today we had a pt who c/o burning when the chem drug navelbine was infused which is a vesicant and there is positive blood return noted The pt had a dye study done w/no fractures or problems noted from the catheter the md insist its ok to use but as an infusion nurse for many years I have never had this happen to me and know it is a red flag does anyone out there have this happen to them
dolores rn
Where did the patient feel this burning in relation to where the catheter was located? What type of catheter - tunneled or implanted port. When you flush with saline only what does the patient feel and where? How long has the catheter been in place?
As a patient advocate, you must go by your experience and knowledge and you can not be forced to do anything that does not feel correct to you, regardless of what the doctors state. Lynn
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
Thank you for your response the patient felt the burning in her chest not at the insertion site but further out it is a tunnled port fairly new probably not over a month old she feels the burning with the saline flush ther is a positive blood return noted but the way she described it made me really uncomfortable
thank you
Dolores Tinker RN
Dolores Tinker CRNI
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861