u0159asu a jehlu zavede pod \u00fahlem 60\u00b0.<\/p><p>\u00b7 provede aspiraci a p\u0159i negativn\u00ed aspiraci pomalu aplikuje l\u00e9ky.<\/p><p>\u00b7 po vpraven\u00ed l\u00e9ku do svalu, jehlu vyjme, p\u0159ekryje m\u00edsto vpichu \u010dtvere\u010dkem, velmi lehce promas\u00edruje a p\u0159elep\u00ed n\u00e1plasti.<\/p><p>\u00b7 b\u011bhem v\u00fdkonu a po n\u011bm sleduje stav pacienta, v\u00fdskyt mo\u017en\u00fdch vedlej\u0161\u00edch \u00fa\u010dinku a n\u00e1sledn\u011b p\u0159em\u011b\u0159\u00ed fyziologick\u00e9 funkce (TK a P).<\/p><p>\u00b7 p\u0159i v\u00fdskytu ne\u017e\u00e1douc\u00edch \u00fa\u010dinku kontaktuje l\u00e9ka\u0159e.<\/p><h4>SUBKUT\u00c1NN\u00cd INJEKCE je vpraven\u00ed l\u00e9\u010debn\u00e9ho roztoku do podko\u017e\u00ed:<\/h4><p>\u00b7 vst\u0159eb\u00e1v\u00e1n\u00ed l\u00e9ku je pomal\u00e9, \u00fa\u010dinek se dostavuje za 10-20 minut.<\/p><p>\u00b7 mno\u017estv\u00ed podan\u00e9 l\u00e1tky b\u00fdv\u00e1 obvykle 0,2-2ml.<\/p><p>\u00b7 nej\u010dast\u011bj\u0161\u00edm m\u00edstem aplikace je zevn\u00ed strana pa\u017ee, zevn\u00ed strana stehna , oblast b\u0159icha a h\u00fd\u017ed\u011b.<\/p><p>\u00b7 touto formou se pod\u00e1vaj\u00ed:<\/p><ul><li>antikoagulancia \u2013 l\u00e9ky sni\u017euj\u00edc\u00ed sr\u00e1\u017elivost krve: Fraxiparin, Zibor .<\/li><li>inzulin \u2013 pou\u017e\u00edv\u00e1 se k l\u00e9\u010db\u011b cukrovky.<\/li><\/ul><p>\u00b7 k subkut\u00e1nn\u00ed aplikace se pou\u017e\u00edvaj\u00ed obvykle inzulinov\u00e9 st\u0159\u00edka\u010dky nebo p\u0159edpln\u011bn\u00e9 st\u0159\u00edka\u010dky se zabudovanou jehlou.<\/p><h4><span style=\"color: #808080;\">Postup p\u0159i aplikaci injekce do podko\u017e\u00ed:<\/span><\/h4><p>\u00b7 sestra p\u0159ed pod\u00e1n\u00edm l\u00e9ku provede identifikaci pacienta a zkontroluje ordinaci l\u00e9ka\u0159e.<\/p><p>\u00b7 dotazem zjist\u00ed, zda pacient netrp\u00ed alergi\u00ed na dezinfekci nebo l\u00e9k.<\/p><p>\u00b7 provede hygienickou dezinfekci rukou a p\u0159iprav\u00ed injekci s l\u00e9kem.<\/p><p>\u00b7 ur\u010d\u00ed vhodn\u00e9 m\u00edsto k aplikaci a ulo\u017e\u00ed pacienta do vhodn\u00e9 polohy.<\/p><p>\u00b7 provede dezinfekci m\u00edsta vpichu dle zvyklost\u00ed pacienta.<\/p><p>\u00b7 suspenze p\u0159ed aplikac\u00ed prom\u00edch\u00e1 (roluje mezi dlan\u011bmi nebo p\u0159evr\u00e1t\u00ed, net\u0159epe).<\/p><p>\u00b7 inzulin nat\u00e1hne v mezin\u00e1rodn\u00edch jednotk\u00e1ch dle ordinace l\u00e9ka\u0159e.<\/p><p>\u00b7 po odstran\u011bn\u00ed krytu z jehly provede vpich do ko\u017en\u00ed \u0159asy pod \u00fahlem 45\u00b0nebo 90\u00b0, podle d\u00e9lky jehly a typu k\u016f\u017ee.<\/p><p>\u00b7 p\u0159i aplikaci antikoagulanci\u00ed neodstra\u0148uje vzduchovou bublinu, neaspiruje a po celou dobu aplikace dr\u017e\u00ed ko\u017en\u00ed \u0159asu.<\/p><p>\u00b7 aplikuje l\u00e9k zatla\u010den\u00edm na p\u00edst, u inzulinu stiskem d\u00e1vkovac\u00edho tla\u010d\u00edtka.<\/p><p>\u00b7 po aplikaci l\u00e9ku vy\u010dk\u00e1 p\u0159ibli\u017en\u011b 5-10 vte\u0159in a pot\u00e9 jehlu vyt\u00e1hne.<\/p><p>\u00b7 po aplikaci n\u00edzkomolekul\u00e1rn\u00edho heparinu nemas\u00edruje m\u00edsto vpichu.<\/p><p>\u00b7 m\u00edsta vpichu pravideln\u011b st\u0159\u00edd\u00e1.<\/p><p>\u00b7 pou\u017eit\u00e9 jehly a st\u0159\u00edka\u010dky odlo\u017e\u00ed do n\u00e1doby k tomu ur\u010den\u00e9.<\/p><h4>Shrnut\u00ed:<\/h4><p>I v dom\u00e1c\u00edm prost\u0159ed\u00ed lze zajisti aplikaci l\u00e9\u010div\u00fdch l\u00e1tek pomoc\u00ed injekc\u00ed. T\u00fdk\u00e1 se to pacient\u016f, kte\u0159\u00ed se nemohou z d\u016fvodu akutn\u00edho nebo chronick\u00e9ho onemocn\u011bn\u00ed dostavit k l\u00e9ka\u0159i. Aplikaci injekc\u00ed indikuje l\u00e9ka\u0159, kter\u00fd vystav\u00ed recept a dle stavu onemocn\u011bn\u00ed p\u0159edep\u00ed\u0161e d\u00e1vku a \u010detnost aplikace l\u00e9k\u016f. N\u00e1sledn\u011b sestra, kter\u00e1 je vybavena pot\u0159ebn\u00fdmi pom\u016fckami jako dezinfekce, injek\u010dn\u00ed st\u0159\u00edka\u010dky a jehly, n\u00e1plasti, nav\u0161t\u00edv\u00ed pacienta v jeho dom\u00e1c\u00edm prost\u0159ed\u00ed a dle po\u017eadavku l\u00e9ka\u0159e aplikuje l\u00e9ky podle p\u0159edem stanoven\u00e9ho harmonogramu.