DIALYSIS CATHETER PLACEMENT

 

You are receiving this information on Dialysis Catheter Placement as part of your discharge instructions. A tube will be inserted into one of your blood vessels and sutured in place for hemodialysis (a method for providing the function of the kidneys by filtering the blood.

 

EXPECTED OUTCOMES:

You will be on a heart monitor, a blood pressure monitor, and your oxygen level will be monitored with a probe on your finger. The doctor, nurses, and technologist will be dressed in sterile clothing. During the test you may be given some medicine to help you relax.

You will need to lie very still during the procedure. The area in your arm, leg, or chest that will be used to insert the catheter will be washed and clipped. Ultrasound and X-ray will be used to puncture a suitable vein and guide catheter placement, most commonly in your neck or groin. The area will be made numb with medicine prior to insertion. The catheter will be placed under your skin to protect you from infection. Your catheter will likely be stitched in place.

 

POST PROCEDURAL DISCHARGE INSTRUCTIONS

 

DIET

• Resume your routine diet as tolerated.
• Avoid drinking alcohol for 24 hours.

 

ACTIVITY

• The sedation you received for your procedure is still in your system. Therefore, we would like you to take it easy the rest of the day and evening. DO NOT DRIVE or operate machinery for 24 hours.
• Avoid making legal decisions for 24 hours.
• You will need to keep the arm or leg that was used for the catheter insertion flat and stay in the bed for 2-4 hours post procedure depending on your risk for bleeding. You will be allowed to get up and walk before you go home.
• You may resume your regular activities, including driving in 24 hours, unless you have been restricted for another reason.
• No exercising, bending or lifting of heavy objects (anything over 10 pounds) for the next 48 hours.
• You may shower tomorrow.  No tub baths for 2 days.

 

WOUND/INCISIONAL DEVICE CARE

• Check the area where the catheter was inserted (in your leg, arm or chest) before you leave the hospital, so you know what it looks and feels like.
• Check the site in your leg, arm, or chest where the catheter was inserted every morning and evening, looking for changes.
• You may remove the dressing/Band-Aid the next day. Keep the site clean using soap and water then apply a fresh dressing.  Do this once a day till the site has healed.

 

PAIN MANAGEMENT

• You may use over the counter medications such as Acetaminophen (Tylenol) for pain unless otherwise contraindicated. Discuss any other over the counter use of aspirin and Ibuprofen products with your doctor before using them.
• You may use your regularly prescribed pain medication unless otherwise instructed by your doctor.

 

MEDICATION CHANGES

• Take all your medications as ordered by your doctor, unless otherwise instructed.
• Patients on blood thinners need to consult their ordering physician regarding when to restart these medications.

 

POST PROCEDURE SIGNS/SYMPTOMS TO BE EXPECTED

• Tenderness at the site
• Bruising at the site
• Slight bleeding

 

POST PROCEDURE SIGNS/ SYMPTOMS THAT REQUIRE NOTIFICATION OF YOUR PHYSICIAN

• You have severe pain not relieved by pain medication.
• If you have any signs of infection:  fever greater than 101 degrees, redness or pus drainage from procedure site.
• You have any questions or concerns.
• You have any new or unusual symptoms.
• Difficulty or inability to urinate.

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE IMMEDIATE ATTENTION.  PROCEED TO YOUR NEAREST EMERGENCY DEPARTMENT/OR CALL 911

• Uncontrolled bleeding; if this should begin after you return home, you should lie down.  Apply pressure to the site where the catheter was and have someone call your doctor right away.  If you are unable to get a hold of your doctor quickly or you cannot stop the bleeding with your pressure call 911.
• Severe shortness of breath or difficulty breathing.
• Hives.

 

DATE AND TIME TO SEE YOUR PHYSICIAN

• Call the physician who ordered your procedure for a follow up appointment, if you do not already have a scheduled appointment.

 

You are a very important part of your recovery. Please ask your doctor or nurse any questions you may have regarding your discharge instructions.

