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A patient is brought to ICU from nephrology department. Nurse on duty noticed that there is bleeding from sheath site from right hand. Which of the following is the priority nursing action in this situation?

A patient is brought to ICU from nephrology department. Nurse on duty noticed that there is bleeding from sheath site from right hand. Which of the following is the priority nursing action in this situation? Correct Answer Immediately apply pressure on bleeding site with sterile gauze 

Concept:

  • Dialysis -> A procedure used to remove waste products and excess fluid from blood when kidneys stop working.
  • Dialysis sheath insertion is done for this procedure to get vascular access.
  • Bleeding can happen from sheath site due too:
    • Anti coagulation
    • Poor platelet function
    • Trauma to the vessel
    • Improper capping

Explanation:

  • Nursing management of sheath site bleeding in dialysis:
    • Apply firm pressure over the exact bleeding site with sterile gauze (Priority action).
    • It should be done at least for 10 minutes before checking bleed site.
    • When bleeding stops apply gauze and tape.
    • If bleeding restarts continue to apply pressure and get help from other staff.

Additional Information

  • Calling to dialysis room and asking for help, checking blood pressure, informing doctor are secondary actions.
  • It should be done if bleeding restarts after applying pressure for 10 minutes.

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