<\/p><\/blockquote><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2602\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2602\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Aplikace inzul\u00ednu<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2602\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2602\"><blockquote><p>Diabetes mellitus je komplexn\u00ed metabolick\u00e1 porucha, p\u0159i n\u00ed\u017e organismus nen\u00ed schopen zpracov\u00e1vat gluk\u00f3zu jako za fyziologick\u00fdch podm\u00ednek v\u00a0d\u016fsledku absolutn\u00edho nebo relativn\u00edho nedostatku inzulinu a sou\u010dasn\u00e9 perifern\u00ed inzulinov\u00e9 rezistenci. L\u00e9\u010d\u00ed se obvykle dietou a antidiabetiky v\u00a0tabletov\u00e9 form\u011b, ale v\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech se vol\u00ed l\u00e9\u010dba inzulinem.<\/p><p>Inzulin je hormon produkovan\u00fd beta-bu\u0148kami slinivky b\u0159i\u0161n\u00ed. Jeho nejd\u016fle\u017eit\u011bj\u0161\u00ed funkci je udr\u017een\u00ed norm\u00e1ln\u00ed koncentrace gluk\u00f3zy v\u00a0krvi a zaji\u0161t\u011bn\u00ed jej\u00edho vstupu do bun\u011bk.<\/p><p>Inzulin se pod\u00e1v\u00e1 ve form\u011b podko\u017en\u00ed injekce v\u00a0r\u016fzn\u00fdch sch\u00e9matech, tzv. inzulinov\u00fdch re\u017eimech, podle stadia a typu onemocn\u011bn\u00ed. Aplikuje se do m\u00edst s\u00a0v\u011bt\u0161\u00edm mno\u017estv\u00edm tuku, nej\u010dast\u011bji do oblasti b\u0159icha, horn\u00ed zevn\u00ed poloviny pa\u017ee, p\u0159edn\u00ed strany stehen a horn\u00ed t\u0159etiny h\u00fd\u017ed\u00ed. M\u00edsta aplikace je nutno st\u0159\u00eddat, postupovat systematicky a neaplikovat do m\u00edst zan\u00edcen\u00fdch \u010di bolestiv\u00fdch. Nejpou\u017e\u00edvan\u011bj\u0161\u00ed pom\u016fckou pro podko\u017en\u00ed aplikaci je inzulinov\u00e9 pero, do kter\u00e9ho se vkl\u00e1daj\u00ed cartridge \u2013 n\u00e1boje (sklen\u011bn\u00e9 n\u00e1dobky s\u00a0inzulinem) nebo inzulinov\u00e1 pera jednor\u00e1zov\u00e1 &#8211; p\u0159edpln\u011bn\u00e1.<\/p><p>Inzulin se pod\u00e1v\u00e1 s\u00a0ur\u010dit\u00fdm p\u0159edstihem, v\u00a0p\u0159\u00edpad\u011b lidsk\u00e9ho inzulinu je doporu\u010dov\u00e1no 15-30minut p\u0159ed j\u00eddlem, u inzulinov\u00fdch analog\u016f t\u011bsn\u011b p\u0159ed nebo na za\u010d\u00e1tku j\u00eddla. Ide\u00e1ln\u00ed odstup m\u016f\u017ee b\u00fdt individu\u00e1ln\u00ed, v\u017edy z\u00e1le\u017e\u00ed na ordinaci l\u00e9ka\u0159e &#8211; diabetologa.\u00a0<\/p><p>Postup p\u0159i aplikace inzulinu:<\/p><ul><li>sestra p\u0159ed aplikaci informuje pacienta o nutnosti a zp\u016fsobu aplikace.<\/li><li>ulo\u017e\u00ed pacienta do polohy vsed\u011b, event. vle\u017ee.<\/li><li>pohledem zkontroluje nez\u00e1vadnost inzulinu.<\/li><li>suspenze p\u0159ed aplikaci prom\u00edch\u00e1 (roluje mezi dlan\u011bmi nebo n\u011bkolikr\u00e1t p\u0159evr\u00e1t\u00ed).<\/li><li>nat\u00e1hne inzulin v\u00a0mezin\u00e1rodn\u00edch jednotk\u00e1ch podle ordinace l\u00e9ka\u0159e.<\/li><li>zvol\u00ed a dezinfikuje m\u00edsto vpichu. V\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed p\u0159i dodr\u017eov\u00e1n\u00ed hygienick\u00fdch podm\u00ednek posta\u010duje \u010dist\u00e9 aplika\u010dn\u00ed m\u00edsto.<\/li><li>sund\u00e1 kryt z\u00a0jehly.<\/li><li>vytvo\u0159\u00ed ko\u017en\u00ed \u0159asu v\u00a0m\u00edst\u011b vpichu a \u0161etrn\u011b aplikuje inzulin pod \u00fahlem 90\u00b0nebo 45\u00b0 (volba \u00fahlu z\u00e1vis\u00ed na stavu podko\u017en\u00ed konstituce t\u011bla, d\u00e9lky jehly apod.)<\/li><li>m\u00edsta vpichu d\u016fkladn\u011b st\u0159\u00edd\u00e1, \u010d\u00edm\u017e chr\u00e1n\u00ed tk\u00e1\u0148 p\u0159ed po\u0161kozen\u00edm (lipodystrofie).<\/li><li>stejn\u00e9 m\u00edsto nepou\u017e\u00edv\u00e1 k\u00a0aplikaci v\u00edcekr\u00e1t ne\u017e 1x za m\u011bs\u00edc. Injekce by m\u011bly b\u00fdt rozm\u00edst\u011bny alespo\u0148 2cm od sebe.<\/li><li>pomalu aplikuje d\u00e1vku inzulinu stiskem d\u00e1vkovac\u00edho tla\u010d\u00edtka.<\/li><li>d\u00e1vkova\u010d ponech\u00e1 v\u00a0m\u00edst\u011b vpichu alespo\u0148 5-10 sekund po \u00fapln\u00e9m zatla\u010den\u00ed d\u00e1vky.<\/li><li>pot\u00e9 jehlu opatrn\u011b vyt\u00e1hne.