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Author Topic: Exit site care.  (Read 4869 times)
highway61
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« on: December 17, 2011, 10:53:48 AM »

What do you all do to keep your exit site covered? I have a number of sores from the large band aids we cover my exit area with. We try to move them around but that has just resulted in a wider collection of sores.

Thanks.
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JLM
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« Reply #1 on: December 17, 2011, 12:58:01 PM »

Try going without any covering.
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I'm just where God wants me to be, not one step ahead nor one step behind.
justme15
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« Reply #2 on: December 17, 2011, 03:29:07 PM »

I used to use cloth tape over my catheter. i forgot the name of it, but it adhered well, but was gentle on the skin.  i also would use an island dressing over the catheter from time to time.
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Atooraya
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« Reply #3 on: December 17, 2011, 05:10:03 PM »

 My nurse has instructed me to keep it covered with a bandage with slit down the middle. I use two pieces of tape above and below to keep it in place. The tape has a paper baking and is gentle on the skin.
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drgirlfriend
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« Reply #4 on: December 17, 2011, 06:02:49 PM »

My bf uses 2x2's and paper tape. The other tapes irritated his skin quite a bit. There are some pd belts that cover your site. He hasn't tried any of those, though.
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Boyfriend diagnosed with renal failure Feb. 2011. Cause unknown.
PD Catheter "installed" June 30, 2011.
Began CAPD August 11, 2011.
On transplant list 11/23/11.
Started Liberty Cycler 12/1/11.
Cordelia
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« Reply #5 on: December 17, 2011, 06:07:37 PM »

No bandage on mine for the last year, never an infection for me. I always had a major rash. Going without a bandage or covering can be done, you just need to take real good care of it.
« Last Edit: December 17, 2011, 06:09:05 PM by Cordelia » Logged

Diagnosed with Polycystic Kidney Disease at age 19.
Renal Failure at age 38 (2010) came about 2 hrs close to dying. Central line put in an emergency.
Began dialysis on Aug 15, 2010.
Creatine @ time of dialysis: 27. I almost died.
History of High Blood Pressure
I have Neuropathy and Plantar Fasciitis in My Feet
AV Fistula created in Nov. 2011, still buzzing well!
Transplanted in April, 2013. My husband and I participated in the Living Donor paired exchange program. I nicknamed my kidney "April"
Married 18 yrs,  Mom to 3 kids to twin daughters (One that has PKD)  and a high-functioning Autistic son
kporter85db
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« Reply #6 on: December 17, 2011, 08:30:53 PM »

I tried several kinds of tape and bandages but they all tore up my skin also so I go uncovered also. I do still cover it up if I am doing a "dirty" activity and I always cover it if I have to go into the hospital.
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May/2010 Sulfa based antibiotics killed my already weakened kidneys, almost
Feb/2011 PD catheter placed
July/2011 Started Peritoneal Dialysis
Nov/2013 Started NxStage 5 days/week

Ken
highway61
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« Reply #7 on: December 18, 2011, 05:26:47 AM »

Hmm.. Sounds like we all have the same issue. Atooraya, we have tried the folded 2x2 thing. That is what we started with. We used paper tape but it still rips my skin up after a couple of uses. I am temped to let it go uncovered but our PD nurse told us to keep it covered.

We did use Curad band aids, which worked the best. But after awhile even that started to tear my skin.

What a real pain.

 :banghead;
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Joe
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« Reply #8 on: December 18, 2011, 09:34:00 AM »

Highway, I'm in the 'go commando' camp  :rofl; I do use a PD belt to ensure I don't tug and pull, but that doesn't adhere to the skin. I do my daily exit site care but once I'm done I leave it open.  I will cover up when I go into either the lab or the Neph's office. I don't really need the lecture...
JMHO-YMMV
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Live simply. Love generously. Care deeply. Speak kindly.
Leave the rest to God...
JLM
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« Reply #9 on: December 18, 2011, 11:31:33 AM »

