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Category: Tube & Device Securement

Caring for a Nephrostomy Tube & Sensitive Skin

A Nephrostomy Tube

Before we begin, let’s first discuss what a nephrostomy tube is and what it is for. A Nephrostomy tube is a catheter or a thin tube that is inserted through the skin at the back and into your kidneys. It is used to drain urine from the kidney directly into a storage bag that it attached usually to the patient’s leg. A patient can have two inserted (one for each kidney) nephrostomy tubes.

A person with a healthy kidney normally will process liquid and create urine. This then drains through the ureter into the bladder. However, in some cases when an obstructions such a kidney stone, infections, congenital malformation happens, the urine is not able to reach the bladder hence prevents it to be eliminated naturally. When this occurs, an interventional radiologist is sought to insert the catheter into the body by using image guidance. This procedure can be done with general anesthesia or with conscious sedation and usually takes less than an hour to be completed.

The Nephrostomy Tube is in situ usually only for a few days and weeks. For extreme cases, it is placed for months wherein it will require new tubes for changing.

Caring for Patients with Nephrostomy Tube & Dressing

Due to its area of placement (at the back), a patient will require assistance for it to be cleaned and maintained properly. The nurse/carer will specify a mark on the catheter tube wherein it should always have the same distance from the disc covering the site. If any movement is observed, consult your medical professional immediately.

The bag must be placed securely on the leg of the patient as a bent catheter can pose a problem. This is essential to be observed because it ensures the catheter isn’t pulled and the urine is able to flow continuously. 

There will be cases wherein blood appears in the urine after a procedure. Always make sure to inspect the colour of the urine frequently as well as foul smell or cloudy urine. If it occurs, seek professional help.

To prevent infection or irritation, make sure to always inspect the catheter and dressing. Change the dressing if it becomes loose, wet or soiled. 

Contact the doctor or nurse if the following occurs:

  • The catheter slips
  • The patient develops a fever or gets chills
  • The clamp around the disc loosens or opens
  • There is pain, swelling, or irritation around the catheter site
  • The tube becomes clogged 
  • The flow of urine is obstructed

Using HyTape to Secure Nephrostomy Catheter and Dressing

HyTape is an ideal choice to use to secure a nephrostomy catheter and also to waterproof the dressing. This is because Hytape is both thin and conforming to the skin which is excellent for securing tubes and devices. Due to its flexibility, it allows free movement and tissue shifts which reduces the risk of skin injuries. It also has zinc-oxide which is perfect for those with sensitive skin. Lastly, HyTape is waterproof hence allows the area to be cleaned with soap and water without compromising the dressing. 

Less changing of dressing equals to less irritation on the skin. This results in faster healing and a better quality of life.  

For more information about HyTape please don’t hesitate to contact us.

Guide in Securing the Cannula in Infants and Children

An infant or small child who needs oxygen treatment often uses a nasal cannula. If you have cared for one, you’d know how difficult it is to keep it in place. 

Most children tend to pull or even chew off their cannula especially when it isn’t secured. This is why you need to have something that is strong enough to hold their nasal cannula securely in its place. Though saying this, a child’s skin is sensitive and delicate hence you must always consider finding and using a mild solution to secure it.

Nasal Cannula

A nasal cannula is a device that is used to help deliver supplemental oxygen to a patient. It consists of a clear tube wherein it is split into two small tubes, called prongs which are placed in the nostrils on one end while the other end connects to a oxygen device such as an oxygen tank or oxygen concentrator. You can usually see an adult nasal cannula worn by patients at a hospital but they are also commonly used by infants in the neonatal intensive care units where premature newborns often have underdeveloped or “weak” lungs. These children can require oxygen treatment frequently and they often go home with an oxygen delivery system and nasal cannulae when they leave the hospital.

The Significance of Oxygen Therapy

Supplemental oxygen therapy is an essential part of the overall treatment program of a child who is prescribed oxygen by a physician. For children that have severe cases of lung or heart disease, acquiring extra oxygen can make a lot of difference for them from getting back at the hospital and living life at home. Therefore it is essential to maintain their oxygen flow as instructed by their physician. This can be a problem for parents and caregivers as ensuring the oxygen nasal cannula stay’s in place is their responsibility.