<\/li><li>provede z\u00e1znam do den\u00ed\u010dku pacienta a do zdravotnick\u00e9 dokumentace.<\/li><\/ul><p>Shrnut\u00ed:<\/p><p>L\u00e9\u010dba inzulinem vy\u017eaduje pravidelnost, pod\u00e1v\u00e1n\u00ed inzulinu a \u00fapravy d\u00e1vek souvis\u00ed jak s\u00a0j\u00eddlem, tak b\u011b\u017en\u00fdmi denn\u00edmi \u00fakony. \u00dasp\u011b\u0161nost l\u00e9\u010dby z\u00e1vis\u00ed na diabetikovi samotn\u00e9m. Pokud pacient nen\u00ed schopen aplikovat inzulin samostatn\u011b, je zde mo\u017enost zaji\u0161t\u011bn\u00ed dom\u00e1c\u00ed p\u00e9\u010de. V\u00a0takov\u00e9m p\u0159\u00edpad\u011b, sestra doj\u00ed\u017ed\u00ed za pacientem dom\u016f a dle domluvy, v\u00a0pravideln\u00fdch \u010dasech a v\u00a0z\u00e1vislosti na j\u00eddle aplikuje inzulin dle ordinace l\u00e9ka\u0159e.<\/p><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2603\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2603\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">N\u00e1cvik a zau\u010dov\u00e1n\u00ed aplikace inzul\u00ednu<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2603\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2603\"><blockquote><p>Pokud je pacient propu\u0161t\u011bn do dom\u00e1c\u00edho o\u0161et\u0159en\u00ed a je mu zavedena l\u00e9\u010dba inzulinem, lze ze za\u010d\u00e1tku vyu\u017e\u00edt dom\u00e1c\u00ed p\u00e9\u010di k\u00a0n\u00e1cviku aplikace inzulinu. Sest\u0159i\u010dka z\u00a0dom\u00e1c\u00ed p\u00e9\u010de nav\u0161t\u00edv\u00ed pacienta doma a dle doporu\u010den\u00ed l\u00e9ka\u0159e u\u010d\u00ed pacienta aplikovat inzulin, zach\u00e1zet s\u00a0inzulinov\u00fdm perem a glukometrem. Pokud se pacient stane samostatn\u00fdm, je mo\u017eno dom\u00e1c\u00ed p\u00e9\u010di ukon\u010dit.<\/p><p>Postup p\u0159i n\u00e1cviku aplikace inzulinu:<\/p><ul><li>sestra sezn\u00e1m\u00ed pacienta s\u00a0v\u00fdkonem.<\/li><li>edukuje pacienta nebo i rodinn\u00e9 p\u0159\u00edslu\u0161n\u00edky o:<ul><li>nutnosti inzulinoterapie \u2013 dodr\u017eov\u00e1n\u00ed p\u0159edepsan\u00e9 d\u00e1vky, veden\u00ed z\u00e1znamu d\u00e1vek inzulinu.<\/li><li>zp\u016fsobu aplikace inzulinu:<ul><li>m\u00edsto autoaplikace \u2013 podko\u017e\u00ed b\u0159icha, stehna.<\/li><li>dal\u0161\u00ed m\u00edsta vpichu \u2013 horn\u00ed \u010d\u00e1st pa\u017ee, h\u00fd\u017ed\u011b.<\/li><\/ul><\/li><li>nutnosti st\u0159\u00eddat m\u00edsta vpichu.<\/li><li>neaplikovat do otekl\u00e9ho, barevn\u011b zm\u011bn\u011bn\u00e9ho, bolestiv\u00e9ho nebo zatvrdl\u00e9ho m\u00edsta.<\/li><li>dodr\u017eov\u00e1n\u00ed z\u00e1sad osobn\u00ed hygieny p\u0159i aplikaci.<\/li><li>dodr\u017eov\u00e1n\u00ed doby z\u00e1vislosti na j\u00eddle.<\/li><li>pou\u017e\u00edv\u00e1n\u00ed a manipulaci s\u00a0inzulinov\u00fdm perem:<ul><li>z\u00e1soby inzulinu nutno skladovat v\u00a0lednici p\u0159i teplot\u011b 2-8\u00b0C.<\/li><li>pou\u017e\u00edvan\u00fd inzulin skladovat p\u0159i pokojov\u00e9 teplot\u011b.<\/li><li>nepou\u017e\u00edvat inzulin po expiraci.<\/li><li>po ka\u017ed\u00e9 v\u00fdm\u011bn\u011b n\u00e1pln\u011b inzulinu odst\u0159ihnout 1 a\u017e 2 jednotky.<\/li><li>suspenze p\u0159ed aplikac\u00ed prom\u00edchat.<\/li><\/ul><\/li><li>riziku vzniku akutn\u00edch i chronick\u00fdch komplikac\u00ed.<\/li><li>sledov\u00e1n\u00ed a rozpozn\u00e1n\u00ed akutn\u00edch p\u0159\u00edznak\u016f u:<ul><li><em>hypoglykemie<\/em> \u2013 t\u0159es, chv\u011bn\u00ed, pocen\u00ed, nervozita, bledost, ospalost apod. \u2192 nadm\u011brn\u00e1 d\u00e1vka inzulinu, neadekv\u00e1tn\u00ed nebo opo\u017ed\u011bn\u00fd p\u0159\u00edjem potravy, nep\u0159im\u011b\u0159en\u00e1 fyzick\u00e1 aktivita.<\/li><li><em>hyperglykemie <\/em>\u2013 polyurie, polydipsie, slabost, mal\u00e1tnost, letargie apod. \u2192 nedostate\u010dn\u00e1 d\u00e1vka inzulinu, nekontrolovan\u00fd p\u0159\u00edsun stravy, nemoc.<\/li><\/ul><\/li><li>selfmonitoringu \u2013 pou\u017e\u00edv\u00e1n\u00ed glukometru, prov\u00e1d\u011bn\u00ed z\u00e1znamu glykemi\u00ed.<\/li><li>d\u00e1le sestra informuje pacienta o zdrav\u00e9m \u017eivotn\u00edm stylu v\u010detn\u011b stravy a pohybu.<\/li><li>v\u00a0p\u00e9\u010di o nohy a v\u00fdb\u011bru vhodn\u00e9 obuvi.