Your Tunneled Catheter Chinese 病患教育 4-Southeast 移植手術 / 腎臟科您的透析導管關於血液透析和血漿置換導管本宣傳資料介紹了用於血液透析或血漿置換的透析導管之相關資訊其中包括基礎護理指導說明, 需留意的感染症狀, 以及何時通知醫生等透析導管協

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透析導管協助您進行血液透析或血漿置換當疤痕組織形成時, 此導管固定在疤痕處使用壽命可為幾個星期或幾個月導管被置入患者頸部大靜脈中,

1 Your Tunneled Catheter Chinese 病患教育 4-Southeast 移植手術 / 腎臟科您的透析導管關於血液透析和血漿置換導管本宣傳資料介紹了用於血液透析或血漿置換的透析導管之相關資訊其中包括基礎護理指導說明, 需留意的感染症狀, 以及何時通知醫生等透析導管協助您進行血液透析或血漿置換當疤痕組織形成時, 此導管固定在疤痕處使用壽命可為幾個星期或幾個月導管被置入患者頸部大靜脈中, 血液由此回流至心臟然後沿著您的胸壁下行, 在距離進入您的靜脈處大約 6 英寸的地方, 向外穿透您的皮膚依照此材料中的護理指示進行操作, 防止形成血塊並避免感染透析導管心臟透析導管的置放

2 頁 4-Southeast 移植手術 / 腎臟科您的透析導管當您更換敷料時, 請查看導管部位是否出現任何感染現象, 或導管是否受損如果在早期發現這些問題, 它們有可能得到解決查找是否有任何發紅腫脹析液或潮濕現象輕輕地去感覺是否有腫脹感或柔軟感導管應完好無損, 封蓋位於適當位置, 兩個埠夾緊導管基礎護理盡可能地保證導管放置部位的清潔, 防止感染

2 2 頁 4-Southeast 移植手術 / 腎臟科您的透析導管當您更換敷料時, 請查看導管部位是否出現任何感染現象, 或導管是否受損如果在早期發現這些問題, 它們有可能得到解決查找是否有任何發紅腫脹析液或潮濕現象輕輕地去感覺是否有腫脹感或柔軟感導管應完好無損, 封蓋位於適當位置, 兩個埠夾緊導管基礎護理盡可能地保證導管放置部位的清潔, 防止感染保持導管的兩個埠一直處於夾緊狀態請勿拉伸導管請勿洗浴在熱水中泡浴或游泳如果淋浴, 用一塊塑膠布覆蓋住整個導管及敷料部位, 用膠帶貼住邊緣 ( 參見下圖 ) 淋浴後立即除去塑膠布如敷料被淋濕, 應立即予以更換如導管部位出血或導管脫落, 應按壓導管部位, 然後到急診室進行治療使用塑膠包裹導管導管敷料更換 q 我需要每 3 天或敷料變濕或脫落時, 更換敷料 q 我僅需要在敷料變濕或脫落時, 更換敷料其他情況下, 華盛頓大學醫療中心的工作人員或透析中心將更換我的敷料

3 3 頁 4-Southeast 移植手術 / 腎臟科您的透析導管您有問題嗎? 您的問題對我們很重要如有疑問或顧慮, 請聯絡您的醫生或醫療服務人員華盛頓大學醫療中心 (UWMC) 4-Southeast 的護士同樣可以提供幫助 q 腎臟科護士 q 神經科護士 q 移植科護士 q 4-Southeast 移植手術 / 腎臟科 : 依照下列步驟更換敷料 : 1. 準備以下物品 : ChloraPrep 2 x 2 規格紗布透明敷料 2. 戴上面罩 3. 用肥皂和水洗手 4. 除去舊敷料 5. 用 ChloraPrep 清洗導管部位, 晾乾 30 秒鐘 6. 使用 2 x 2 規格紗布及透明敷料何時通知您的醫生感染是使用透析導管的最常見併發症來自手部, 口部及周圍環境的細菌能夠進入導管中這會引起嚴重疾病, 同時導致導管喪失功能如您認為出現了以下任何一種感染現象, 應立即通知您的醫生發燒或打寒顫導管部位出現發紅溫熱析液或腫脹新的疼痛發作 4-Southeast Transplant Surgery/Renal Medicine Box N.E. Pacific St. Seattle, WA University of Washington Medical Center Your Tunneled Catheter Chinese 12/2006 Rev. 08/2010 Reprints on Health Online:

