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Author Topic: Aggressive exit site solution????  (Read 4152 times)
teniya
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« on: May 17, 2011, 08:41:14 PM »

I lose my paper on what the ingredients are and I just ran out of the batch I had, does anyone know the actual ingredients to make it??? it'll be much appreciated  ;D
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HouseOfDialysis
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« Reply #1 on: May 18, 2011, 02:20:26 PM »

Aggressive exit site solution?
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Diagnosed with Alport Syndrome in 2004.
AV fistula surgery June 9th, 2010.
PD Catheter surgery February 7th, 2011.
Began CAPD on February 21st, 2011.
Began CCPD on April 29th, 2011.
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greg10
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« Reply #2 on: May 18, 2011, 02:40:35 PM »

I lose my paper on what the ingredients are and I just ran out of the batch I had, does anyone know the actual ingredients to make it??? it'll be much appreciated  ;D
Welcome to the forum.  :cheer:
I think a lot of readers were lost when they saw the question.  This may have to do with the cleaning solution for PD catheter:
You should be careful with chlorhexidine as many forum members have reported bad rashes due to allergic reaction to the solution.

http://www.ispd.org/guidelines/quality/shower.doc
"13.   Inspection of the exit site and documentation of the exit site condition on the Patient Care Record is essential.  If the exit site becomes inflamed or infected, call the Home PD Unit immediately.  Refer to the Procedure for Care of the Infected PD Catheter Exit Site.  Also notify the unit if there is any trauma (eg. catheter has been forcibly pulled; there has been aggressive crust removal resulting in redness or bleeding) to the exit site.

14.   The standard cleaning solution for catheter care is 2% chlorhexidine gluconate aqueous solution with a 4% isopropyl alcohol as a stabilizer.  Trade name for this solution is Stanhexidine.

If the patient is sensitive to chlorhexidine gluconate, check his/her records or ask the Home PD Unit for a substitute antiseptic solution order. "
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Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
Alisa
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« Reply #3 on: May 18, 2011, 04:07:00 PM »

I have never heard of the cleaning solution refer ed to.  I have been on PD for the last 5 years and have only been trained to wash with antibacterial soap, using clean faceclothes each time and if there is an infection to switch to sterile dressing changes with antibiotic cream. But that's just me.
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Kong
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« Reply #4 on: May 18, 2011, 07:08:54 PM »

I get a product called Exsept from Baxter to wash the exit site.

http://www.alcavishdc.com/products/exsept_plus_procedures.html
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lmunchkin
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"There Is No Place Like Home!"

« Reply #5 on: May 18, 2011, 08:52:09 PM »

ExCept is what we use too. 

lmunchkin
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11/2004 Hubby diag. ESRD, Diabeties, Vascular Disease & High BP
12/2004 to 6/2009 Home PD
6/2009 Peritonitis , PD Cath removed
7/2009 Hemo Dialysis In-Center
2/2010 BKA rt leg & lt foot (all toes) amputated
6/2010 to present.  NxStage at home
Alisa
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« Reply #6 on: May 18, 2011, 08:55:59 PM »

Thanks , going to ask Baxter tomorrow about it. I am from Canada does anyother Canadian PD'er use this I wonder?
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Marina
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« Reply #7 on: May 28, 2011, 11:57:24 AM »

I  used  Exsept.

But  before  Exsept  came  around  to the  unit,  we   were   given  a  vinegar  solution  we  could  make  at home.

Procedures  for preparing  vinegar solution:
a. Prepare  vinagar  solution  in a  VERY  clean  jar
b. Add  6 ounces   (3/4 cup)  boiled  or  bottled  water
c. Add  4 ounces (1/2 cup)  white  vinegar
d. Add  1  3/4 teaspoon  table salt
e. Shake  until  dissolved
f.   Pour  solution  into  a clean  spray  bottle.

Do  not  store  vinegar  solution  for  more than  1  week.
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"Anything is possible, if  you  BELIEVE....."  ~~~Joel  Osteen

"Yesterday is history, Tomorrow is a mystery, Today is a gift..... That is why it is called the present"

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 Nov 1979 ~ Diabetes 
Apr. 2004- Nov 2010 ~ CAPD
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teniya
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« Reply #8 on: June 20, 2011, 10:27:00 AM »

Thank you marina that was exactly what i was looking for  :clap;
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