<\/li><\/ul><\/li><\/ul><p>Shrnut\u00ed:<\/p><p>Za\u010d\u00e1tek nov\u00e9 l\u00e9\u010dby p\u0159in\u00e1\u0161\u00ed do \u017eivota pacienta ur\u010ditou nejistotu. Pokud je pacient nebo jeho rodina nejist\u00e1 jak postupovat a zvl\u00e1dat nov\u00e9 situace, je mo\u017eno vyu\u017e\u00edt slu\u017eeb dom\u00e1c\u00ed p\u00e9\u010de. Sest\u0159i\u010dka, kter\u00e1 doch\u00e1z\u00ed za pacientem dom\u016f, edukuje pacienta o nutnosti dodr\u017eovat l\u00e9\u010debn\u00fd re\u017eim. Ten spo\u010d\u00edv\u00e1 v\u00a0pravideln\u00e9 aplikaci inzulinu, pravideln\u00e9m u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f, dodr\u017eov\u00e1n\u00ed vyv\u00e1\u017een\u00e9 stravy, no\u0161en\u00ed vhodn\u00e9 obuvi apod. Tato p\u00e9\u010de je rovn\u011b\u017e hrazena ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2604\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2604\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">M\u011b\u0159en\u00ed glykemie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2604\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2604\"><blockquote><p>Selfmonitoring neboli samostatn\u00e9, dom\u00e1c\u00ed m\u011b\u0159en\u00ed hladiny gluk\u00f3zy v\u00a0krvi je ned\u00edlnou sou\u010d\u00e1st\u00ed \u017eivota pacient\u016f s\u00a0diabetem. V\u00a0praxi to znamen\u00e1, \u017ee si pacient zm\u011b\u0159\u00ed glykemi\u00ed glukometrem a na z\u00e1klad\u011b nam\u011b\u0159en\u00e9ho v\u00fdsledku si m\u016f\u017ee upravit d\u00e1vku inzulinu nebo p\u0159\u00edjem potravy. Prov\u00e1d\u00ed se pomoc\u00ed osobn\u00edch glukometr\u016f s\u00a0vyu\u017eit\u00edm kompatibiln\u00edch testovac\u00edch prou\u017eku. Pacienti jsou sv\u00fdm l\u00e9ka\u0159em \u2013 diabetologem edukov\u00e1n\u00ed o hodnot\u00e1ch glykemie, stejn\u011b tak maj\u00ed stanoveno kdy se m\u00e1 glykemie m\u011b\u0159it, jak maj\u00ed v\u00e9st z\u00e1znam a jak upravovat podle selfmonitoringu re\u017eim. C\u00edlem selfmonitoringu je tedy udr\u017eet glykemii co nejbl\u00ed\u017ee c\u00edlov\u00fdm hodnot\u00e1m a p\u0159edej\u00edt jak vysok\u00fdm hodnot\u00e1m cukru (hyperglykemii), tak n\u00edzk\u00fdm hodnot\u00e1m cukru (hypoglykemii).<\/p><p>Postup p\u0159i odb\u011bru kapil\u00e1rn\u00ed krve:<\/p><ul><li>sestra informuje pacienta o v\u00fdkonu.<\/li><li>pacient si umyje ruce m\u00fddlem a teplou vodou a n\u00e1sledn\u011b je d\u016fkladn\u011b osu\u0161\u00ed.<\/li><li>sestra odb\u011brov\u00e9 m\u00edsto (prst) nedezinfikuje, pouze opl\u00e1chne vodou nebo umyje m\u00fddlem.<\/li><li>pokud odb\u011brov\u00e9 m\u00edsto dezinfikuje, prvn\u00ed kapku set\u0159e.<\/li><li>zapne glukometr a nasad\u00ed testovac\u00ed prou\u017eek.<\/li><li>provede vpich pomoc\u00ed lancety nebo odb\u011brov\u00e9ho pera (autolancety) z\u00a0bo\u010dn\u00ed strany prstu, zejm\u00e9na 3-5. prstu nedominantn\u00ed ruky.<\/li><li>p\u0159ilo\u017e\u00ed prst k\u00a0prou\u017eku (samonas\u00e1vac\u00ed), pokud nen\u00ed uvedeno v\u00a0n\u00e1vodu na obsluhu jinak.<\/li><li>k\u00a0m\u011b\u0159en\u00ed pou\u017eije dostate\u010dn\u00e9 mno\u017estv\u00ed krve.<\/li><li>po\u010dk\u00e1 na v\u00fdsledek (n\u011bkolik sekund).<\/li><li>zlikviduje prou\u017eek bezpe\u010dn\u00fdm zp\u016fsobem.<\/li><li>provede z\u00e1znam do glykemick\u00e9 karty pacienta a do zdravotnick\u00e9 dokumentace.<\/li><\/ul><p>Shrnut\u00ed:<\/p><p>Samokontrole cukru v\u00a0krvi se \u0159\u00edk\u00e1 selfmonitoring. Prov\u00e1d\u00ed se jak v\u00a0\u00favodu nemoci tak periodicky a umo\u017e\u0148uje z\u00edskat p\u0159ehled o profilech, kter\u00e9 poukazuj\u00ed na re\u00e1lnou situaci nemocn\u00e9ho. Monitoring glyk\u00e9mie mus\u00ed b\u00fdt prov\u00e1d\u011bn\u00fd pravideln\u011b, systematicky s\u00a0c\u00edlem udr\u017een\u00ed motivace a kompliance diabetika. V\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed se prov\u00e1d\u00ed se 1-3x denn\u011b dle ordinace l\u00e9ka\u0159e. \u00dakolem sestry je rovn\u011b\u017e sledov\u00e1n\u00ed zda pacient techniku selfmonitoringu zvl\u00e1d\u00e1, podpor a motivace<\/p><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2605\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2605\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-long-arrow-alt-down\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M168 