Security VS Safety

It’s really difficult to secure a nasal cannula on an infant or toddler’s face. For them, it automatically becomes something irritating, or something to pull by their moving hands. Using a soft gauze alone to secure it isn’t very effective as not only will it nott work but also won’t stay in place long enough. It is important for caregivers and parents to look for ways so that infants and children won’t be able to dislodge it with their hands due to its importance.

Though heavy straps and tapes can secure a cannula, these kinds of attachments can be very uncomfortable and sometimes even painful for children. They may not be able to adapt to wearing these bulky adhesives and devices.

In addition, most of the bindings and adhesives irritate the sensitive and delicate skin of newborn babies. They are more likely to develop a rash or even a fungal infection on the face when worn for a long time. If this occurs, it can be very painful and uncomfortable to treat them as the oxygen is still required whilst you are trying to promote an environment where the skin can heal.

HyTape Assures Security and Safety

For many who have tried HyTape, they have learned that it is an excellent choice for providing both security and safety in securing a nasal cannula to children. Also known simply as ‘Pink Tape’, HyTape has zinc oxide and latex-free adhesive that is soothing and gentle on delicate skin.

HyTape can withstand even the busiest tiny hands while at the same time being able to come off without damaging or tearing the skin. Babies and children can take their regular bath because HyTape is washable and waterproof. It also allows the dressing to become occlusive as it is able to endure secretions such as saliva, baby food, and vomiting.

HyTape can be used for a long time so you don’t have to worry about applying and reapplying the tape all the time. As a matter of fact, the Children’s Interstitial Lung Disease Foundation recommends HyTape for securing nasal cannulas as it is perfect for long term use.

How to Use HyTape in Securing Nasal Cannula For Infants and Children

First, make certain that a correct nasal cannula has been prescribed by a healthcare professional to your infant or child as just basing it on their age or weight may not ensure a comfortable fit.

The nasal tubes(prongs) must fit comfortably to their nostrils. It must not take up the whole space but just be enough to have a room for oxygen and air to pass through when the nasal cannula is placed. Put the nasal prongs in the infant’s nose and extend its tube behind their head. Then, lightly tighten both the tubes together so that it encircles their head comfortably. After it is in place, place a piece of HyTape on either side of their face. Check if it’s securely in place by gently pulling the tubes along towards the nose. If you need to place additional tape, determine areas that don’t have hair. 

If you’re caring for a child who uses supplemental oxygen via nasal cannula, please visit our website for further information.

Quit Wasting Hydrocolloid Dressings

A Hydrocolloid dressing is a bioactive dressing that when exposed to wound exudate forms a gel. Typically, a hydrocolloid dressing is a flexible, polyurethane wafer, which consists of gelatin or carboxymethylcellulose that acts as an absorbent filter. It is resistant to both water and bacteria making it an advanced wound dressing. Hence, the advanced dressing creates a moist and insulated environment that prepares the wound to allow for optimal healing. The hydrocolloid dressing is required to only be changed every 3 to 7 days, therefore, this allows for less disruption to the wound. Infrequent changes minimize the pain associated with dressing changes and promote faster healing of the wound.

Although Hydrocolloid dressings may be used for various exudative wounds and are very versatile, they are expensive. By simply adding HyTape to a wound dressing routine, it can help in reducing waste, lessen the risk of skin maceration, save cost and most importantly – improve patient outcomes.

Choosing the Right Dressings for the Wound

Though versatile, hydrocolloids dressings can not be used on every wound. The absorbency of the dressing is limited. This is why it should be used for wounds with partial to full thickness and that produce low to moderate amounts of exudate. They are also recommended for pressure ulcers and are good with wounds that have slough and/or necrosis. There are also non-adherent hydrocolloid dressings in the market which can be used for certain types of superficial burns.

Using hydrocolloid dressings is not recommended to be used for wounds that excrete extensive amounts of exudate. It is also not advisable to use it on wounds that need to be frequently checked or are still infected. Though Hydrocolloid dressings can also be used for certain diabetic foot ulcers, It should be used with extreme caution, foot ischemia and infection are contraindications.

Using Hydrocolloid Dressings Effectively

Before choosing the size and shape of your hydrocolloid dressing, make sure to determine if your wound is suitable for it. It must be cleansed with a sterile saline solution and then dried off by using sterile gauze. To allow the dressing to conform better on the wound, warm it by using your clean gloved hands. Next, discard its backing and bend it down a little in the middle. Finally, carefully apply it to your wound by applying firm yet gentle pressure when you smooth it out from the centre until the edges. Due to the fact that the edges of hydrocolloid dressings often roll and curl, you can use HyTape to “frame” it.

