Idiomas disponibles
Idiomas disponibles
Preamble
Your doctor is giving you a PowerPICC* catheter so that you can easily get the
intravenous (IV) medicines you need. This catheter is used to give you medications, to
draw blood samples or to inject contrast media. You do not need surgery to have the
PowerPICC* catheter put in your vein.
The PowerPICC* catheter lets your doctors and nurses give you medications without
repeated needle sticks in your arms.
Introduction
This Patient Guide will help you better understand your PowerPICC* catheter. However,
it is only a guide and should be used together with your doctor and/or IV nurses'
directions.
If you need to go to a hospital or to a doctor other than your primary doctor, please take
this booklet with you. It will help the doctor and nurses care for you and your catheter
in the best way possible.
The catheter is normally put in one of the veins above the bend of the elbow. It may be
put in either arm.
You may feel a little pain from the special needle used to help insert the catheter, but
you should not feel anything while the catheter tubing is being placed in the vein.
Please talk to your doctor or nurse about how your PowerPICC* catheter may change
your daily activities.
Catheters are made of two kinds of materials: silicone or polyurethane. The PowerPICC*
catheter that your doctor has given you is made of polyurethane. Polyurethane
material can be damaged when some products are used to clean around them. See the
following warning:
Warning: When cleaning or changing the bandage (dressing) around your catheter,
do not clean the catheter with ointment or with solutions that contain acetone
or polyethylene glycol (check label for these ingredients). These can damage the
polyurethane material if used over time.
Important information for your clinician:
•
Contrast media should be warmed to body temperature prior to power injection.
Warning: Failure to warm contrast media to body temperature prior to power
injection may result in catheter failure.
• Vigorously flush the PowerPICC* catheter using a 10 ml or larger syringe and sterile
normal saline prior to and immediately following the completion of power injection
studies. In addition, lock each lumen of the catheter with heparinized saline. Usually,
one ml per lumen is adequate. This will ensure the patency of the PowerPICC*
catheter and prevent damage to the catheter. Resistance to flushing may indicate
partial or complete catheter occlusion. Do not proceed with power injection study
until occlusion has been cleared.
Warning: Failure to ensure patency of the catheter prior to power injection studies
may result in catheter failure.
•
Use only lumens marked "Power Injectable" for power injection of contrast media.
Warning: Use of lumens not marked "Power Injectable" for power injection of
contrast media may cause failure of the catheter.
•
Do not exceed the maximum flow rate of 5 ml/sec and the maximum setting of 300
psi on the power injector machine.
Warning: Power injector machine pressure limiting feature may not prevent over
pressurization of an occluded catheter, which may cause catheter failure.
Warning: Exceeding the maximum flow rate of 5 ml/sec, and the maximum pressure
of power injectors of 300 psi, may result in catheter failure and /or catheter tip
displacement.
•
Warning: PowerPICC* catheter indication for power injection of contrast media
implies the catheter's ability to withstand the procedure, but does not imply
appropriateness of the procedure for a particular patient. A suitably trained clinician
is responsible for evaluating the health status of a patient as it pertains to a power
injection procedure.
•
Warning: When using alcohol or alcohol containing antiseptics with polyurethane
PICCs, care should be taken to avoid prolonged or excessive contact. Solutions
should be allowed to completely dry before applying an occlusive dressing.
Chlorhexidine gluconate and/or povidone iodine are the suggested antiseptics to
use.
•
Warning: Alcohol should not be used to lock, soak or declot polyurethane PICCs
because alcohol is known to degrade polyurethane catheters over time with
repeated and prolonged exposure.
•
Catheter does not require "s" curve for dressing and securement.
Power Injection Procedure
1. Remove the injection/needleless cap from the PowerPICC* catheter.
2. Attach a 10 ml or larger syringe filled with sterile normal saline.
3. Aspirate for adequate blood return and vigorously flush the catheter with the full 10
ml of sterile normal saline.
Warning: Failure to ensure patency of the catheter prior to power injection studies
may result in catheter failure.
4. Detach syringe.
5. Attach the power injection device to the PowerPICC* catheter per manufacturer's
recommendations.
6. Contrast media should be warmed to body temperature prior to power injection.
Warning: Failure to warm contrast media to body temperature prior to power
injection may result in catheter failure.
7. Use only lumens marked "Power Injectable" for power injection of contrast media.
Warning: Use of lumens not marked "Power Injectable" for power injection of contrast
media may cause failure of the catheter.
8. Complete power injection study taking care not to exceed the flow rate limits. Do not
exceed the maximum flow rate of 5 ml/sec.
Warning: Power Injector machine pressure limiting feature may not prevent
overpressurization of an occluded catheter, which may lead to catheter failure.
Warning: Exceeding the maximum flow rate of 5 ml/sec or the maximum pressure
of power injectors of 300 psi may result in catheter failure and/or catheter tip
displacement.
9. Disconnect the power injection device.
10. Replace the injection/needleless cap on the PowerPICC* catheter.
11. Flush the PowerPICC* catheter with 10 ml of sterile normal saline, using a 10 ml or
larger syringe. In addition, lock each lumen of the catheter with heparinized saline.
Usually one ml per lumen is adequate.
Bandage (Dressing) Change
Your bandage has two important jobs.
1. It provides a germ-free (sterile) environment for the catheter.
2. It helps keep the catheter from moving or breaking.
Bandages will hold your catheter in place so fluids and air can pass through without any
blocking or clogging. Your nurse may call the bandage a moisture-vapor permeable, non-
occlusive dressing.
If you or your family have been told how to change the bandages, please follow the
instructions carefully. Properly changing your bandage using germ-free (sterile) methods
will help reduce the chance of catheter problems.
When cleaning around your catheter:
DO:
-
Follow all instructions you are given by your hospital or home health facility.
-
Use chlorhexidine gluconate or povidone iodine to clean around the catheter. Always
remember the following warning when cleaning and caring for your catheter:
Warning: When cleaning or changing the bandage (dressing) around your catheter,
do not clean the catheter with ointment or with solutions that contain acetone
or polyethylene glycol (check label for these ingredients). These can damage the
polyurethane material if used over time.
-
Allow all cleaning materials and antiseptics to dry completely before putting on a
clean bandage.
Important
•
Never use anything sharp near the catheter, such as scissors.
•
Be sure the catheter does not move in or out of its place in your arm.
•
If your bandage becomes loose, dirty, wet, or if spotting can be seen through
bandage, change it right away. See pictures.
•
Your catheter should always be held in place as shown.
StatLock* Catheter Stabilization Device
Procedure
Single Lumen
1. Secure catheter with
2. Cover site and
StatLock* catheter
StatLock* catheter
stabilization device.
stabilization device
with transparent
dressing.
Dual Lumen
1. Secure catheter with
2. Cover site and
StatLock* catheter
StatLock* catheter
stabilization device.
stabilization device
with transparent
dressing.
2
3. Place anchor tape
4. Chevron anchor tape
sticky side up, under
on top of transparent
hub. Wedge tape
dressing.
between hub and
wings.
3. Place 1st anchor
4. Place 2nd anchor
tape sticky side up,
tape sticky side up
under one extension
under hub. Wedge
leg. Wedge tape
tape between hub
between hub and
and wings. Chevron
wings. Chevron
anchor tape on
anchor tape on
top of transparent
top of transparent
dressing.
dressing.