345.941V44c0-6.627-5.373-12-12-12h-56c-6.627 0-12 5.373-12 12v301.941H41.941c-21.382 0-32.09 25.851-16.971 40.971l86.059 86.059c9.373 9.373 24.569 9.373 33.941 0l86.059-86.059c15.119-15.119 4.411-40.971-16.971-40.971H168z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-long-arrow-alt-up\" viewBox=\"0 0 256 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M88 166.059V468c0 6.627 5.373 12 12 12h56c6.627 0 12-5.373 12-12V166.059h46.059c21.382 0 32.09-25.851 16.971-40.971l-86.059-86.059c-9.373-9.373-24.569-9.373-33.941 0l-86.059 86.059c-15.119 15.119-4.411 40.971 16.971 40.971H88z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Aplikace infuzn\u00ed terapie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2605\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2605\"><p>Dal\u0161\u00ed mo\u017enosti jak aplikovat l\u00e9ky mimo tr\u00e1vic\u00ed trakt je zp\u016fsob intraven\u00f3zn\u00ed \u010dili nitro\u017eiln\u00ed. Intraven\u00f3zn\u00ed pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f hraje v p\u00e9\u010di o pacienty v\u00fdznamnou \u00falohu s c\u00edlem uzdravit nebo zlep\u0161it jejich zdravotn\u00ed stav.\u00a0 Infuzn\u00ed terapie p\u0159edstavuje vpraven\u00ed v\u011bt\u0161\u00edho mno\u017estv\u00ed tekutin nebo l\u00e9k\u016f do organismu nitro\u017eiln\u00ed cestou. Infuzi pod\u00e1v\u00e1me do perifern\u00edho nebo centr\u00e1ln\u00edho kat\u00e9tru. M\u016f\u017eeme ji tak\u00e9 aplikovat subkut\u00e1nn\u011b neboli podko\u017en\u011b, tento zp\u016fsob se pak naz\u00fdv\u00e1 hypodermokl\u00fdza, a pou\u017e\u00edv\u00e1 se p\u0159ev\u00e1\u017en\u011b v dom\u00e1c\u00ed hospicov\u00e9 p\u00e9\u010di a rovn\u011b\u017e v paliativn\u00ed p\u00e9\u010di jako preferovan\u00fd zp\u016fsob pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f.<\/p><p><strong>Nej\u010dast\u011bj\u0161\u00ed d\u016fvody aplikace infuzn\u00ed terapie:<\/strong><\/p><ul><li>z\u00e1soben\u00ed organismu tekutinou v situac\u00edch, kdy pacient nen\u00ed schopen p\u0159ij\u00edmat dostate\u010dn\u00e9 mno\u017estv\u00ed tekutiny \u00fasty.<\/li><li>zabezpe\u010den\u00ed dod\u00e1vky v\u00fd\u017eivy v situac\u00edch, kdy pacient nen\u00ed schopen p\u0159ij\u00edmat dostate\u010dn\u00e9 mno\u017estv\u00ed potravy \u00fasty.<\/li><li>vytvo\u0159en\u00ed zp\u016fsobu rychl\u00e9ho pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f.<\/li><\/ul><p><strong>Zp\u016fsoby aplikace infuzn\u00ed terapie:<\/strong><\/p><ol><li><span style=\"color: #993300;\"><em><strong>Pomoc\u00ed perifern\u00edho \u017eiln\u00edho kat\u00e9tru<\/strong>, kdy se zavede kanyla do perifern\u00ed \u017e\u00edly, do kter\u00e9 je pod\u00e1v\u00e1na infuze.<\/em><\/span><\/li><\/ol><p><strong>Postup p\u0159i pod\u00e1v\u00e1n\u00ed infuze:<\/strong><\/p><ul><li>sestra p\u0159ed samotn\u00fdm v\u00fdkonem sezn\u00e1m\u00ed pacienta se zp\u016fsobem zaveden\u00ed kanyly a pod\u00e1n\u00ed infuze.<\/li><li>p\u0159iprav\u00ed si pom\u016fcky a infuzn\u00ed sm\u011bs (do infuzn\u00ed l\u00e1hve za aseptick\u00e9ho postupu aplikuje injek\u010dn\u00ed st\u0159\u00edka\u010dkou ordinovan\u00fd l\u00e9k).<\/li><li>ulo\u017e\u00ed pacienta do vhodn\u00e9 polohy a zajist\u00ed vhodnou polohu kon\u010detiny.<\/li><li>po p\u0159ilo\u017een\u00ed turniketu, p\u0159ibli\u017en\u011b 5cm nad p\u0159edpokl\u00e1dan\u00fdm m\u00edstem vpichu, provede dezinfekci m\u00edsta vpichu ot\u011brem od st\u0159edu.<\/li><li>po zaschnut\u00ed dezinfekce zavede kanylu a uvoln\u00ed za\u0161krcen\u00ed kon\u010detiny.<\/li><li>n\u00e1sledn\u011b povyt\u00e1hne mandr\u00e9n, zasune plastov\u00fd kat\u00e9tr a napoj\u00ed spojovac\u00ed hadi\u010dku s fyziologick\u00fdm roztokem.<\/li><li>provede proplach kat\u00e9tru, zkontroluje m\u00edsto vpichu nad zaveden\u00fdm kat\u00e9trem a sleduje p\u0159itom reakci pacienta.<\/li><li>m\u00edsto vpichu steriln\u011b p\u0159elep\u00ed zvolen\u00fdm kryt\u00edm, ozna\u010d\u00ed datem a \u010dasem zaveden\u00ed.<\/li><li>pot\u00e9 napoj\u00ed infuzn\u00ed soupravu a nastav\u00ed rychlost infuze \u2013 po\u010det ml\/h.<\/li><li>sestra b\u011bhem infuzn\u00ed terapie pravideln\u011b sleduje a hodnot\u00ed m\u00edsto vpichu a jeho okol\u00ed (Klasifikace dle Maddona).