Importance of Applying HyTape to Hydrocolloid Dressings

Since HyTape almost has the same properties as a hydrocolloid dressing, it has become a fitting choice to use along with it. Resembling a hydrocolloid dressing, HyTape is waterproof and washable hence it can be used by patients when taking a bath or shower and can be cleaned with water and soap. When it hits the patient’s body temperature, It also conforms to the skin therefore able to adapt to the wound’s shape no matter how unique it is. Though having a strong adhesive that can withstand even rigorous wound care, HyTape is gentle on the skin and is latex-free. It helps soothe the skin and can easily be removed when it needs to be replaced. 

The great thing also about HyTape is that it’s inexpensive compared to Hydrocolloid dressings. It can help extend the life of expensive ones hence minimizing waste. It is the perfect combination to use with Hydrocolloid dressings provided it is used

Stop using Hydrocolloid Dressings with Adhesive Borders

Hydrocolloid dressings are designed with mild adhesive to non-adhesive because they must be removed and pulled away easily from the affected area. The problem is, it can’t securely adhere to the wound without proper support. This is why some Hydrocolloid dressings have an adhesive border so that it covers the wound while being able to adhere to the skin. When used in clinical procedures, it costs more and causes more waste. Most importantly, Hydrocolloid dressings with an adhesive border are limited to fit the shape of a wound. Skin maceration can occur when it overlaps. This is why it is better to use a Hydrocolloid dressing and an appropriate tape (such as HyTape) to secure it to healthy skin.

Conclusion

Hydrocolloid dressing is perfect for sloughy and/or necrotic wounds and also one’s that excretes a moderate amount of exudate. These types of dressings encourage autolytic debridement by maintaining a moist, insulated environment. Though by design, it is not meant to be attached directly to a wound as its edges tend to roll. This is the reason why using a high-quality tape together with this expensive dressing is essential. HyTape is perfect and an ideal choice to use with Hydrocolloid dressing. It’s waterproof, can be removed easily, and skin-friendly. HyTape can be cut to the unique shape of the wound, hence reduces hydrocolloid dressing waste.

Making Your Wound Dressing Waterproof For Swimming

Going swimming when you have a wound dressing or bandage presents its challenges. By taking proper precautions you can ensure your dressing is covered and waterproofed. Protecting your wound from infection is of course the main aim, but people often forget the importance of protection from the sun’s UV rays.

Whenever you’re going for a swim, securing your dressing on your wound is very important. You can create a decent hold on the dressing by making a 0.5 to 1.5 inch (1.5 to 4cm) waterproof border around it. Factors like currents, salt-water waves, and body movements can and will loosen your wound’s dressing, having a strong adhesive is therefore essential.

Pool water, even if it’s treated with chlorine, can slow down the healing process of your wound and cause it to become irritated. There can be a bacterial load that is present in pools. A wound should remain dry especially when it is still in the early stages of healing. Even water from a tap, whilst is usually the cleanest source, has a risk for your wound to become infected and aggravated, especially when used in conjunction with soaps and shampoos.

Germs and microorganisms are present in all types of water which can enter the wound, thereby, causing an infection. Your skin that surrounds the wound softens when you soak it in water hence making the wound shrink and then swell. This can also slow down the healing process. Making your dressing waterproof is easy and inexpensive if you have the right products.

From sleeves to wraps, there are various products available on the market today. Choosing the right one can make all the difference. One of the best examples that has all the protective properties needed and a lot more is HyTape. It outshines and stands out from others due to its various features such as being waterproof, cost-effective and UPF 50+. HyTape is thin and flexible and adheres to all types of skins. It protects the wound dressing effectively by creating a barrier underneath, this allows it to be worn for long-term.

HyTape is also latex-free which lessens the risk of skin allergies and reactions, and has a zinc-oxide coating for soothing relief of the skin. What makes HyTape best for outdoor usage is its UPF 50+ feature to help protect your wound or scar from the sun’s UV rays. It is also easy to cover your wound or dressing as you don’t skin preparation is not required when applying. Hytape has a variety of sizes for your wounds with widths from .25” all the way up to 4”. For large covering, 4” and 5” adhesive patches are available. From surfers to parents, there are many testimonies of people who have used HyTape and had positive experiences.

Try Hytape now and share with us your experience today.