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Re: [IPp] Does any one use Tegaderm or other transparent Dressings



We found with additional dressings we could not achieve good numbers....we
found that the cannula bent many time so we skipped the dressings and did
much better w/o it. If removing the tape is a problem use unisolve...it
makes it real easy........!!!!!!!
----- Original Message -----
From: "laventine" <email @ redacted>
To: <email @ redacted>
Sent: Sunday, June 09, 2002 7:55 PM
Subject: [IPp] Does any one use Tegaderm or other transparent Dressings


> My Stepdaughter Megan-11 started her pump,Htron Plus,
> on Thursday(6-6-02)seems to be doing fairly well.
>
> However, I do have a question, Oxystat-the company
> that sends the pump supplies sent us boxes of Smith &
> Nephew High MVP Transparent Dressing.  I worked  a few
> years as a supplier for feeding pumps and supplies so
> I knew that these were probably needed or they
> wouldn't have sent them.  There were some also in her
> starter kit-from the pump manufacturer.
>
>  However, the nurse that we trained with told us not
> to use them or if we did we would have to cut a hole
> in them for Megan to be able to do the quick release.
> Well,last night we had to do Megan's first set change
> and (she only had 20 units left and was running in the
> lower 200's) and so we applied the dressing(which is
> like another skin) then put the set on top of this, I
> did not cut it just pierced it with the needle.  We
> did this about 10:30pm and I rechecked her at 12:30
> and she was 363.(with no ketones) I checked everything
> and the elastic in her shorts seemed to be tight(she
> had the tubing under the elastic)so I just pulled the
> tubing to the outside and checked her bg at 3:00- she
> was 243. so I checked her again at 5:00 and she was
> 180.  And she has done well the rest of the day.
>
> Keep in mind we have set her basal rate at 2
> units/hour (per doctor) and she probably will change
> it on monday, because she has been running high at
> night (180-240)previously.What I am wanting to know is
> anyone else using this dressing-or tegaderm.  Megan
> says the set seems more secure to her with the
> dressing there.  I just want to know if anyone using
> it is cutting it before putting it on or are they
> letting the needle pierce through it- she is using
> ultra flex sets which she thinks she will like better
> than the ones put in at an angle-  Megan is a large
> girl not thin if that is of any concern and she
> doesn't seem to mind this needle- she is wearing it on
> the abdomen about an inch above and to the side of her
> belly button (she is 5'2" so she has alot of space
> before you get to her ribs)Thanks for any help,
>
> Wendy, stepmom of Megan-11 htron Plus
>
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