Question

An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (pic line) for home antibiotic therapy. he has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. upon questioning, the mother states that she has been removing the pic dressing daily and washing the site with warm water and a cloth. what nursing diagnosis is most appropriate in this situation?

Answer 1

The most appropriate nursing diagnosis is ineffective family therapeutic regimen management. The nurse should educate the family that new insertion dressings must be changed in 24 hours and they should measure the length of tubing exposed after insertion and at every dressing change as to monitor positioning of tip to prevent infection. This is usually done every week and per hospital’s advice. A peripherally inserted central line can remain in place for 6 months so proper handling and care must be observe.

Answer 2

The nursing diagnoses which can be most useful in this situation are:

• Educating the parents and making them go through short training so as to how to replace the line effectively.
• Also, the patient should be referred back to the physician for the treatment of sepsis.

Further Explanation:

The peripherally inserted central catheter is also referred to as the PICC line. It is a thin, long tube that is placed in by a vein in the arm and passed by the larger veins adjacent to the heart. If a person is having PICC there are chances of having an infection. Infection can occur when a bacteria is entered into the bloodstream or central line catheter.

Invasive pneumococcal is a dangerous or life-threatening form of pneumonia that is considered fatal. They mainly cause sepsis, pneumonia, meningitis, and bacteremia. Mainly this type of pneumonia causes high fever, cough, and breathing problems.

The nurse should educate the family that new insertion dressings must be changed in 24 hours and they should measure the length of tubing exposed after insertion and at every dressing change to monitor the positioning of the tip to prevent infection. This is usually done every week and as per the hospital’s advice. The peripherally inserted central line can remain in place for 6 months so proper handling and care must be observed. If any infection occurred during the changing of the line then the child should be referred back to the physician for proper care.

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Answer Details:

Grade: High School

Subject: Biology

Topic: Peripherally inserted central catheter

Keywords:

Peripherally inserted central catheter, PICC line, dressing, wash, month, child, family, dressing, tubing, exposed, length, cough.