I used to cover my exit site and had irritation from the tape also.  My nurse suggested that I don't cover it and now I don't.  If the cath gets a hard tug I put some of the cream on a 2x2 and tape it on for the day.    I also use to wear a PD belt, then while placing my last order they ask if I wanted some Immoble.  I ask what was that and it's a "line control device for extension/transfer sets" so I said, "Sure".  I love 'em  It's the size of a band aid that sticks to you skin and has a Velcro tab to hold the cath coiled at your side.  I have not had any irritation as of yet and I have been using them every day.
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I'm just where God wants me to be, not one step ahead nor one step behind.
jeannea
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« Reply #10 on: December 18, 2011, 02:24:50 PM »

I leave it uncovered. My nurse doesn't think we need to cover it. I got a rash from the cleaning solution so I stopped using that too.
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highway61
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« Reply #11 on: December 19, 2011, 01:49:22 AM »

I am thinking I just might 'go commando' and see how it goes. I am still getting some discharge on the band aids though. That could be just be from washing it and covering it up right away.

I will also have to see if we can get the Immobile thing from Fresenius. I a willing to try anything.

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JLM
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« Reply #12 on: December 19, 2011, 05:39:32 AM »


I will also have to see if we can get the Immobile thing from Fresenius. I a willing to try anything.

That's who I'm with.  Ask with your next order.
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I'm just where God wants me to be, not one step ahead nor one step behind.
Cordelia
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« Reply #13 on: December 19, 2011, 05:41:02 AM »

Good luck!!!  :clap;     I don't regret going commando myself!      :rofl;       ;D
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Diagnosed with Polycystic Kidney Disease at age 19.
Renal Failure at age 38 (2010) came about 2 hrs close to dying. Central line put in an emergency.
Began dialysis on Aug 15, 2010.
Creatine @ time of dialysis: 27. I almost died.
History of High Blood Pressure
I have Neuropathy and Plantar Fasciitis in My Feet
AV Fistula created in Nov. 2011, still buzzing well!
Transplanted in April, 2013. My husband and I participated in the Living Donor paired exchange program. I nicknamed my kidney "April"
Married 18 yrs,  Mom to 3 kids to twin daughters (One that has PKD)  and a high-functioning Autistic son
highway61
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« Reply #14 on: December 19, 2011, 04:56:57 PM »

Cool JLM, I will definitely ask about it.

Hey Cordella, thanks for the help.
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amanda100wilson
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« Reply #15 on: December 19, 2011, 06:02:18 PM »

On PD for eight years.  No tape, no dressing, just tucked cath. Into my underwear.  No infections, no issues.
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ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

Always look on the bright side of life...
kporter85db
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« Reply #16 on: December 19, 2011, 06:34:06 PM »

My Fresenius nurse also likes that I go commando. I tried the Immobile thing for a while too but I really like just tucking it in my pants and letting it hang.

I keep it out of my underwear though.
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May/2010 Sulfa based antibiotics killed my already weakened kidneys, almost
Feb/2011 PD catheter placed
July/2011 Started Peritoneal Dialysis
Nov/2013 Started NxStage 5 days/week

Ken
highway61
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« Reply #17 on: December 20, 2011, 05:07:04 PM »

Thanks Amanda and kporter. I am down to just a plain band aid. My sweet wife is worried I will get an infection. I am trying to convince her that an outer infection is fixable and might not even happen.

We will see.
 :waving;
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Cordelia
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« Reply #18 on: December 20, 2011, 06:00:06 PM »

Cool JLM, I will definitely ask about it.

Hey Cordella, thanks for the help.

You're very welcome, highway 61!      :waving;
Logged

Diagnosed with Polycystic Kidney Disease at age 19.
Renal Failure at age 38 (2010) came about 2 hrs close to dying. Central line put in an emergency.
Began dialysis on Aug 15, 2010.
Creatine @ time of dialysis: 27. I almost died.
History of High Blood Pressure
I have Neuropathy and Plantar Fasciitis in My Feet
AV Fistula created in Nov. 2011, still buzzing well!
Transplanted in April, 2013. My husband and I participated in the Living Donor paired exchange program. I nicknamed my kidney "April"
Married 18 yrs,  Mom to 3 kids to twin daughters (One that has PKD)  and a high-functioning Autistic son
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