<\/li><li>p\u0159i ukon\u010den\u00ed infuze, uzav\u0159e soupravu tla\u010dkou, uvoln\u00ed kryt\u00ed a vyt\u00e1hne kat\u00e9tr, m\u00edsto vpichu p\u0159elep\u00ed n\u00e1plasti.<\/li><li>p\u0159i opakovan\u00e9 infuzn\u00ed terapii, odpoj\u00ed set od spojovac\u00ed hadi\u010dky a provede proplach 10ml FR metodou start-stop, uzav\u0159e z\u00e1tkou a spojovac\u00ed hadi\u010dku fixuje ke kon\u010detin\u011b n\u00e1plasti.<\/li><li>v\u0161e zaznamen\u00e1 do pacientovy zdravotn\u00ed dokumentace.<\/li><\/ul><ol start=\"2\"><li><em><span style=\"color: #993300;\"><strong> Pomoc\u00ed centr\u00e1ln\u00edho \u017eiln\u00edho kat\u00e9tru,<\/strong> nej\u010dast\u011bji do ven\u00f3zn\u00edho portu.<\/span><\/em><\/li><\/ol><ul><li>ven\u00f3zn\u00ed port zaji\u0161\u0165uje dlouhodob\u00fd p\u0159\u00edstup do c\u00e9vn\u00edho \u0159e\u010di\u0161t\u011b.<\/li><li>skl\u00e1d\u00e1 se z kat\u00e9tru, kter\u00fd je zaveden do centr\u00e1ln\u00ed \u017e\u00edly a portu (kom\u016frky), ke kter\u00e9mu je kat\u00e9tr pevn\u011b p\u0159ipojen. T\u011blo kom\u016frky je um\u00edst\u011bno pod k\u016f\u017ei, nej\u010dast\u011bji na hrudn\u00edku.<\/li><\/ul><p>\u00a0Postup p\u0159i pod\u00e1v\u00e1n\u00ed infuze:<\/p><ul><li>sestra informuje pacienta o\u00a0v\u00fdkonu.<\/li><li>provede hygienickou dezinfekci rukou, p\u0159iprav\u00ed si pom\u016fcky k zaveden\u00ed jehly, ulo\u017e\u00ed pacienta do polohy vle\u017ee a vyzve ho ke spolupr\u00e1ci.<\/li><li>ve steriln\u00edch rukavic\u00edch a po proveden\u00ed dezinfekce m\u00edsta vpichu zavede Huberovou jehlu do portov\u00e9 kom\u016frky.<\/li><li>provede aspiraci krve, z d\u016fvodu kontroly spr\u00e1vn\u00e9 lokalizace jehly v kom\u016frce.<\/li><li>n\u00e1sledn\u011b napoj\u00ed 20ml st\u0159\u00edka\u010dku s fyziologick\u00fdm roztokem a provede proplach.<\/li><li>jehlu zajist\u00ed proti pohybu, dle pot\u0159eby podlo\u017e\u00ed steriln\u00edm kryt\u00edm a p\u0159elep\u00ed steriln\u00ed foli\u00ed a ozna\u010d\u00ed datem a \u010dasem zaveden\u00ed.<\/li><li>napoj\u00ed infuzn\u00ed soupravu a nastav\u00ed rychlost infuze (ml\/hod).<\/li><li>pokud pou\u017eije k nastaven\u00ed rychlosti infuzn\u00ed pumpu, zalo\u017e\u00ed set do pumpy, na kom\u016frku p\u0159ipevn\u00ed kapkov\u00fd senzor a po zalo\u017een\u00ed setu uvoln\u00ed tla\u010dku.<\/li><li>pak zad\u00e1 rychlost nebo hodnotu celkov\u00e9ho objemu a doby, po kterou m\u00e1 infuze kapat.<\/li><li>b\u011bhem pod\u00e1v\u00e1n\u00ed infuze hodnot\u00ed pacientovu reakci na infuzn\u00ed terapii, sleduje m\u00edsto vpichu a dodr\u017eov\u00e1n\u00ed p\u0159edepsan\u00e9 terapie.<\/li><li>p\u0159i v\u00fdskytu komplikac\u00ed informuje l\u00e9ka\u0159e.<\/li><\/ul><ol start=\"3\"><li><em><span style=\"color: #993300;\"><strong> Pomoc\u00ed subkut\u00e1nn\u00ed kanyly, <\/strong>kdy je infuze pod\u00e1v\u00e1na do podko\u017e\u00ed = hypodermokl\u00fdza<\/span><\/em><\/li><\/ol><ul><li>k zaveden\u00ed se pou\u017e\u00edv\u00e1 nej\u010dast\u011bji kanyla \u2013 mot\u00fdlek (jehla s k\u0159id\u00e9lkem a spojovac\u00ed hadi\u010dkou).<\/li><li>kanylka se zav\u00e1d\u00ed do podko\u017e\u00ed na p\u0159edn\u00ed stran\u011b hrudn\u00edku, v oblasti b\u0159icha, pa\u017ee a stehna.<\/li><\/ul><p>\u00a0Postup p\u0159i zaveden\u00ed infuze:<\/p><ul><li>sestra informuje pacienta o nutnosti zaveden\u00ed infuzn\u00ed terapie.<\/li><li>provede hygienickou dezinfekci rukou a p\u0159iprav\u00ed infuzi.<\/li><li>po \u0159\u00e1dn\u00e9 dezinfekci nabodne z\u00e1tku infuzn\u00ed l\u00e1hve (vaku) bodcem infuzn\u00ed soupravy, napln\u00ed kom\u016frku soupravy a odstran\u00ed vzduchov\u00e9 bubliny, uzav\u0159e hadi\u010dku tla\u010dkou.<\/li><li>propl\u00e1chne spojovac\u00ed hadi\u010dku kanyly fyziologick\u00fdm roztokem.<\/li><li>ulo\u017e\u00ed pacienta do pohodln\u00e9 polohy, vybere m\u00edsto vpichu, kter\u00e9 dezinfikuje a zavede kanylu.<\/li><li>uchop\u00ed jehlu za k\u0159id\u00e9lka, sund\u00e1 kryt z\u00a0jehly a druhou rukou chyt\u00ed k\u016f\u017ei dv\u011bma prsty a vytvo\u0159\u00ed ko\u017en\u00ed \u0159asu.<\/li><li>\u0161ikm\u00fdm vpichem zavede kanylu do podko\u017e\u00ed v cel\u00e9 jej\u00ed d\u00e9lce.