PleurX Drainage Systems - 1000ml

What to buy with PleurX Drainage Kit

• Urocare Urolux Urinary And Ostomy Appliance Cleanser And Deodorant
• Cymed Original lle-Sorb Absorbent Gel Packets
• Coloplast Alpine Fresh Appliance Cleaner

How to use PleurX Drainage Starter Kit?

• Getting started: Have all drainage supplies ready and then thoroughly wash your hands.
  1. Open all packaging of drainage kit. Unfold blue wrapping. Place bottle near wrapping and lay access tip on blue wrapping.
  2. Pick up each glove by the wrist cuff and put both of them on.
  3. Tear open alcohol pads. Lay open alcohol pad pouches on blue wrapping a short distance from sterile items.
• Connecting the drainage bottle: Be sure to keep the end of the catheter and access tip clean.
  4. Close roller clamp completely by rolling the wheel on roller clamp towards the bottle. Remove access tip cover by twisting and pulling gently. Set access tip on blue wrapping.
  5. Take valve cap off the Denver PleurX catheter.
  6. Clean around valve opening with the first alcohol pad.
  7. Insert access tip into catheter valve.
• Draining fluid: Do not drain more than 1,000 mL from your chest or 2,000 mL from your abdomen at any one time.
  8. Remove support clip from the top of drainage bottle and push down plunger.
  9. To begin draining, roll the wheel on roller clamp away from vacuum bottle.
  10. When finished draining, completely close roller clamp by rolling wheel on roller clamp towards the bottle.
• Final steps and disposal: If you have any questions or concerns, contact your doctor or nurse.
  11. Pull access tip out of valve; set drainage line down.
  12. Clean around valve opening with the second alcohol pad.
  13. Place a new cap on catheter valve and twist it until it snaps into its locked position.
  14. Clean around catheter site with the third alcohol pad.
  15. Place foam catheter pad around catheter and wind catheter on top of the pad. Cover catheter with gauze pads.
  16. Apply self-adhesive dressing over gauze pads.
  17. Push down plunger and move plunger in a circular motion to further puncture foil seal so fluid can be poured out.
  18. Remove flexible cap and drainage line from the bottle.
  19. Empty bottle into the toilet. Place bottle in a plastic bag, seal tightly and discard.

Contraindications:

• When there is a shift greater than 2 cm in the mediastinum towards the ipsilateral side of the effusion
• When the pleural cavity is multi-loculated, and the drainage of a single loculation would not be expected to provide relief of dyspnea
• When there is a coagulopathy
• When the pleural cavity is infected
• When the effusion is known to be chylous

Warnings:

• Do not drain more than 1000 ml of fluid from your chest or 2000 ml of fluid from your abdomen at any one time
• It is normal to feel some discomfort or pain when draining fluid
• If discomfort or pain is experienced when draining, clamp the drainage line to slow or stop the flow of fluid for a few minutes
• If you do not feel better after doing this or the pain is severe, contact your doctor or nurse
• Pain may be an indication of infection
• Keep the valve on the PleurX Catheter and the access tip on the drainage line clean
• Keep them away from other objects to help avoid contamination
• Do not use scissors or other sharp objects near the PleurX Catheter
• Do not put anything except the access tip of the drainage line into the PleurX Catheter valve since this could damage the valve
• A damaged valve may allow air into your body or let fluid leak out through the valve when you are not draining

Risks of the PleurX Drainage System:

• Chest: Potential complications of draining the pleural space include, but may not be limited to, pneumothorax, re-expansion pulmonary edema, hypotension, circulatory collapse and infection
• Abdomen: Potential complications of draining fluid from the abdomen include, but may not be limited to, hypotension, circulatory collapse, electrolyte imbalance, protein depletion, ascites leakage, peritonitis, wound infection and loculations of the peritoneal space.

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