RE: IV's and dehydration

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RE: IV's and dehydration - 11/3/2011 2:50:02 AM

TheFireWithinMe

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quote:

ORIGINAL: tazzygirl

quote:

ORIGINAL: TheFireWithinMe

Yup, day surgery but it's still surgery. Port-a-Caths aren't put in/take out according to need, it's in there til it's removed surgically. Meantime they need to be kept clean which can be a hassle.

Port-a-caths actually sit under the skin. I had a few dialysis patients who would run that way. Maybe you are thinking of a central line with the ports that are outside?

All I know is that our cancer patients go to Day Surgery for their Port-A-Caths. At least that's what my doctors dictate in their letters. It's done a couple of days prior to chemo. Then they go back to have them removed.

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RE: IV's and dehydration - 11/3/2011 9:28:33 AM

tazzygirl

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Ah then its not port-a-cath, but a central line. Ports are typically in for an extended period of time.

http://en.wikipedia.org/wiki/Central_venous_catheter

Shows pictures of both types.

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RE: IV's and dehydration - 11/3/2011 2:04:37 PM

TheFireWithinMe

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quote:

ORIGINAL: tazzygirl

Ah then its not port-a-cath, but a central line. Ports are typically in for an extended period of time.

http://en.wikipedia.org/wiki/Central_venous_catheter

Shows pictures of both types.

No it's a Port-a-Cath and yes they are there for an extended amount of time just incase first line chemo doesn't work. typically it's removed 2 years post chemo or sooner if the patient gets too sick for chemo or they run out of options.

Port-a-cath. A more permanent option involves the placement of a port-a-cath. The port-a-cath is placed under the skin on the chest. The catheter is then inserted into the superior vena cava vessel at entrance of the right atrium of the heart. This catheter can be placed in radiology by an interventional radiologist or by a surgeon in the operating room. It is approximately a one-hour procedure. The useful lifetime of a port-a-cath can be as long as three to five years. The port-a-cath can be felt under the skin and the nurse can find the entrance by locating the edges of the port-a-cath and inserting (cannulating) a special needle (called a Huber needle) into the soft middle section. Medications can be given through the port-a-cath and blood can be drawn from it eliminating the need for a blood draw from the arm. The use of a portable pump and port-a-cath allows the medication to be given over several days in the home setting rather then as a patient in the hospital. There are no dressing changes required but there is some maintenance involved.

Link to article

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RE: IV's and dehydration - 11/3/2011 2:08:56 PM

tazzygirl

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Im confused then, because you mentioned

quote:

Yup, day surgery but it's still surgery. Port-a-Caths aren't put in/take out according to need, it's in there til it's removed surgically. Meantime they need to be kept clean which can be a hassle.

If its planted under the skin, what is hard about keeping them clean?

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RE: IV's and dehydration - 11/3/2011 2:15:09 PM

TheFireWithinMe

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quote:

ORIGINAL: tazzygirl

Im confused then, because you mentioned

quote:

Yup, day surgery but it's still surgery. Port-a-Caths aren't put in/take out according to need, it's in there til it's removed surgically. Meantime they need to be kept clean which can be a hassle.

If its planted under the skin, what is hard about keeping them clean?

It doesn't simply sit under the skin. To quote the article I linked: The catheter is then inserted into the superior vena cava vessel at entrance of the right atrium of the heart. This catheter can be placed in radiology by an interventional radiologist or by a surgeon in the operating room. It is approximately a one-hour procedure.

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RE: IV's and dehydration - 11/3/2011 2:17:33 PM

tazzygirl

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I know how they are inserted... are you speaking of infections? They can be problematic,, but have nothing to do with keeping the area clean. They can also become clogged.. which can be a hassle to open back up... again.. nothing to do with being kept clean.

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RE: IV's and dehydration - 11/3/2011 2:21:29 PM

fragilepieces

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I had one in my forearm once. It was a bitch.

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