In the department of hematology, “PICC” is a common vocabulary used by medical staff and their families when communicating. PICC catheterization, also known as central venous catheter placement via peripheral vascular puncture, is an intravenous infusion that effectively protects the veins of the upper extremities and reduces the pain of repeated venipuncture.
However, after the PICC catheter is inserted, the patient needs to “wear” it for life during the treatment period, so there are many precautions in daily care. In this regard, the family doctor invited Zhao Jie, the head nurse of the Hematology Comprehensive Ward of Southern Hospital of Southern Medical University, to share with us the precautions and nursing skills of daily care for PICC patients.
After the PICC catheter is inserted, you can take a shower but not a bath
Taking a bath is a casual and comfortable thing, but it is a bit troublesome for the patients of PICC, and even many patients have difficulties in the way of bathing.
Zhao Jie told the online editor of the family doctor: “Patients do not need to worry too much. After PICC catheters are implanted, they can still take a bath as usual. However, in the choice of bathing method, it is best to choose a shower instead of a bath.”
In addition, the patient needs to make preparations before bathing, such as treating the side of the tube before bathing. Zhao Jie suggested, “When the patient handles the side of the catheter, he can fix the catheter with a sock or net cover, then wrap it with a small towel, and then wrap it with three layers of plastic wrap. After all is wrapped, the patient can wrap part of the Use rubber bands or tape to fix both ends, and finally put on suitable waterproof sleeves.
When taking a shower, the patient can take a shower with the arm on the side of the tube that has been treated. However, it should be noted that when taking a bath, you should always observe whether the arm wrapped part is wet, so that it can be replaced in time. ”
In daily wear, PICC patients also need to pay extra attention. Zhao Jie reminded that patients should wear cotton, loose-fitting clothes with loose cuffs as much as possible. When putting on clothes, it is best for the patient to wear the clothes on the side of the tube first, and then the clothes on the opposite side, and the opposite is true when undressing.
“When it’s cold, the patient can also put the stockings on the limb on the side of the tube to use its smoothness to improve the smoothness of changing clothes, or the patient can make a zipper on the sleeve on the side of the tube to wear clothes and Replace the film.”
After discharge from the hospital, you still need to follow up when you encounter these conditions
The end of surgical treatment does not mean that the disease is completely cured, and the patient needs regular maintenance after discharge. The head nurse Zhao Jie pointed out that in principle, patients should change the transparent applicator at least once a week, and the gauze applicator once every 1-2 days.
If there is an abnormal situation, the patient still needs to go to the hospital for treatment. For example, when the patient suffers from loosening of the application, curling, blood return of the catheter, bleeding, effusion, redness, swelling and pain at the puncture point, skin itching or rash, etc., or the catheter is damaged or broken, the exposed catheter needs to be broken first Or in emergency situations such as immobilization, you need to go to the hospital for treatment immediately. “Zhao Jie said.
Original source: https://baijiahao.baidu.com/s?id=1691488971585136754&wfr=spider&for=pc
Post time: Nov-15-2021