MedComp 14F Split Cath Rg Instrucciones De Uso página 10

Caution: Patients must not swim, shower, or soak dressing while bathing.
•
If profuse perspiration or accidental wetting compromises adhesion of dressing,
the medical or nursing staff must change the dressing under sterile conditions.
•
Apply antibiotic ointment or povidone-iodine ointment to catheter exit sites
during dressing change.
Caution: Always review hospital or unit protocol, potential complications and their
treatment, warnings, and precautions prior to undertaking any type of mechanical
or chemical intervention in response to catheter performance problems.
Warning: Only a physician familiar with the appropriate techniques should attempt
the following procedures.
INSUFFICIENT FLOWS:
The following may cause insufficient blood flows:
•
Occluded arterial holes due to clotting or fibrin sheath.
•
Occlusion of the arterial side holes due to contact with vein wall.
Solutions include:
•
Chemical intervention utilizing a thrombolytic agent.
MANAGEMENT OF ONE-WAY OBSTRUCTIONS:
One-way obstructions exist when a lumen can be flushed easily but blood cannot be
aspirated. This is usually caused by tip malposition.
One of the following adjustments may resolve the obstruction:
•
Reposition catheter.
•
Reposition patient.
•
Have patient cough.
•
Provided there is no resistance, flush the catheter vigorously with sterile
normal saline to try to move the tip away from the vessel wall.
INFECTION:
Caution: Due to the risk of exposure to HIV (Human Immunodeficiency Virus) or
other blood borne pathogens, health care professionals should always use Universal
Blood and Body Fluid Precautions in the care of all patients.
•
Sterile technique should always be strictly adhered to.
•
Clinically recognized infection at a catheter exit site should be treated promptly
with the appropriate antibiotic therapy.
•
If a fever occurs in a patient with a catheter in place, take a minimum of two
blood cultures from a site distant from catheter exit site. If blood culture is
positive, the catheter must be removed immediately and the appropriate
antibiotic therapy initiated. Wait 48 hours before catheter replacement.
Insertion should be made on opposite side of original catheter exit site, if
possible.
Warning: Only a physician familiar with the appropriate techniques should attempt
the following procedures.
Caution: Always review hospital or unit protocol, potential complications and their
treatment, warnings, and precautions prior to catheter removal.
1. Palpate the catheter exit tunnel to locate the cuff.
2. Administer sufficient local anesthetic to exit site and cuff location to completely
anesthetize the area.
3. Cut sutures from suture wing. Follow hospital protocol for removal of skin
sutures.
4. Make a 2cm incision over the cuff, parallel to the catheter.
5. Dissect down to the cuff using blunt and sharp dissection as indicated.
6. When visible, grasp cuff with clamp.
7. Clamp catheter between the cuff and the insertion site.
8. Cut catheter between cuff and exit site. Withdraw internal portion of catheter
through the incision in the tunnel.
9. Remove remaining section of catheter (i.e. portion in tunnel) through the exit
site.
CATHETER PERFORMANCE
CATHETER REMOVAL
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