<\/li><li>n\u00e1sledn\u011b jehlu a hadi\u010dku fixuje jako klasick\u00fd perifern\u00ed vstup.<\/li><li>napoj\u00ed infuzn\u00ed soupravu a nastav\u00ed rychlost infuze.<\/li><li>kanylka m\u016f\u017ee b\u00fdt do podko\u017e\u00ed zaveden\u00e1 5-7 dn\u00ed a infuzn\u00ed set je odpojov\u00e1n za proplachu fyziologick\u00fdm roztokem.<\/li><li>m\u00edsto vpichu sestra pravideln\u011b kontroluje a st\u0159\u00edd\u00e1.<\/li><li>pro hydrataci v dom\u00e1c\u00edm prost\u0159ed\u00ed je tolerov\u00e1na d\u00e1vka a\u017e 1500ml\/24h.<\/li><li>aplikace do podko\u017e\u00ed se v\u00a0paliativn\u00ed p\u00e9\u010di rovn\u011b\u017e pou\u017e\u00edv\u00e1 ke kontinu\u00e1ln\u00edmu pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f.<\/li><\/ul><p>Shrnut\u00ed:<\/p><p>O pod\u00e1n\u00ed infuzn\u00ed terapie v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed v\u017edy rozhoduje l\u00e9ka\u0159, kter\u00fd vych\u00e1z\u00ed z\u00a0aktu\u00e1ln\u00edho zdravotn\u00edho stavu pacienta. Ten ordinuje infuzn\u00ed roztok a l\u00e9ky, kter\u00e9 do n\u011bj budou p\u0159id\u00e1ny. Sestra na z\u00e1klad\u011b indikace l\u00e9ka\u0159e infuzi p\u0159iprav\u00ed a pod\u00e1v\u00e1, korektn\u011b s\u00a0dodr\u017eov\u00e1n\u00edm v\u0161ech z\u00e1sad asepse. \u00a0Sestra je rovn\u011b\u017e vybavena pot\u0159ebn\u00fdmi pom\u016fckami jako dezinfekce, injek\u010dn\u00ed st\u0159\u00edka\u010dky a jehly, n\u00e1plasti, infuzn\u00ed soupravy, infuzn\u00ed pumpy nebo line\u00e1rn\u00ed d\u00e1vkova\u010de. Pacienta v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed nav\u0161t\u00edv\u00ed po vz\u00e1jemn\u00e9 domluv\u011b a infuzn\u00ed terapie je pod\u00e1v\u00e1na dle p\u0159edem stanoven\u00e9ho \u010dasov\u00e9ho pl\u00e1nu.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b8a4db0 e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"b8a4db0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-c4a349b e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"c4a349b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a9ebb8 elementor-widget elementor-widget-image\" data-id=\"2a9ebb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-1024x684.jpg\" class=\"attachment-large size-large wp-image-95\" alt=\"\" srcset=\"https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-1024x684.jpg 1024w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-300x200.jpg 300w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-768x513.jpg 768w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800-1536x1025.jpg 1536w, https:\/\/medica3nec.cz\/zp\/wp-content\/uploads\/2025\/06\/DSC_2800.jpg 1898w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e67a9d elementor-widget elementor-widget-heading\" data-id=\"8e67a9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Informace<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ac7437c elementor-widget elementor-widget-text-editor\" data-id=\"ac7437c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left;\">informace o p\u00e9\u010di pro ve\u0159ejnost i l\u00e9ka\u0159e<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6719c24 elementor-tablet-align-start elementor-mobile-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"6719c24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+420%20774%20441%20581\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-phone\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M493.4 24.6l-104-24c-11.3-2.6-22.9 3.3-27.5 13.9l-48 112c-4.2 9.8-1.4 21.3 6.9 28l60.6 49.6c-36 76.7-98.9 140.5-177.2 177.2l-49.6-60.6c-6.8-8.3-18.2-11.1-28-6.9l-112 48C3.9 366.5-2 378.1.6 389.4l24 104C27.1 504.2 36.7 512 48 512c256.1 0 464-207.5 464-464 0-11.2-7.7-20.9-18.6-23.4z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">+420 774 735 577<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/medica.pacienti@seznam.cz\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-envelope\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">medica.pacienti@seznam.cz <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae8d4cd e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"ae8d4cd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7c1fbe4 elementor-widget elementor-widget-heading\" data-id=\"7c1fbe4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Informace pro pacienty<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f33e4e7 elementor-tablet-align-start elementor-mobile-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"f33e4e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/01\/Informace-o-zpracovani-osobnich-udaju-1.