MedComp 14F Split Cath Rg Instrucciones De Uso página 9

Warning: Failure to verify catheter placement may result in serious trauma or fatal
complications.
CATHETER SECUREMENT AND WOUND DRESSING:
38. Suture insertion site closed. Suture the catheter to the skin using the suture
wing hub. Do not suture the catheter tubing. Suture wing hub(s) should be
flush against patient's skin.
Caution: Care must be taken when using sharp objects or needles in close
proximity to catheter lumen. Contact from sharp objects may cause catheter failure.
39. Cover the insertion and exit site with an occlusive dressings.
40. Catheter must be secured/sutured for entire duration of implantation.
41. Record catheter length and catheter lot number on patient's chart.
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Scrub catheter hubs with an appropiate antiseptic after cap is removed and
before accessing. Perform every time catheter is accessed or disconnected.
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The heparin solution must be removed from each lumen prior to treatment to
prevent systemic heparinization of the patient. Aspiration should be based on
dialysis unit protocol.
•
Before dialysis begins all connections to catheter and extracorporeal circuits
should be examined carefully.
•
Frequent visual inspection should be conducted to detect leaks to prevent
blood loss or air embolism.
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If a leak is found, the catheter should be clamped immediately.
Caution: Only clamp catheter with in-line clamps provided.
•
Necessary remedial action must be taken prior to the continuation of the
dialysis treatment.
Caution: Excessive blood loss may lead to patient shock.
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Hemodialysis should be performed under physician's instructions.
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Reversing the lines during hemodialysis will increase recirculation.
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If the catheter is not to be used immediately for treatment, follow the
suggested catheter patency guidelines. To maintain patency between
treatments, a heparin lock must be created in each lumen of the catheter.
•
Follow hospital protocol for heparin concentration.
1. Draw heparin into two syringes, corresponding to the amount indicated on
catheter lumen. Assure that the syringes are free of air.
Note: Priming volume values printed on lumen include extension set.
2. Remove injection caps from the extensions.
3. Attach a syringe containing heparin solution to the female luer of each
extension.
4. Open extension clamps.
5. Aspirate to insure that no air will be forced into the patient.
6. Inject heparin into each lumen using quick bolus technique.
Note: Each lumen should be completely filled with heparin to ensure effectiveness.
7. Close extension clamps.
Caution: Clamps should only be open for aspiration, flushing, and dialysis
treatment.
8. Remove syringes.
9. Attach a sterile injection cap onto the female luers of the extensions.
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In most instances, no further heparin is necessary for 48-72 hours, provided
the lumens have not been aspirated or flushed.
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Clean skin around catheter. Chlorhexidine gluconate solutions are
recommended; however, iodine-based solutions can be used. Cover the exit
site with occlusive dressing and leave extensions, clamps, and caps exposed
for access by staff.
•
Wound dressings must be kept clean and dry.
HEMODIALYSIS TREATMENT
HEPARINIZATION
SITE CARE
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