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CARE OF

TEMPORARY
CATHETER
MUGILAN
MAA MEDICARE BUTTERWORTH

Care of Temporary Catheter by mugilan

Answered this question 1st.

How many types of catheter?

Where are the placement of catheter?

What indication for insertion of catheter?

What the most important things should be done before


and after insertion of catheter?

What we should do if exit site of catheter had a infection?

Care of Temporary Catheter by mugilan

Indication Temporary Vascular


access Catheter

Patient waiting for create AV fistula and fistula to matured

Patient with fistula problem

CAPD patients, which need temporary

Patient with Acute Renal Failure which on HD treatment while


wait for renal re function

Patients on Plasmapharesis or Immunosorption

Care of Temporary Catheter by mugilan

These are the special things that need to be done:

preventing infection.
changing the dressing.
flushing the catheter.
giving the medicine.
changing the injection cap.
solving problems.
knowing when and who to call for help.

Care of Temporary Catheter by mugilan

TYPE OF CATHETER

Care of Temporary Catheter by mugilan

Care of Temporary Catheter by mugilan

WHAT IS DIALYSIS CATHETER?

Access at patients body for BLOOD to and from the


hemodialysis machine

Had TWO lumen.

- The arterial lumen (typically red) withdraws blood from


the patient and carries it to dialysis machine.
- venous lumen (typically blue) returns blood to the
patient (from the dialysis machine)

Care of Temporary Catheter by mugilan

Cont.. (placement)

The catheter is placed in one of the large veins.

A common site is superior vena cava or SVC.

An SVC catheter is placed by puncturing the


internal jugular vein in the neck (most often
on the right side), and the catheter is then
advanced downwards toward the chest.

Care of Temporary Catheter by mugilan

via subclavian vein right behind the


clavicle(the collar bone), often on the right.

FEMORAL VEIN = This is an inferior option, because the GROIN site


is more prone to INFECTION and also because patient cannot sit
upright.

Care of Temporary Catheter by mugilan

FEMORAL CATHETER

SIZE :

-12.5FR X 24CM
-12.5FR X 20CM
-12.5FR x 25cm

For short term dialysis


-should replaced every 2weeks.

Care of Temporary Catheter by mugilan

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IJC

SHOULD BE REPLACED AFTER 4-6WEEKS

SIZE:

-11.5FR X 16CM
-12FR X 16CM

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PERMANENT CATHETER

Patient with difficulty to create AV fistula

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COMPLICATION

clotting

infection

kinking

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CARE OF PATIENT BEFORE


INSERTION OF CATHETER

CONSENT

BLOOD IX FBC, PT/APTT

VITAL SIGN

CATHETER

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DURING INSERTION

MONITOR VITAL SIGN


- OBSERVED FOR BLEEDING
- MAINTAIN STERILITY

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CARE OF PATIENT AFTER


INSERTION CATHETER

B/P

SIGN AND SIMPTOM OF


-INFECTION = fever, chills and rigor
-HAEMATOMA = patient c/o S.O.B (IJC)
-BLEEDING

Should be CHEST X-RAY 1st BEFORE proceed treatment and


REVIEW by doctor .

Informed Doctor immediately if patient had complication.

Care of Temporary Catheter by mugilan

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TROLI DRESSING

-GAUZE
-POVIDONE
-KEYHOLE
-BACTROBAN CREAM
-DISPOSIBBLE DRESSING SET
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DRESSING OF CATHETER..

Wear gown

Wear face mask

Wash hand 1st

Wear sterile glove

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OPEN DRESSING PACKED

- monitor sign and simptom of infection. (temperature, redness, pain,


pus @ exit site)

- if had infection take blood c&s and swab c&s

DO NOT proceed treatment if infection occurred. Please


informed doctor 1st.

of Temporary Catheter by mugilan


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- Care
Given
antibiotic as prescribed by doctor after dialysis.

Cont

Clean with iodine povidone (soaked @ cotton) 1st 3x or depending


on exit site of catheter (circulation method).

Clean lumen with gauze (from exit site to end of lumen). Each
lumen used one gauze.

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Cont

2nd time clean with spirit ( same with before)

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Cont

Packed with keyhole (flavine / bactroban cream)

Put sterile gauze on top of keyhole.

Plastered

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Cont

Covered both lumen of catheter with sterile plastic.

Care of Temporary Catheter by mugilan

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Cont..

Syringe out 2cc from each lumen (withdraw heparine pure)

Flushing in/out each lumen. Used normal saline with 10cc syinge.
To tested if catheter functioning well or not.

Care of Temporary Catheter by mugilan

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Cont

Connected line

- Swab with spirit 1st before connected.

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CONT

Wrapped both lumen with gauze (soaked with povidone)- to


prevent colonized of bacterial.

DO NOT used micropore !!!!

Wrapped with plastic

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End of treatment
Flushed

with normal saline

Blocked

with heparin pure 5000unit


depends on length of lumen each catheter.

Stopper
Wrapped

properly both lumen with sterile


gauze and plastered tightly.

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Health education to patient


Informed

medical staff if got fever, pain and itchiness @ exit

site
Do

not go private clinic if not feeling well

Do

not open dressing packed @ home

Do

not scratched on dressing site.

Do

not cut catheter.

If

catheter pulled out @ home- compressed with clean cloth.

Care
Immediately
of Temporary Catheter

go
straigth to A&E
by mugilan

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