Nursing of a pediatric patient with serious skin problems at the puncturing site of peripherally inserted central catheter after methotrexate use
10.3760/cma.j.issn.1674-635X.2017.04.010
- VernacularTitle:应用甲氨蝶呤后发生经外周静脉置入中心静脉导管穿刺部位严重皮肤问题患儿一例的护理
- Author:
Baohong ZHANG
;
Yu HUANG
;
Yang LIU
- Keywords:
Methotrexate;
Leukemia;
lymphoid;
Catheterization;
central venous;
Anaphylaxis;
Nursing
- From:
Chinese Journal of Clinical Nutrition
2017;25(4):252-255
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the nursing experience of a child with serious skin problems at the puncturing site of peripherally inserted central catheter (PICC) for methotrexate (MTX) infusion.MethodsA pediatric patient from the Hematology Ward of Beijing University People''s Hospital was found to be with serious skin problems at the puncturing site of PICC for MTX infusion.Local irradiation with ultraviolet, disinfection of local skin with iodine volts and 0.9％ sodium chloride injection, coverage of the broken skin with alginate dressing, and fixation of PICC with sterile gauzes were applied.Results After 22 days of nursing, the pain and itching at the broken skin around PICC disappeared.The skin returned normal, without exudates and prolapse of catheter.Conclusions After MTX use via PICC, the children can easily become irritable due to local symptoms and their own feelings after skin allergy.Meanwhile, prolonged treatment and nursing may make the child cry and increase the stress of parents.Caregivers needs to explain the related factors of allergy to the children and their families, and give the correct nursing intervention, so as to improve local allergy and facilitate the retention of PICC.