DIALYSIS CATHETER PLACEMENT

 

You are receiving this information on Dialysis Catheter Placement as part of your discharge instructions. A tube will be inserted into one of your blood vessels and sutured in place for hemodialysis (a method for providing the function of the kidneys by filtering the blood.

 

EXPECTED OUTCOMES:

You will be on a heart monitor, a blood pressure monitor, and your oxygen level will be monitored with a probe on your finger. The doctor, nurses, and technologist will be dressed in sterile clothing. During the test you may be given some medicine to help you relax.

You will need to lie very still during the procedure. The area in your arm, leg, or chest that will be used to insert the catheter will be washed and clipped. Ultrasound and X-ray will be used to puncture a suitable vein and guide catheter placement, most commonly in your neck or groin. The area will be made numb with medicine prior to insertion. The catheter will be placed under your skin to protect you from infection. Your catheter will likely be stitched in place.

 

POST PROCEDURAL DISCHARGE INSTRUCTIONS

 

DIET

• Resume your routine diet as tolerated.
• Avoid drinking alcohol for 24 hours.

 

ACTIVITY

• The sedation you received for your procedure is still in your system. Therefore, we would like you to take it easy the rest of the day and evening. DO NOT DRIVE or operate machinery for 24 hours.
• Avoid making legal decisions for 24 hours.
• You will need to keep the arm or leg that was used for the catheter insertion flat and stay in the bed for 2-4 hours post procedure depending on your risk for bleeding. You will be allowed to get up and walk before you go home.
• You may resume your regular activities, including driving in 24 hours, unless you have been restricted for another reason.
• No exercising, bending or lifting of heavy objects (anything over 10 pounds) for the next 48 hours.
• You may shower tomorrow.  No tub baths for 2 days.

 

WOUND/INCISIONAL DEVICE CARE

• Check the area where the catheter was inserted (in your leg, arm or chest) before you leave the hospital, so you know what it looks and feels like.
• Check the site in your leg, arm, or chest where the catheter was inserted every morning and evening, looking for changes.
• You may remove the dressing/Band-Aid the next day. Keep the site clean using soap and water then apply a fresh dressing.  Do this once a day till the site has healed.

 

PAIN MANAGEMENT

• You may use over the counter medications such as Acetaminophen (Tylenol) for pain unless otherwise contraindicated. Discuss any other over the counter use of aspirin and Ibuprofen products with your doctor before using them.
• You may use your regularly prescribed pain medication unless otherwise instructed by your doctor.

 

MEDICATION CHANGES

• Take all your medications as ordered by your doctor, unless otherwise instructed.
• Patients on blood thinners need to consult their ordering physician regarding when to restart these medications.

 

POST PROCEDURE SIGNS/SYMPTOMS TO BE EXPECTED

• Tenderness at the site
• Bruising at the site
• Slight bleeding

 

POST PROCEDURE SIGNS/ SYMPTOMS THAT REQUIRE NOTIFICATION OF YOUR PHYSICIAN

• You have severe pain not relieved by pain medication.
• If you have any signs of infection:  fever greater than 101 degrees, redness or pus drainage from procedure site.
• You have any questions or concerns.
• You have any new or unusual symptoms.
• Difficulty or inability to urinate.

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE IMMEDIATE ATTENTION.  PROCEED TO YOUR NEAREST EMERGENCY DEPARTMENT/OR CALL 911

• Uncontrolled bleeding; if this should begin after you return home, you should lie down.  Apply pressure to the site where the catheter was and have someone call your doctor right away.  If you are unable to get a hold of your doctor quickly or you cannot stop the bleeding with your pressure call 911.
• Severe shortness of breath or difficulty breathing.
• Hives.

 

DATE AND TIME TO SEE YOUR PHYSICIAN

• Call the physician who ordered your procedure for a follow up appointment, if you do not already have a scheduled appointment.

 

You are a very important part of your recovery. Please ask your doctor or nurse any questions you may have regarding your discharge instructions.

