Central indwelling catheters

Very common. Organisms usually Staph. epidermidis but can be other Staph spp. and even Gram -ve organisms. May be erythema/exudate around entry or exit sites of line, tenderness/erythema over subcutaneous tunnel or discomfort over line tract. Blood cultures must be taken from each lumen and peripherally and labelled individually. Add vancomycin 1g bd IV if not in standard protocol. Split dose between all lumens unless cultures known to be +ve in one lumen only. Lock and leave in line for 1h, then flush through. If no response or clinical deterioration, remove line immediately.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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