Nurse error --will I be ok?
My nurse today took my blood pressure out of my arm that had lymph nodes removed. Granted I have no idea why I let her (chemo fog -I guess) I realized this only sometime after I got home. Should I be concerned or would something have happened by now?
Comments
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It is highly unlikey that a single blood pressure reading on that arm will set off lymphedema. We want to be as careful as possible, but a single brief incident such as this is not likely to be a problem.
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Hey, I'll "trump" your story! I've had FOUR IV's in my right arm since the beginning of the year. Each time it got harder and harder to get one going. Everyone looked at my left arm and I said NO!!!! But then, twice I needed extra blood taken and I LET THEM use my left (bad!) arm!! I had to, as my right arm was just depleted of veins by then.
The concept is to not get an infection when you do this. I'm pretty sure I'm out of the woods now. You may find you have a different blood pressure than your good arm, so make sure whoever took it understands that. I'll think you'll do fine.
I found that both times in the hospital when I said sticks on my right arm only, they immediately said "lymph node removal on the left" and I nodded. FINALLY the concept has trickled down to the main users of the very items we don't want in our bad arms!! Progress!!
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Here's another 'it's progress' report. My mother had full axillary dissection with her radical mastectomy in 1969. At 82, she's still with us, and by now you can imagine she's had the typical lifetime of medical care. Two weeks ago, mom was hospitalized for a few days for pneumonia (she's fine now!) and she asked me why on earth the nurses made a point to avoid sticks and pressure checks on her right side. Turns out this was literally the first time in 43 years that anyone even thought about arm precautions for her. She's sharp as a tack so not just forgetting about any precautions, either.
And I also must report that now I feel incredibly stupid not to have talked with her about it, because I now know that she uses her affected side to do her daily blood sugar tests, because she's type II diabetic. No one told her to use the other hand. She's been doing it for years, way before I learned how to spell lymphedema. I say she is darn lucky not to have LE by now. She must have been born with one of those 'four lane highway' lymphatics. Maybe I got a one-lane-road version from dad? (I love him anyway!)
Carol
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luvmy2kids - the morning after my BMX, a nurse came into my room to check my vitals. We even chatted about her own BMX several years ago.
At one point we looked down at the blood pressure cuff on my left (cancer side) arm and yelled to each other "NOOOOOOOO" .She took it off quickly, and made sure there was a sign above my bed after that.
I had no ill after-effects.
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When I woke up in recovery after having my BMX (with sentinel nodes taken on each side), I found I already had one of these really tight automatic blood pressure cuffs on my arm. This was at the top hospital in the area. Almost 2 years out, and I have no signs of lymphedema. I know, however, that the risk is always there.
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to all who had BMX, when I went into surgery for my BMX (nodes removed on both sides) I had my hospital ID on my arm, when I woke up (drug fog) I couldn't find my hospital ID. Later in the day I realized that they had put it on my ankle during surgery as well as the auto bp cuff. Having the ID band on my ankle was a notice to the nurses to only do bp on the leg. I didn't have a problem at the hospital trying to take bp on my arm.
Now I have slight LE in my left arm but I have problems getting DR and nurses in different pratices to realize that both arms are off limits for both bp and needle sticks. This past week, I went to a different doctor for a colonoscopy consult with my auto bp machine and tried to tell them that I only want bp on my calf. Unfortunately my bp was elevated and the doctor insisted that he take my bp on my arm to make sure that my bp machine was working correctly. It was still elevated, probably because I waited 2 hours after my appointment time to see him. Also at my reg doctors office, the lab tech refuses to take blood from my foot but can find the vein in my right arm without a tourniquet. She seems to think that the tourniquet is the problem not the needle stick, I do however make her put neosporin on the area after the stick and not just wipe it off.
Sheila
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carol57 I love that story! While I do believe we're so much better off with all the information we can get, sometimes there's a lot to be said for not knowing.
I don't have LE, but I have arm & truncal cording. When I went into oncology recently for BRCA testing, the genetisist (or whatever she is) overheard me tell the lab person not to take blood from my right arm due to lymph node removal. She came right over and said it was awesome that I said something. It lead me to believe that most people don't.
My BS nurse gave me a pink bracelet to wear when I go into hospital that identfies that arm as at risk for LE. I keep it right in my car in the open in case I'm ever in an accident. Not too likely it will land next to me, but someone might see it. Still considering a medical alert bracelet, but not sure.
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Sheila, that's brilliant! If they put the ID on your ankle it at least gives the nurses and phlebotomists a clue! Never thought of that. Next time around for a colonoscopy I'll insist on it (last time, since I wrapped both arms, they spent the better part of 20 minutes trying to figure out how to get the ID over by wrapped wrist -- shoulda just told used the ankle!)
Binney
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Sheila I too have to fight (10 nodes in one arm 4 nodes in the other).
3 weeks ago I had a liver scan. I warned them ahead of time that they would be injecting the dye through my foot like they did a year ago. (had to fight that time too). So I get there and the tech says to me "I see you get the IV through your foot. Well today we are not doing that." So I said back to him "well then I'm leaving." He was from Maine so he thought I was kidding. (New Englanders have extremely dry humor. I too am from NE). I explained I was kidding. Once I was set up he said "I need to get one fo my colleagues to do the stick in the foot. I haven't done one of these yet."
My point is they will do what's easy for them. BTW all through chemo my onc insisted they do BP in my 4 node arm. Part of the reason was the nurses couldn't get a good reading on my leg. Always said I was dangerously high. Now I know the place to take it is my ankle. Still high but high normal. My left arm might be a stage 0 as I do feel heaviness at times but has yet to swell. That arm ironically had cording after bmx.
When it comes to BP on an at risk arm I demand they use the manual not the machine. The machine goes much too tight.
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Iago, if you already had the IV in your foot the doc could just use that! Or did he read notes that said IV only in foot?
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He just read the note that said that. He needed to place the IV in the foot but never did it before so he was blowing off the note.
I find that the techs and nurses will do what ever is expedient. I realize their busy but it's my arm and I don't need LE in both of them especially my right which is my dominant arm.
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