Good afternoon all!!!
Hope you're having wonderful Holidays!!!!
For the past year, we've been having a lot of patients with contact dermititis from their PICC dressing. We have tried topical corticosteroids and occlusive dressing. We have heard Flovent being used as an aerosol corticosteroid treatment under the dressing, has any of you tried or heard about this intervention?
Thanks !!!!
This would be treating the sign but the the actual problem. Have you read the product literature on any of the aerosol steroids? This would certainly be an off-label use, place the patient at risk for additional skin injury and create a legal liability for the nurse and hospital. I would recommend you use other methods to reduce or even prevent the problem from occuring. Have you tried different transparent dressings? Are you using a skin protection solution from the very beginning immediately after catheter insertion? Are you certain that all skin antiseptic solutions are thoroughly dry each and every time the dressing is changed before the new dressing is applied? Are these patients allergic to other things? There are numerous things to try before you move to what I would consider a very risky option. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861