Question

You are caring for a patient with a port-a-cath infection. How would you proceed with a physical and safety assessment, how would you respond to the situation, what treatment modalities would you consider, wwho would you consult, and what abnormal findings may you expect? How would you interact with the ptient, proceed with your assessment, and what would be your nursing diagnosis?

Answer 1

PORT A CATH INFECTION MAINLY OCCURS IN IMMUNO COMPROMISE CLIENT.

IIMMUNOSUPPRESSIONS AND CHEMOTHERAPY RELATED NEUTROPENIA.

ASSESSMENT CAN BE DONE THROUGH COMMON SIGHNS AND SYMPTOMS OF INFECTION LIKE

. ERYTHEMA

. REDNESS

RASH CAUSED BY INFECTION.

.HIGH FEVER

.SEPTICEMIA.

. TENDERNESS.

.PAIN WHEN PRESSURE IS APPLIED TO THE PORT SIGHT.

.INDURATION

.LOCALISED HARDENING OF THE PORT SIGHT.

BLOOD CULTURES CAN BE USED TO DIAGNOSE THE INFECTION.

TREATMENT

.

BROAD SPECTRUM ANTIBIOTICS.

.REMOVAL OF INFECTED PORT.

.OPEN DRAINAGE OF THE WOUND.

NURSING DIAGNOSIS SHOULD BE IN THIS AREAS.

.PROPER STERILISATION TECHNIQUES TO PREVENT FURTHER INFECTION.

ADOPT REGULAR ROUTINE FOR PORT CARE.

PORT STERILISATION SHOULD BE PETFORMED AFTER WADHING HANDS AND SHOULD BE DONE BY TRAINED PERSONNEL.

CHEST PORT MUST BE FLUSHED EVERY FOURTH WEEKLY.