so the update is that we are going to try IV abx, will pull the line if s/s does not improve.
--- Lynn Hadaway <[EMAIL PROTECTED]> wrote: > There have been some studies to document the fact > that markers of > inflammation are not caused by the catheter > material, both > polyurethane and silicone. So I would not think that > the catheter > material is the problem. However, there could be > stimulation of mast > cells by the physical presence of the catheter, both > materials. When > mast cells degranulate, they release histamine and > heparin plus other > factors are metabolized on the mast cell wall > through lipid > synthesis. These factors are responsible for > extending the signs and > symptoms. I have seen the problem of site redness in > a circular > pattern around the puncture site; it never improves > or gets worse. > The difference between what I am describing and the > original question > is that there has never been any drainage from what > I have seen. In > the original question, there was drainage that > apparently responded > to a Biopatch. So I would think this to be an > infectious process, and > not a simple immune respond to the presence of the > catheter. Lynn > > At 2:30 PM -0700 5/15/06, Dianne Sim wrote: > >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 > > > -- > Lynn Hadaway, M.Ed., RNC, CRNI > Lynn Hadaway Associates, Inc. > 126 Main Street, PO Box 10 > Milner, GA 30257 > http://www.hadawayassociates.com > office 770-358-7861 > > __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com
