If you are on dialysis and have a Permacath (a tunneled catheter inserted in your neck or chest), taking care of it properly is very important. Your Permacath is your lifeline for dialysis, but it can also be a source of infection or complications if not managed well. This guide will help you understand the do’s and don’ts of Permacath care at home.
Do’s: How to Care for Your Permacath
- Keep the Site Clean and Dry:
- Before touching the catheter area, always wash your hands well with soap and water.
- Make sure the dressing is clean, dry, and changed as per your nurse’s instructions.
- Protect the Catheter from Water:
- Cover the catheter site with a waterproof dressing before showering.
- Avoid swimming or soaking in water (bathtub, pool, hot tubs).
- Check for Signs of Infection Daily:
- Look for redness, swelling, pain, or pus near the catheter site.
- Monitor for fever or chills, which could mean an infection.
- Secure the Catheter:
- Make sure the catheter is securely taped to your skin to prevent it from twisting or tugging.
- Wear loose clothing to prevent irritation or accidental tugging.
- Follow Dressing & Flushing Schedule:
- Dressing changes should be done under sterile conditions (usually by your nurse).
- Flushing of the catheter with heparin or saline must be done as instructed to prevent blockage.
Don’ts: What to Avoid with Your Permacath
- Don’t Touch the Open Ends:
- Never open or touch the catheter caps unless trained to do so.
- This can introduce bacteria and cause infections.
- Don’t Skip Dressing Changes:
- An infection is more likely when the dressing is damp or old.
- Always replace it on time.
- Don’t Lift Heavy Objects with the Catheter Side:
- Don’t put pressure, strain, or pull on the side where your catheter is inserted.
- Don’t Ignore Warning Signs:
- If you notice bleeding, difficulty in flushing, swelling of the arm/neck, or catheter displacement, contact your healthcare provider immediately.
- Don’t Self-Remove or Adjust the Catheter:
- A Permacath should only be removed or repositioned by a doctor.
- Trying to adjust it yourself can cause serious complications.
When to Call Your Doctor
Seek medical help immediately if you experience:
- Fever, chills, or flu-like symptoms
- Discomfort, edoema, or pus at the catheter site
- Catheter slipping out or accidental removal
- Difficulty breathing or chest pain after catheter use
A Permacath is usually a temporary access for dialysis, but while you have it, careful handling is key. By following these simple do’s and don’ts, you can reduce the risk of infection and keep your catheter working smoothly. Always stay in touch with your healthcare team for proper guidance.
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