DIALYSIS CATHETER PLACEMENT

 

You are receiving this information on Dialysis Catheter Placement as part of your discharge instructions. A tube will be inserted into one of your blood vessels and sutured in place for hemodialysis (a method for providing the function of the kidneys by filtering the blood.

 

EXPECTED OUTCOMES:

You will be on a heart monitor, a blood pressure monitor, and your oxygen level will be monitored with a probe on your finger. The doctor, nurses, and technologist will be dressed in sterile clothing. During the test you may be given some medicine to help you relax.

You will need to lie very still during the procedure. The area in your arm, leg, or chest that will be used to insert the catheter will be washed and clipped. Ultrasound and X-ray will be used to puncture a suitable vein and guide catheter placement, most commonly in your neck or groin. The area will be made numb with medicine prior to insertion. The catheter will be placed under your skin to protect you from infection. Your catheter will likely be stitched in place.

 

POST PROCEDURAL DISCHARGE INSTRUCTIONS

 

DIET

• Resume your routine diet as tolerated.
• Avoid drinking alcohol for 24 hours.

 

ACTIVITY

• The sedation you received for your procedure is still in your system. Therefore, we would like you to take it easy the rest of the day and evening. DO NOT DRIVE or operate machinery for 24 hours.
• Avoid making legal decisions for 24 hours.
• You will need to keep the arm or leg that was used for the catheter insertion flat and stay in the bed for 2-4 hours post procedure depending on your risk for bleeding. You will be allowed to get up and walk before you go home.
• You may resume your regular activities, including driving in 24 hours, unless you have been restricted for another reason.
• No exercising, bending or lifting of heavy objects (anything over 10 pounds) for the next 48 hours.
• You may shower tomorrow.  No tub baths for 2 days.

 

WOUND/INCISIONAL DEVICE CARE

• Check the area where the catheter was inserted (in your leg, arm or chest) before you leave the hospital, so you know what it looks and feels like.
• Check the site in your leg, arm, or chest where the catheter was inserted every morning and evening, looking for changes.
• You may remove the dressing/Band-Aid the next day. Keep the site clean using soap and water then apply a fresh dressing.  Do this once a day till the site has healed.

 

PAIN MANAGEMENT

• You may use over the counter medications such as Acetaminophen (Tylenol) for pain unless otherwise contraindicated. Discuss any other over the counter use of aspirin and Ibuprofen products with your doctor before using them.
• You may use your regularly prescribed pain medication unless otherwise instructed by your doctor.

 

MEDICATION CHANGES

• Take all your medications as ordered by your doctor, unless otherwise instructed.
• Patients on blood thinners need to consult their ordering physician regarding when to restart these medications.

 

POST PROCEDURE SIGNS/SYMPTOMS TO BE EXPECTED

• Tenderness at the site
• Bruising at the site
• Slight bleeding

 

POST PROCEDURE SIGNS/ SYMPTOMS THAT REQUIRE NOTIFICATION OF YOUR PHYSICIAN

• You have severe pain not relieved by pain medication.
• If you have any signs of infection:  fever greater than 101 degrees, redness or pus drainage from procedure site.
• You have any questions or concerns.
• You have any new or unusual symptoms.
• Difficulty or inability to urinate.

 

POST PROCEDURE SIGNS/SYMPTOMS THAT REQUIRE IMMEDIATE ATTENTION.  PROCEED TO YOUR NEAREST EMERGENCY DEPARTMENT/OR CALL 911

• Uncontrolled bleeding; if this should begin after you return home, you should lie down.  Apply pressure to the site where the catheter was and have someone call your doctor right away.  If you are unable to get a hold of your doctor quickly or you cannot stop the bleeding with your pressure call 911.
• Severe shortness of breath or difficulty breathing.
• Hives.

 

DATE AND TIME TO SEE YOUR PHYSICIAN

• Call the physician who ordered your procedure for a follow up appointment, if you do not already have a scheduled appointment.

 

You are a very important part of your recovery. Please ask your doctor or nurse any questions you may have regarding your discharge instructions.