From: Dianne Sim [mailto:[EMAIL PROTECTED] Sent: Monday, May 15, 2006 2:25 PM To: 'Anna Liang' Subject: RE: picc site redness
Just as some folks develop keloid tissue more than others, I think that some patient's insertion sites respond to the mechanical irritation of the catheter in situ and/or the catheter composition, in varying degrees. The trick is to know what is considered normal and what is not. In the institutions I had worked at, "normal" errythema was thought to be anything smaller than 1cm diameter across the site. Of course, if you pick up any other signs or symptoms in your assessment, such as swelling, induration, exudate, pain, palpable cord it could change your diagnosis. In this case, I would probably have the staff continue observation of the site qShift and only respond if the errythema increases past 1cm or has other S&S. Regards Dianne Sim RN CEO & President IV Assist, Inc., 2675 Appian Way Pinole, CA 94564 Phone: (510) 222-8403 Fax: (510) 222-8277 Email: [EMAIL PROTECTED] Confidentiality Notice: This e-mail and any attachments are intended only for the use of those to whom it is addressed and may contain information that is confidential and prohibited from further disclosure under law. If you have received this e-mail in error, its review, use, retention and/or distribution is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message and any attachments.[v1.0] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Anna Liang Sent: Monday, May 15, 2006 7:00 AM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: picc site redness would like to know your practice regarding dealing with site redness. one kid has a picc, last week there was some drainage on the site, and the site is red -- the biopatch was a bit swelled up. in order to assess the site, the dressing was changed every 2-3 days with biopatch. there is no more drainage. but the site is still red (0.5cm X 0.5cm). should I consider pulling the picc if the redness does not improve? __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com
