Do not remove or replace catheter dressing for seven days (unless soaked with blood, loose, or soiled). |
Assess catheter function: |
Infuse and drain 500 mL of 1.5% dextrose dialysate into catheter with patient supine (no dwelling of dialysate required). |
If the effluent is clear and the catheter demonstrates normal function, drain effluent and leave abdomen empty. |
If effluent is blood tinged (pink or fruit-punch color), repeat exchanges with heparin (500 units/liter) until effluent clears. |
If effluent is frankly bloody or becoming increasingly bloody with exchanges, perform exchanges without heparin. |
If effluent is bloody after the fourth exchange, inform physician, fill catheter lumen with heparin (heparin 1000 units/mL), and stop additional exchanges. |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