Patient Education 4-Southeast Transplant Surgery/Renal Medicine Your Tunneled Catheter About hemodialysis and plasma exchange catheters This handout gives information about tunneled catheters, which

You have a tunneled catheter for hemodialysis or plasma exchange. The tunneled catheter is a catheter that is fixed in place when scar tissue forms. It can be used for weeks or months.

5 Patient Education 4-Southeast Transplant Surgery/Renal Medicine Your Tunneled Catheter About hemodialysis and plasma exchange catheters This handout gives information about tunneled catheters, which are used for hemodialysis or plasma exchange. Included are basic care instructions, signs of infection to watch for, and when to call the doctor. You have a tunneled catheter for hemodialysis or plasma exchange. The tunneled catheter is a catheter that is fixed in place when scar tissue forms. It can be used for weeks or months. The catheter is placed into a large vein in your neck that returns blood to your heart. It is then tunneled down your chest wall, going out through your skin about 6 inches from where it entered your vein. Follow the care instructions in this handout to keep the catheter from clotting and to prevent infection. Tunneled Catheter Heart Placement of a tunneled catheter

6 Page 2 4-Southeast Transplant Surgery/Renal Medicine Your Tunneled Catheter When you change your dressing, check your site for any sign of infection or catheter damage. If these problems are found early, they can likely be resolved. Look for any redness, swelling, drainage, or moisture. Gently feel for any swelling or tenderness. The catheter should be intact, caps in place, and both ports clamped. Basic Catheter Care Keep the catheter site as clean as possible to prevent infection. Keep both ports of the catheter clamped at all times. Do NOT pull on the catheter. Do not take a bath, soak in a hot tub, or go swimming. When you take a shower, cover the entire catheter and dressing site with a plastic sheet and tape the edges (see the picture below). Remove the plastic cover right after your shower. Change the dressing right away if it gets wet. If you are bleeding from the catheter site or if the catheter falls out, apply pressure at the site and go to an emergency room. Covering the catheter with plastic Catheter Dressing Change I need to change my dressing every 3 days or when it is wet or loose. I need to change my dressing only if it becomes wet or loose. Otherwise, the staff at University of Washington Medical Center or my dialysis center will change my dressing.

7 Page 3 4-Southeast Transplant Surgery/Renal Medicine Your Tunneled Catheter Questions? Your questions are important. Call your doctor or health care provider if you have questions or concerns. UWMC 4-Southeast Nurses are also available to help. Renal Nurse: Neurology Nurse: Transplant Nurse: Southeast Transplant Surgery/Renal Medicine: Follow these steps to change your dressing: 1. Prepare these supplies: 2. ChloraPrep 2 x 2 gauze Transparent dressing Put on a mask. 3. Wash your hands with soap and water. 4. Remove the old dressing. 5. Clean the catheter site with ChloraPrep and let it dry for 30 seconds. 6. Apply 2 x 2 gauze and then the transparent dressing. When to Call Your Doctor Infection is the most common complication of tunneled catheters. Germs from your hands, mouth, and surroundings can get into your catheter. This can cause you to become very ill and your catheter to fail. Call your doctor right away if you think you might have any signs of infection: Fever or chills. Redness, warmth, drainage, or swelling at the catheter site. New onset of pain. of these 4-Southeast Transplant Surgery/Renal Medicine Box N.E. Pacific St. Seattle, WA University of Washington Medical Center 12/2006 Rev. 08/2010 Reprints on Health Online:

Male Circumcision - Traditional Chinese

Male Circumcision - Traditional Chinese Male Circumcision Male circumcision is the removal of the foreskin around the end of the penis. If you decide on circumcision, your baby s doctor will do it in the hospital s nursery. If your baby is small