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Informace o zpracov\u00e1n\u00ed osobn\u00edch \u00fadaj\u016f<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/01\/Formular-pro-uplatneni-prav-uzivatele-jako-subjektu-osobnich-udaju-1.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Formul\u00e1\u0159 pro uplatn\u011bn\u00ed pr\u00e1v u\u017eivatele jako subjektu osobn\u00edch \u00fadaj\u016f <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/01\/Postup-pri-podavani-stiznosti-1.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Postup p\u0159i pod\u00e1v\u00e1n\u00ed st\u00ed\u017enost\u00ed<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2022\/04\/Nakla\u0301da\u0301ni\u0301-s-odpady-ze-zdravotni\u0301-pe\u0301c\u030ce-informace-pro-pacienty.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Informace o nakl\u00e1d\u00e1n\u00ed s odpady<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ce53ecb e-con-full e-ecs-flex e-flex e-con e-child\" data-id=\"ce53ecb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ecs_container_type&quot;:&quot;flex&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7f98644 elementor-widget elementor-widget-heading\" data-id=\"7f98644\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Soubory ke sta\u017een\u00ed<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c32098 elementor-tablet-align-start elementor-mobile-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1c32098\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.medica3nec.cz\/wp-content\/uploads\/2020\/06\/bazalni-stimulace2.pdf\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-file-pdf\" viewBox=\"0 0 384 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M181.9 256.1c-5-16-4.9-46.9-2-46.9 8.4 0 7.6 36.9 2 46.9zm-1.7 47.2c-7.7 20.2-17.3 43.3-28.4 62.7 18.3-7 39-17.2 62.9-21.9-12.7-9.6-24.9-23.4-34.5-40.8zM86.1 428.1c0 .8 13.2-5.4 34.9-40.2-6.7 6.3-29.1 24.5-34.9 40.2zM248 160h136v328c0 13.3-10.7 24-24 24H24c-13.3 0-24-10.7-24-24V24C0 10.7 10.7 0 24 0h200v136c0 13.2 10.8 24 24 24zm-8 171.8c-20-12.2-33.3-29-42.7-53.8 4.5-18.5 11.6-46.6 6.2-64.2-4.7-29.4-42.4-26.5-47.8-6.8-5 18.3-.4 44.1 8.1 77-11.6 27.6-28.7 64.6-40.8 85.8-.1 0-.1.1-.2.1-27.1 13.9-73.6 44.5-54.5 68 5.6 6.9 16 10 21.5 10 17.9 0 35.7-18 61.1-61.8 25.8-8.5 54.1-19.1 79-23.2 21.7 11.8 47.1 19.5 64 19.5 29.2 0 31.2-32 19.7-43.4-13.9-13.6-54.3-9.7-73.6-7.2zM377 105L279 7c-4.5-4.5-10.6-7-17-7h-6v128h128v-6.1c0-6.3-2.5-12.4-7-16.9zm-74.1 255.3c4.1-2.7-2.5-11.9-42.8-9 37.1 15.8 42.8 9 42.8 9z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Co je baz\u00e1ln\u00ed stimulace<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Aplikace injekc\u00ed a infuz\u00ed Aplikace injekc\u00ed Pod\u00e1v\u00e1n\u00ed l\u00e9k\u016f je nezbytnou sou\u010d\u00e1st\u00ed procesu l\u00e9\u010dby pacienta. Ve\u0161ker\u00e9 l\u00e9ky je nutn\u00e9 pod\u00e1vat velmi p\u0159esn\u011b, podle ordinace l\u00e9ka\u0159e a tak\u00e9 vhodn\u00fdm zp\u016fsobem. Nejobvyklej\u0161\u00ed a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":580,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-583","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aplikace injekc\u00ed a infuz\u00ed - Medica3nec - Dom\u00e1c\u00ed zdravotn\u00ed p\u00e9\u010de<\/title>\n<meta name=\"description\" content=\"Poskytujeme profesion\u00e1ln\u00ed zdravotn\u00ed p\u00e9\u010di ve Va\u0161\u00ed dom\u00e1cnosti (mobiln\u00ed hospic, dom\u00e1c\u00ed p\u00e9\u010de, p\u016fj\u010dovna zdravotn\u00edch p\u0159\u00edstroj\u016f, soci\u00e1ln\u00ed poradna, vzd\u011bl\u00e1v\u00e1n\u00ed).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medica3nec.cz\/zp\/aplikace-injekci-a-infuzi\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aplikace injekc\u00ed a infuz\u00ed - 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