I haven't had a peritoneal port but did have a hepatic
port. The patient would come in monthly for flushing. We did
not aspirate. We flushed with 5 ml of NSS and 100u=1ml
Heparin. After about 8 years of having this port the gentleman
experienced pain with flushing. We sent him for a dye study and
found that the catheter had a small hole in it and was leaking. The
patients was sent to the large med. center that had inserted the port and they
opted to just leave it in and discontinue flushing it.
This port was originally inserted to receive chemo
directly into the liver and after reading and hearing all the side effects the
patient opted not to get chemo via this port thus monthly flushing
only.
Margaret
Nicastro, CRNI,OCN
147 Gettys
Street
P.O. Box
3786
Gettysburg, PA
17325-0786
717-337-4312
option 2
717-337-4485
Fax
www.wellspan.org
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Tuesday, June 20, 2006 1:41 PM
To: [EMAIL PROTECTED]
Subject: peritoneal port check
Our ambulatory infusion area is getting more peritoneal ports for chemo
infusion into the peritoneal cavity. How do you check for placement
when there is not a fluid return. The Bard Peritoneal catheter instructions
state to be careful not to cause air embolis. The only check they advise
if you are unsure is a radiographic dye study. Some of the nurses that
work with these ports have been injecting a small amount of air and listening
over the abdomen with a stethoscope.
Thanks in advance for your help.
Mary Lynn Johnson RN, BSN, CRNI
Brenda Tully RN
IV Therapy
Deaconess, Spokane, Wa
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